Surgical approach to epidural spinal cord compression Journal Article
| Authors: | Bilsky, M.; Smith, M. |
| Article Title: | Surgical approach to epidural spinal cord compression |
| Abstract: | NOMS provides a framework to make decisions regarding surgery or radiation in the face of changing technology. NOMS reflects the most important decision points including neurologic, oncologic, mechanical stability, and systemic disease. Currently, patients who have high-grade epidural spinal cord compression (N) from radioresistant disease (O) or demonstrate mechanical instability (M) are offered surgery if they can tolerate it from a systemic (S) standpoint. Patients with radiosensitive tumors (O) are offered external beam radiation regardless of the degree of spinal cord compression (N). Patients with radioresistant tumors (O) who do not have significant spinal cord compression (N) are now offered IGIMRT as the best chance of controlling local tumor and avoiding an operation. © 2006 Elsevier Inc. All rights reserved. |
| Keywords: | treatment outcome; cancer surgery; clinical feature; review; intensity modulated radiation therapy; postoperative care; radiation dose; neuroimaging; nuclear magnetic resonance imaging; magnetic resonance imaging; treatment indication; medical decision making; diagnosis, differential; surgical approach; oncology; symptom; spinal cord compression; spinal cord tumor; comorbidity; radiosensitivity; external beam radiotherapy; photon therapy; cancer control; decision making; radiodiagnosis; spinal cord metastasis; neurology; spinal cord disease; spinal cord neoplasms; epidural space; spine instability; spinal cord surgery |
| Journal Title: | Hematology/Oncology Clinics of North America |
| Volume: | 20 |
| Issue: | 6 |
| ISSN: | 0889-8588 |
| Publisher: | Elsevier Inc. |
| Date Published: | 2006-12-01 |
| Start Page: | 1307 |
| End Page: | 1317 |
| Language: | English |
| DOI: | 10.1016/j.hoc.2006.09.009 |
| PUBMED: | 17113465 |
| PROVIDER: | scopus |
| DOI/URL: | |
| Notes: | --- - "Topics in Neuro-Oncology" - "Cited By (since 1996): 21" - "Export Date: 4 June 2012" - "CODEN: HCNAE" - "Source: Scopus" |
