Surgical approach to epidural spinal cord compression.
Publication/Presentation Date
12-1-2006
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.
Volume
20
Issue
6
First Page
1307
Last Page
1317
ISSN
0889-8588
Published In/Presented At
Bilsky, M., & Smith, M. (2006). Surgical approach to epidural spinal cord compression. Hematology/oncology clinics of North America, 20(6), 1307–1317. https://doi.org/10.1016/j.hoc.2006.09.009
Disciplines
Business Administration, Management, and Operations | Health and Medical Administration | Management Sciences and Quantitative Methods
PubMedID
17113465
Department(s)
Administration and Leadership
Document Type
Article