Select a Community
Are you sure you want to trigger topic in your Anconeus AI algorithm?
You are done for today with this topic.
Would you like to start learning session with this topic items scheduled for future?
Palliative therapy
1%
45/3933
Complete neural element decompression
0%
14/3933
Complete neural element decompression with instrumentation to stabilize the spine
9%
370/3933
Complete neural element decompression, instrumentation, and postoperative chemotherapy
23%
898/3933
Complete neural element decompression, instrumentation, and postoperative radiotherapy
66%
2590/3933
Select Answer to see Preferred Response
Declining neurological function in patients with metastatic disease requires treatment. In their landmark study, Patchell et al. evaluated the treatment of spinal cord compression from metastatic cancer via a randomized, multi-institutional trial that assigned 101 patients to surgery with postoperative radiotherapy vs. radiotherapy alone. The primary endpoint was the ability to walk after treatment. Secondary endpoints included urinary continence, muscle strength, functional status, need for corticosteroids and opioid analgesics, and overall survival time. They found that direct neural element decompression plus postoperative radiotherapy was superior to treatment with radiotherapy alone for patients with spinal cord compression caused by metastatic cancer. Schmidt et al. and Klimo et al. reviewed the literature regarding single and multimodal treatment options for metastatic disease to the spine with and without direct spinal cord compression.
3.1
(39)
Please Login to add comment