علاج ضغط الحبل الشوكي من النقائل العظمية لدى المرضى ذوي الأداء الوظيفي الجيد

References

1. Surgical treatment may be indicated for patients with spinal metastases that are causing instability or spinal cord compression.
2. It demonstrated that for patients with good performance status and a life expectancy of at least 3 months, direct decompressive surgery followed by postoperative RT is clearly superior to RT alone in terms of maintaining deambulation and need for corticosteroids and opioid analgesics was significantly reduced in the surgical group.
3. Surgical decompression and stabilization plus postoperative RT should be considered for selected patients with single level spinal cord compression or spinal instability, unless the patients have too short of an anticipated life expectancy.

DOI: 10.1007/s12094-016-1590-1