The surgical management of metastatic epidural compression of the spinal cord

N. A. Quraishi, Z. L. Gokaslan, S. Boriani

Research output: Contribution to journalArticle

Abstract

Metastatic epidural compression of the spinal cord is a significant source of morbidity in patients with systemic cancer. With improved oncological treatment, survival in these patients is improving and metastatic cord compression is encountered increasingly often. The treatment is mostly palliative. Surgical management involves early circumferential decompression of the cord with concomitant stabilisation of the spine. Patients with radiosensitive tumours without cord compression benefit from radiotherapy. Spinal stereotactic radiosurgery and minimally invasive techniques, such as vertebroplasty and kyphoplasty, with or without radiofrequency ablation, are promising options for treatment and are beginning to be used in selected patients with spinal metastases. In this paper we review the surgical management of patients with metastatic epidural spinal cord compression.

Original languageEnglish
Pages (from-to)1054-1060
Number of pages7
JournalJournal of Bone and Joint Surgery - Series B
Volume92
Issue number8
DOIs
Publication statusPublished - Aug 2010

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

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