Treatment of metastatic spinal cord compression

Christine Federspiel; Søren S Morgen; Morten H Suppli; Claus Kamby; Jesper Kelsen; Martin Gehrchen

Treatment of metastatic spinal cord compression

Christine Federspiel, Søren S Morgen, Morten H Suppli, Claus Kamby, Jesper Kelsen, Martin Gehrchen

Abstract

Metastatic spinal cord compression is an oncologic emergency, and the most frequent initial symptom is radicular backpain. Urgent diagnostics with acute MRI and early treatment is essential to prevent permanent neurologic damage. Treatment is mainly palliative. For patients who have a good prognosis, the treatment of choice is decompressive surgery followed by radiotherapy, but only few patients are candidates to surgery due to significant comorbidities and poor performance status. Optimal therapy is required to maintain high quality of life at an acceptable risk, as argued in this review.

Original language	English
Journal	Ugeskrift for Laeger
Volume	183
Issue number	33
Pages (from-to)	V10200725
ISSN	0041-5782
Publication status	Published - 16 Aug 2021

Cite this

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title = "Treatment of metastatic spinal cord compression",

abstract = "Metastatic spinal cord compression is an oncologic emergency, and the most frequent initial symptom is radicular backpain. Urgent diagnostics with acute MRI and early treatment is essential to prevent permanent neurologic damage. Treatment is mainly palliative. For patients who have a good prognosis, the treatment of choice is decompressive surgery followed by radiotherapy, but only few patients are candidates to surgery due to significant comorbidities and poor performance status. Optimal therapy is required to maintain high quality of life at an acceptable risk, as argued in this review.",

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T1 - Treatment of metastatic spinal cord compression

AU - Federspiel, Christine

AU - Morgen, Søren S

AU - Suppli, Morten H

AU - Kamby, Claus

AU - Kelsen, Jesper

AU - Gehrchen, Martin

PY - 2021/8/16

Y1 - 2021/8/16

N2 - Metastatic spinal cord compression is an oncologic emergency, and the most frequent initial symptom is radicular backpain. Urgent diagnostics with acute MRI and early treatment is essential to prevent permanent neurologic damage. Treatment is mainly palliative. For patients who have a good prognosis, the treatment of choice is decompressive surgery followed by radiotherapy, but only few patients are candidates to surgery due to significant comorbidities and poor performance status. Optimal therapy is required to maintain high quality of life at an acceptable risk, as argued in this review.

AB - Metastatic spinal cord compression is an oncologic emergency, and the most frequent initial symptom is radicular backpain. Urgent diagnostics with acute MRI and early treatment is essential to prevent permanent neurologic damage. Treatment is mainly palliative. For patients who have a good prognosis, the treatment of choice is decompressive surgery followed by radiotherapy, but only few patients are candidates to surgery due to significant comorbidities and poor performance status. Optimal therapy is required to maintain high quality of life at an acceptable risk, as argued in this review.

KW - Decompression, Surgical

KW - Humans

KW - Palliative Care

KW - Quality of Life

KW - Spinal Cord Compression/surgery

KW - Spinal Neoplasms/surgery

UR - https://www.scopus.com/pages/publications/85115450931

M3 - Review

C2 - 34477101

SN - 0041-5782

VL - 183

SP - V10200725

JO - Ugeskrift for Laeger

JF - Ugeskrift for Laeger

IS - 33

ER -

Treatment of metastatic spinal cord compression

Abstract

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