scholarly journals Clinical outcomes and risk factors in patients with cervical metastatic spinal cord compression after posterior decompressive and spinal stabilization surgery

2019 ◽  
Vol Volume 15 ◽  
pp. 119-127 ◽  
Author(s):  
Mingxing Lei ◽  
Jun Yu ◽  
Shiju Yan ◽  
Xiao An ◽  
Yaosheng Liu
Keyword(s):  
Risk Factors ◽  
Spinal Cord ◽  
Clinical Outcomes ◽  
Spinal Cord Compression ◽  
Cord Compression ◽  
Metastatic Spinal Cord Compression ◽  
Spinal Stabilization

Thoracoscopic transdiaphragmatic approach for ventral decompression and reconstruction of metastatic spine disease

2012 ◽  
Vol 33 (Suppl1) ◽  
pp. 1 ◽  
Author(s):  
Meic H. Schmidt
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Compression ◽  
Cord Compression ◽  
Metastatic Spinal Cord Compression ◽  
Vertebral Body Replacement ◽  
Surgical Approaches ◽  
Spinal Stabilization ◽  
Minimal Incision ◽  
Spine Disease ◽  
Treatment Surgery

The management of metastatic spine disease is complex, but usually involves radiation therapy and/or surgical treatment. Surgery followed by radiation has a significant role in select patients presenting with metastatic spinal cord compression. Ventral decompression can be achieved through several surgical approaches including posterior, posterolateral, and anterior surgical approaches. Although open thoracotomy is the most common approach for ventral decompression, it is associated with significant spinal access morbidity. This video illustrates a thoracoscopic transdiaphragmatic approach for symptomatic L-1 metastatic spinal cord compression. This approach allows for a minimal incision in the diaphragm to expose the thoracolumbar junction and allows for corpectomy, spinal canal decompression, vertebral body replacement, and spinal stabilization via four small incisions along the chest wall. The step-by-step technique illustrates operative nuances and surgical pearls to safely perform this approach in a patient with thoracolumbar L-1 metastatic spinal cord compression. The video can be found here: http://youtu.be/w8fanV9bq-E.

Radiotherapy of metastatic spinal cord compression in very elderly patients

2007 ◽  
Vol 67 (1) ◽  
pp. 256-263 ◽  
Author(s):  
Dirk Rades ◽  
Peter J. Hoskin ◽  
Johann H. Karstens ◽  
Volker Rudat ◽  
Theo Veninga ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Elderly Patients ◽  
Spinal Cord Compression ◽  
Cord Compression ◽  
Metastatic Spinal Cord Compression ◽  
Very Elderly

Audit of metastatic spinal cord compression

2016 ◽  
Vol 28 ◽  
pp. S2
Author(s):  
A. Cole ◽  
J. O'Hare ◽  
K. Harpur ◽  
C. O'Brien ◽  
N. Evans ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Compression ◽  
Cord Compression ◽  
Metastatic Spinal Cord Compression

scholarly journals Effectiveness of radiotherapy for metastatic spinal cord compression in patients with short life expectancy

2017 ◽  
Vol 22 (1) ◽  
pp. 58-63 ◽  
Author(s):  
Alexandra Giraldo ◽  
Sergi Benavente ◽  
Mónica Ramos ◽  
Ramona Vergés ◽  
Odimar Coronil ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Life Expectancy ◽  
Spinal Cord Compression ◽  
Cord Compression ◽  
Metastatic Spinal Cord Compression ◽  
Short Life ◽  
Short Life Expectancy

Developing an early alert system for metastatic spinal cord compression (MSCC): Red Flag credit cards

2013 ◽  
Vol 16 (01) ◽  
pp. 14-20 ◽  
Author(s):  
Jackie Turnpenney ◽  
Sue Greenhalgh ◽  
Lena Richards ◽  
Annamaria Crabtree ◽  
James Selfe
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Compression ◽  
Credit Cards ◽  
Cord Compression ◽  
Metastatic Spinal Cord Compression ◽  
Alert System ◽  
Red Flag ◽  
Early Alert

115 An Audit on Dexamethasone Prescribing Practice on Surgically Managed Metastatic Spinal Cord Compression Patients in the Manchester Centre for Clinical Neurosciences: Lessons Learned in Closing the Loop

2021 ◽  
Vol 108 (Supplement_2) ◽  
Author(s):  
R Laurente ◽  
R Mohammed ◽  
M Elmalky
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Compression ◽  
Cord Compression ◽  
Lessons Learned ◽  
Metastatic Spinal Cord Compression ◽  
Loading Dose ◽  
The Past ◽  
Prescribing Practice ◽  
Closing The Loop ◽  
Almost All

Abstract Metastatic Spinal Cord Compression is a surgical emergency owing to its propensity to cause significant morbidity and mortality. Dexamethasone is prescribed to reduce oedema and promote vascular membrane stabilization. The is done so until a more definitive management has been performed. This is a retrospective study evaluating the steroid-prescribing practice for MSCC patients in 2018 at a tertiary spinal unit in Greater Manchester. Thirty-three patients who underwent stabilisation were evaluated in terms of both steroid prescribing and weaning practices. Standards used against for both were the NICE guidelines and the Edinburgh/Christie’s guidelines. Of the 33 patients evaluated, only 1 patient received the correct loading dose of 16mg, whilst 27 went straight to being given 8mg BD. 5 did not receive dexamethasone at all. In terms of discontinuation/weaning, 26 were weaned accordingly and 2 were not weaned to continue as adjuvant treatment. Dexamethasone prescribing practises has since improved over the past two years. 93% of the patients have been correctly weaned as compared to 38% in the past. In terms of prescription, much needs to be done as almost all the patients evaluated did not get the correct loading dose despite receiving the appropriate maintenance.

OC-0408 Higher-dose radiotherapy for metastatic spinal cord compression: First results of a phase II trial

2021 ◽  
Vol 161 ◽  
pp. S303-S304
Author(s):  
D. Rades ◽  
C. Staackmann ◽  
D. Lomidze ◽  
D. Lomidze ◽  
N. Jankarashvili ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Phase Ii ◽  
Spinal Cord Compression ◽  
Phase Ii Trial ◽  
Cord Compression ◽  
Metastatic Spinal Cord Compression ◽  
First Results

scholarly journals Who are the Best Candidates for Decompressive Surgery and Spine Stabilization in Patients With Metastatic Spinal Cord Compression?

Spine ◽  
2016 ◽  
Vol 41 (18) ◽  
pp. 1469-1476 ◽  
Author(s):  
Mingxing Lei ◽  
Jianjie Li ◽  
Yaosheng Liu ◽  
Weigang Jiang ◽  
Shubin Liu ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Compression ◽  
Cord Compression ◽  
Metastatic Spinal Cord Compression ◽  
Decompressive Surgery ◽  
Spine Stabilization
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