Spinal cord compression surgery

Revision as of 14:54, 24 April 2017 by Aditya Ganti (talk | contribs) (→‎Surgery)
(diff) ← Older revision | Latest revision (diff) | Newer revision → (diff)
Jump to navigation Jump to search

Spinal Cord Compression Microchapters

Home

Patient Information

Overview

Pathophysiology

Causes

Differentiating Spinal Cord Compression from other Diseases

Epidemiology and Demographics

Risk Factors

Natural History, Complications and Prognosis

Diagnosis

History and Symptoms

Physical Examination

Laboratory Findings

X Ray

CT

MRI

Treatment

Medical Therapy

Surgery

Primary Prevention

Secondary Prevention

Cost-Effectiveness of Therapy

Future or Investigational Therapies

Case Studies

Case #1

Spinal cord compression surgery On the Web

Most recent articles

Most cited articles

Review articles

CME Programs

Powerpoint slides

Images

American Roentgen Ray Society Images of Spinal cord compression surgery

All Images
X-rays
Echo & Ultrasound
CT Images
MRI

Ongoing Trials at Clinical Trials.gov

US National Guidelines Clearinghouse

NICE Guidance

FDA on Spinal cord compression surgery

CDC on Spinal cord compression surgery

Spinal cord compression surgery in the news

Blogs on Spinal cord compression surgery

Directions to Hospitals Treating Spinal cord compression

Risk calculators and risk factors for Spinal cord compression surgery

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] ; Associate Editor(s)-in-Chief: Aditya Ganti M.B.B.S. [2]

Overview

Surgery is the mainstay of treatment in localised compression. Emergency radiation therapy (usually 20 Gray in 5 fractions) is the mainstay of treatment for malignant spinal cord compression. It is very effective as pain control and local disease control. Some tumors are highly sensitive to chemotherapy (e.g. lymphomas, small cell lung cancer) and may be treated with chemotherapy alone.

Surgery

All the patients with acute spinal cord compression must be admitted. The mainstay of treatment includes surgery for most of the cases except for compression caused by metastasis. The treatment in such cases is mostly palliative. Antibiotics are indicated in cases of compression caused by an epidural abscess.[1][2]

Cause of compression Prefered treatment Adjuvant therapy*
Trauma Decompressive/stabilization surgery of vertebral column +
Disc herniation Laminectomy +
Metastasis Corticosteroids + radiation therapy +
Epidural abscess CT guided aspiration of abscess + Antibiotics +
Adjuvant therapy includes : Maintenance of fluid volume, nutritional status , prevention of stress ulcers , in cases of compression caused by abscess antibiotics are indicated.

References

  1. Tsuzuki S, Park SH, Eber MR, Peters CM, Shiozawa Y (2016). "Skeletal complications in cancer patients with bone metastases". Int. J. Urol. 23 (10): 825–832. doi:10.1111/iju.13170. PMID 27488133.
  2. Ropper, Alexander E.; Longo, Dan L.; Ropper, Allan H. (2017). "Acute Spinal Cord Compression". New England Journal of Medicine. 376 (14): 1358–1369. doi:10.1056/NEJMra1516539. ISSN 0028-4793.

Template:WH Template:WS