6533b822fe1ef96bd127cca6
RESEARCH PRODUCT
Spinal Instability and the Issue of Bracing and Bed Rest.
Heike MaaghMartin WeberUlrich BetzStefan G. Mattyasovszkysubject
medicine.medical_specialtyPalliative careBracesSpinal Neoplasmsbusiness.industrymedicine.medical_treatmentSpinal Cord NeoplasmPalliative CareMEDLINESpinal instabilityGeneral MedicineBed restBracingSurgeryPalliative Care Specialists SeriesAnesthesiology and Pain MedicinemedicineHumansSpinal Cord NeoplasmsbusinessSpinal NeoplasmsGeneral NursingBed Restdescription
Nearly 20% of cancer patients develop symptomatic spine metastases. Metastatic spine tumors are most commonly extradural tumors that grow quickly and often cause persistent pain, weakness, paresthesias, urinary/bowel dysfunction, and/or paralysis. Surgical intervention aims to achieve more effective pain management, preserve/restore neurological function, provide local tumor control, and stabilize the spinal column. The desired result of treatment is ultimately to improve a patient's quality of life. Neurosurgeons employ multiple decision frameworks and grading scales to assess the need and effectiveness of a variety of surgical interventions ranging from minimally to maximally invasive. Likewise, palliative care offers an array of treatment options that allows the best, individualized plan to be determined for a given patient. Therefore, crossfunctional collaboration between palliative care, radiation oncology, medical oncology, and neurosurgery is crucial both in the maximization of available treatment options and optimization of quality of life for patients.
| year | journal | country | edition | language |
|---|---|---|---|---|
| 2019-07-01 | Journal of palliative medicine |