Separation surgery for spinal metastases: effect of spinal radiosurgery on surgical treatment goals.

Abstract

BACKGROUND The treatment of epidural spinal cord compression due to metastatic cancer represents an important clinical challenge. The NOMS (neurologic, oncologic, mechanical, and systemic) framework facilitates the determination of the optimal combination of systemic, radiation, and surgical therapies for individual patients. Spinal stereotactic… (More)

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