Cord Compression from Bony Metastasis: An Important Quality of Life Issue which can be Resolved by a Spinal MDT Tumor Board

Authors

  • Sheikh Muhammad Ebad Ali 1Department of Orthopaedics, Dr. Ruth K.M. Pfau, Civil Hospital, Karachi, Pakistan.
  • Badaruddin Sahito Department of Orthopaedics, Dr. Ruth K.M. Pfau, Civil Hospital, Karachi, Pakistan.
  • Muhammad Amin Chinoy Department of Orthopaedics, The Indus Hospital, Karachi, Pakistan.
  • Ahmed Nadeem Abbasi Department of Oncology, Aga Khan University Hospital, Karachi, Pakistan.
  • Adil Khatri Department of Neurosurgery, Dr. Ruth K.M. Pfau, Civil Hospital, Karachi, Pakistan.

Abstract

Cancer prevalence is increasing over the past few decades. Spinal osseous metastasis is one of the most common sites of secondary neoplastic disease among cancer patients [1]. Spinal malignancies can broadly be classified into primary spinal cancers and secondary spinal metastasis. Metastatic spinal cancers are more common than primary malignancy of the spine. Metastatic spinal cancers are further subdivided into two parts based on the involvement of the dura mater; metastasis external to dura mater can be termed as metastatic epidural spinal cancers (MESC); metastasis inside the dura mater is called metastatic intradural spinal cancers (MISC) [2]. Bony involvements of vertebrae are common at the presentation of MESC while the involvement of the spinal cord and meninges is a prominent feature of MISC. However, the clinical presentation is quite overlapping and timely-decision making is quite challenging in several cases. Several grading systems have been developed to assess the severity of spinal cancers [3-6]. Such ambiguities require a need for teamwork between different specialties to decide the management plan for better patient care. Multidisciplinary Tumor Boards (MDT) are the practical venue where different specialists are present for the discussion [7].

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Published

2021-03-30

How to Cite

1.
Ali SME, Sahito B, Chinoy MA, Abbasi AN, Khatri A. Cord Compression from Bony Metastasis: An Important Quality of Life Issue which can be Resolved by a Spinal MDT Tumor Board. Nat J Health Sci [Internet]. 2021Mar.30 [cited 2021May16];5(3):92-3. Available from: https://ojs.njhsciences.com/index.php/njhs/article/view/166

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Section

Editorial