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Spinal Tumors

Last modified by Hussein Abdallah on 2025/05/26 15:09

 

FACTS

Punchline

  • See also ESCC under "Tools" 

CONSULT

HPI 

  •  

FOCUSED EXAM

evaluate for TTP 

evaluate ability to walk 

IMG 

CT pan-spine to evaluate disease burden

MRI with and without contrast to evaluate tumor burden and neural elements

A/P

- Use the NOMS algorithm to determine need for separation surgery. 

- SRS can be a good option however failures of durable tumor control are often related to underdosing of radiation to margins (constraints at tumor/SC margin)

Notes

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Figure 1: NOMS