Can SBRT be utilized for a spinal metastasis with frank cord compression or epidural extension within 3 mm of the cord?  

Yes. Neurological improvement was seen in 80% of the patients with epidural compression/canal compromise that was treated with radiosurgery/SBRT 18 Gy single dose--this includes the patients remaining intact neurologically. At 2 months followup imaging studies after radiosurgery, average >70% epi...