Do you take any special precautions when treating cervical spine metastases?
Do you require neurosurgical evaluation first? Do you require any patients to wear a neck brace?
Answer from: Radiation Oncologist at Academic Institution
For each spine met case, it's important to determine whether it's a surgical or radiotherapy case. Spinal instability neoplastic score (SINS) and Bilsky grade (epidural cord compression) are two important parameters to consider. If SINS is 6 or below and if Bilsky grade is 1c or below, surgical inte...
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