How would you approach a patient with symptomatic spinal cord compression who is a poor surgical candidate and has a radio-resistant primary tumor?

Radiosurgical decompression of metastatic epidural spinal cord compression has been demonstrated (Ryu et al., PMID 20209611). In this report, significant decompression was achieved in 80% of the patients. This decompression is assessed in 2 months' MRI scan since radiosurgery takes time for tumor co...

A definitive answer is difficult without understanding the severity and type of symptoms. Pain only would be quite different than if the patient has actively progressive myelopathy or circumferential tumor. Presumably, the diagnosis has been established as a radio-resistant tumor.

Also, it would hel...