What is your approach for an inoperable patient with epidural spinal cord compression who has previously received maximum spinal cord dose during a previous course of radiation therapy?

http://www.ncbi.nlm.nih.gov/pubmed/18642349

This paper highlights motor outcome in patients who had reradiation for cord compression with cumulative BED less than 120 With no RT reacted cord injury. if patient is not a candidate for surgical decompression we have retreated with EBRT and more recently...