Impact of myelography on the radiotherapeutic management of malignant spinal cord compression.

Abstract:

:From December 1981 through August 1984, 24 patients with spinal cord compression syndrome due to epidural neoplasms were evaluated for radiotherapy with clinical examination, radiographs of the spine, and myelography. All plain films were reviewed, and mock radiotherapy fields designed using specific criteria for margins. The same patients were reviewed a second time considering the additional information provided by myelography. The initial treatment fields were found to be inadequate in 69% of the patients. Even in patients with discrete bony lesions, the results of myelography affected the treatment 45% of the time. A history of previous spinal irradiation significantly influenced port design in only 1 of the 7 patients who had received previous radiotherapy. Although invasive, myelography is essential in planning the treatment of spinal cord compression.

journal_name

Neurosurgery

journal_title

Neurosurgery

authors

Calkins AR,Olson MA,Ellis JH

doi

10.1227/00006123-198610000-00018

subject

Has Abstract

pub_date

1986-10-01 00:00:00

pages

614-6

issue

4

eissn

0148-396X

issn

1524-4040

journal_volume

19

pub_type

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