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01.Vertebral Compression Fractures from Spinal Metastases: Imaging and Application of Kyphoplasty and Vertebroplasty (p. 63-71)
02.Bone Metastases and Quality of Life (p. 117-131)
03.Defining Oncologic Spinal Instability (p. 55-61)
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Defining Oncologic Spinal Instability (p. 55-61) $45.00
Authors:  Michael G. Fehlings and Kenny S. David
Abstract:
Direct neoplastic compression of the spinal cord and mechanical instability of the spine can cause neurological injury in patients with spine cancer. However, there continues to be considerable ambiguity among clinicians as to which patients spinal metastatic disease have potential or overt instability. With the increasing scope of surgical intervention in the treatment of spine tumors, an understanding of the key concepts behind clinical spinal instability is important to determine the key clinical and radiological parameters that could guide clinicians in determining when patients with neoplastic involvement of the cervical spine may require surgical stabilization. Although several key radiological and clinical variables are relevant for diagnosis of oncologic cervical instability, an evidence-based definition of oncologic spinal instability is still required. Given the difficulty in applying criteria for traumatic instability to the field of spinal oncology, there is also a need to develop evidence-based scales to assess oncologic spinal instability. 


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