spinal cord compression

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9 Terms

1
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is spinal cord compression acute or chronic?

acute - requires immediate surgery

2
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what is the most common cause of spinal cord compression?

metastatic - primary malignancies from thyroid, lung, breast, renal, prostate, myeloma, bone

3
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what are other causes of spinal cord compression?

- trauma - vertebral fracture, facet joint dislocation

- infective - abscess formation

- disc prolapse - rare

4
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what conditions increase the risk of spinal cord compression?

conditions which cause narrowed cord canal:

- RA

- ankylosing spondylitis

5
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what would be a suitable investigation for spinal cord compression?

whole spine MRI

6
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in suspected metastases when should MRI be done?

within 1 week

7
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what is the definitive management of spinal cord compression?

decompression

8
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what is the additional management if caused by malignancy?

RT +/or chemotherapy

9
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what medication can improve functionality with spinal cord compression?

high dose corticosteroids