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is spinal cord compression acute or chronic?
acute - requires immediate surgery
what is the most common cause of spinal cord compression?
metastatic - primary malignancies from thyroid, lung, breast, renal, prostate, myeloma, bone
what are other causes of spinal cord compression?
- trauma - vertebral fracture, facet joint dislocation
- infective - abscess formation
- disc prolapse - rare
what conditions increase the risk of spinal cord compression?
conditions which cause narrowed cord canal:
- RA
- ankylosing spondylitis
what would be a suitable investigation for spinal cord compression?
whole spine MRI
in suspected metastases when should MRI be done?
within 1 week
what is the definitive management of spinal cord compression?
decompression
what is the additional management if caused by malignancy?
RT +/or chemotherapy
what medication can improve functionality with spinal cord compression?
high dose corticosteroids