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Postoperative radiation is delivered within 2–3 weeks of surgical decompression. Emergency radiation therapy (usually 20 grays in 5 fractions, 30 grays in 10 fractions or 8 grays in 1 fraction) is the mainstay of treatment for malignant spinal cord compression. It is very effective as pain control and local disease control.
Once the spinal injury has occurred, one of two things may happen. Firstly, hemorrhaging within the spinal cord may cause compression, which damages the spinal cord even further. Another consequence of myelomalacia is improper circulation of blood to the area damaged, resulting in further damage to the spinal cord. [citation needed]
Spinal cord injury without radiographic abnormality exists when spinal cord injury is present but there is no evidence of spinal column injury on radiographs. [22] Spinal column injury is trauma that causes fracture of the bone or instability of the ligaments in the spine ; this can coexist with or cause injury to the spinal cord, but each ...
It is a neurological disorder related to the spinal cord and nerve roots. [3] The severity of CSM is most commonly associated with factors including age, location and extent of spinal cord compression. Incidence of CSM increases with age, where spinal cord compression is bound to be present people aged 55 or above. [4]
In the lumbar spine it is commonly used to treat spinal claudication caused by spinal stenosis, and is considered the most effective treatment for this condition based on current evidence. [3] In the cervical and thoracic spine it is used to treat myelopathy caused by compression of the spinal cord itself.
Moderate-to-severe cases can cause radicular pain in the legs caused by nerve root compression. [5] The symptoms are usually exacerbated by upright posture and often, but not always, relieved by lying down. Postural headaches can be related to spontaneous spinal cerebrospinal fluid leaks. [6] However, in many patients, dural ectasia is ...
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