When Is Enough, Enough?
Many factors are involved in the decision-making process regarding the management of spinal tumor patients. Metastatic spine disease poses clinical and ethical dilemmas that are arguably second to none in all of medicine. Many considerations complicate this decision-making process. These include change in the quality of life, life expectancy (and its uncertainty), treatment costs, structural integrity of the spine, and the patient’s fears and expectations. Each of these are addressed and are considered as they pertain to the decision-making process regarding the question, “When is enough, enough?”
KeywordsPalliative Care Spinal Metastasis Bone Integrity Palliative Medicine Pedicle Screw Fixation
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