When Is Enough, Enough?

  • Edward C. Benzel
  • Michael P. Steinmetz
  • Ann M. Henwood
  • L. Brett Babat
  • Anis O. Mekhail
Part of the Current Clinical Oncology book series (CCO)


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?”


Palliative Care Spinal Metastasis Bone Integrity Palliative Medicine Pedicle Screw Fixation 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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Copyright information

© Humana Press, Inc., Totowa, NJ 2006

Authors and Affiliations

  • Edward C. Benzel
    • 1
  • Michael P. Steinmetz
    • 2
  • Ann M. Henwood
    • 3
  • L. Brett Babat
    • 4
  • Anis O. Mekhail
    • 5
  1. 1.The Cleveland Clinic Spine InstituteThe Cleveland Clinic FoundationCleveland
  2. 2.Department of NeurosurgeryThe Cleveland Clinic FoundationCleveland
  3. 3.Department of Neurosurgery, The Cleveland Clinic Spine InstituteThe Cleveland Clinic FoundationCleveland
  4. 4.The Cleveland Clinic FoundationCleveland
  5. 5.Department of OrthopaedicsUniversity of Illinois at ChicagoChicago

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