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Back pain and epidural spinal cord compression

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References

  1. Gilbert RW, Kim J, Posner JB. Epidural spinal cord compression from metastatic tumor: diagnosis and treatment. Ann Neurol 1978;3:40–51

    Article  PubMed  CAS  Google Scholar 

  2. Barron KD, Hirano A, Araki S, Terry RD. Experiences with metastatic neoplasms involving the spinal cord. Neurology 1959;9:91–106

    PubMed  CAS  Google Scholar 

  3. Hendrickson FR, Sheinkop MB. Management of osseous metastases. Semin Oncol 1975;2:399–404

    PubMed  CAS  Google Scholar 

  4. Jaffe WA. Tumors and tumorous conditions of the bones and joints. Philadelphia, Lea and Febiger, 1958

    Google Scholar 

  5. Rodichok LD, Harper GR, Ruckdeschel JC, et al. Early diagnosis of spinal epidural metastases. Am J Med 1981;70:1181–8

    Article  PubMed  CAS  Google Scholar 

  6. Liang M, Komaroff AL. Roentgenograms in primary care patients with acute low back pain: a cost-effectiveness analysis. Arch Intern Med 1982;142:1108–12

    Article  PubMed  CAS  Google Scholar 

  7. Deyo RA, Diehl AK. Lumbar spine films in primary care: current use and effects of selective ordering criteria. J Gen Intern Med 1986;1:20–5

    Article  PubMed  CAS  Google Scholar 

  8. Deyo RA, Diehl AK. Cancer as a cause of back pain: frequency and diagnostic strategies. Clin Res 1987;35:738A

    Google Scholar 

  9. Martenson JA, Evans RG, Lie MR, et al. Treatment outcome and complications in patients treated for malignant epidural spinal cord compression (SCC). J Neuro-oncol 1985;3:77–84

    Article  Google Scholar 

  10. Stark RJ, Henson RA, Evans SJW. Spinal metastases: a retrospective survey from a general hospital. Brain 1982;105:189–213

    Article  PubMed  CAS  Google Scholar 

  11. Brice J, McKissock W. Surgical treatment of extradural spinal cord tumors. Br Med J. 1965;1:1339–42

    Google Scholar 

  12. Shaw MD, Rose JE, Paterson A. Metastatic extradural malignancy of the spine. Acta Neurochir 1980;52:113–20

    Article  CAS  Google Scholar 

  13. Vieth RG, Odom GL. Extradural spinal metastases and their neurosurgical treatment. J Neurosurg 1965;23:501–8

    PubMed  CAS  Google Scholar 

  14. Smith R. An evaluation of surgical treatment for spinal cord compression due to metastatic carcinoma. J Neurol Neurosurg Psychiat 1965;28:152–8

    PubMed  CAS  Google Scholar 

  15. Botterel EH, Fitzgerald GW. Spinal cord compression produced by extradural malignant tumors: early recognition, treatment and results. Can Med Assoc J 1959;80:791–4

    Google Scholar 

  16. Spiess JL, Adelstein DJ, Heins JD. Spinal cord compression (SCC) as the initial presentation of multiple myeloma. Clin Res 1986;34:968A

    Google Scholar 

  17. Haddad P, Thaell JF, Kiely JM, Harrison EG Jr, Muller RH. Lymphoma of the spinal extradural space. Cancer 1976;38:1862–6

    Article  PubMed  CAS  Google Scholar 

  18. Sundaresan N, Bains M, McCormack P. Surgical treatment of spinal cord compression in patients with lung cancer. Neurosurgery 1985;16:350–6

    Article  PubMed  CAS  Google Scholar 

  19. Pedersen AG, Bach F, Melgaard B. Frequency, diagnosis and prognosis of spinal cord compression in small cell bronchogenic carcinoma. A review of 817 consecutive patients. Cancer 1985;55:1818–22

    Article  PubMed  CAS  Google Scholar 

  20. Liskow A, Chang CH, DeSanctis P, Benson M, Fetell M, Housepan E. Epidural cord compression in association with genitourinary neoplasms. Cancer 1986;58:949–54

    Article  PubMed  CAS  Google Scholar 

  21. Bernat JL, Greenberg ER, Barrett J. Suspected epidural compression of the spinal cord and cauda equina by metastatic carcinoma. Clinical diagnosis and survival. Cancer 1983;51:1953–7

    Article  PubMed  CAS  Google Scholar 

  22. Batson O. The function of the vertebral veins and their role in the spread of metastases. Ann Surg 1940;112:138–49

    Article  PubMed  CAS  Google Scholar 

  23. Boland PJ, Lane JM, Sundaresan N. Metastatic disease of the spine. Clin Orthop 1982;169:95–102

    PubMed  Google Scholar 

  24. Friedman M, Kim TH, Panahon AM. Spinal cord compression in malignant lymphoma. Cancer 1976;37:1485–91

    Article  PubMed  CAS  Google Scholar 

  25. Siegal T, Siegal T. Surgical decompression of anterior and posterior malignant tumors compressing the spinal cord: a prospective study. Neurosurgery 1985;17:424–35

    Article  PubMed  CAS  Google Scholar 

  26. Rodichok LD, Ruckdeschel JC, Harper GR, et al. Early detection and treatment of spinal epidural metastases: the role of myelography. Ann Neurol 1986;20:696–702

    Article  PubMed  CAS  Google Scholar 

  27. Greenberg HS, Kim JH, Posner JB. Epidural spinal cord compression from metastatic tumor: results with a new treatment protocol. Ann Neurol 1980;8:361–6

    Article  PubMed  CAS  Google Scholar 

  28. Rodriguez M, Dinapoli RP. Spinal cord compression with special reference to metastatic epidural tumors. Mayo Clin Proc 1980;55:442–8

    PubMed  CAS  Google Scholar 

  29. Portenoy RK, Lipton RB, Foley KM. Back pain in the cancer patient: an algorithm for evaluation and management. Neurology 1987;37:134–8

    PubMed  CAS  Google Scholar 

  30. Emsellem HA. Metastatic disease of the spine: diagnosis and management. South Med J 1986;79:1405–12

    Article  PubMed  CAS  Google Scholar 

  31. Sox HC Jr, Liang MH. The erythrocyte sedimentation rate—guidelines for rational use. Ann Intern Med 1987;104:515–23

    Google Scholar 

  32. O’Mara R. Bone scanning in osseous metastatic disease. JAMA 1974;229:1915–7

    Article  PubMed  CAS  Google Scholar 

  33. Pistenma DA, McDougall IR, Kriss JP. Screening for bone metastases: are only scans necessary? JAMA 1975;231:46–50

    Article  Google Scholar 

  34. Posner JB. Back pain and epidural spinal cord compression. Med Clin North Am 1987;71:185–205

    PubMed  CAS  Google Scholar 

  35. Shaw DD, Bach-Gansmo T, Dahlstrom K. Iohexol: summary of North American and European clinical trials in adult lumbar, thoracic and cervical myelography with a new nonionic contrast medium. Invest Radiol 1985;20(suppl):544–50

    Google Scholar 

  36. Kieffer SA, Binet EF, Davis DO, et al. Lumbar myelography with iohexol and metrizamide: a comparative multicenter prospective study. Radiology 1984;151:665–70

    PubMed  CAS  Google Scholar 

  37. Lamb JT. Iohexol vs iopamidol for myelography. Invest Radiol 1985;20(suppl):537–43

    Article  Google Scholar 

  38. Barcena A, Lobato RD, Rivas JJ, et al. Spinal metastatic disease: analysis of factors determining functional prognosis and the choice of treatment. Neurosurgery 1984;15:820–7

    Article  PubMed  CAS  Google Scholar 

  39. Wang A, Lewis ML, Rumbaugh CL, Zamani AA, O’Reilly GV. Spinal cord or nerve root compression in patients with malignant disease: CT evaluation. J Comput Assist Tomogr 1984;8:420–8

    Article  PubMed  CAS  Google Scholar 

  40. Longeval E, Hildebrand J, Vollont GH. Early diagnosis of metastases in the epidural space. Acta Neurochir 1975;31:177–84

    Article  CAS  Google Scholar 

  41. Baleriaux D, Deroover N, Hermanus N, Segebarth C. MRI of spine. Diag Imag Clin Med 1986;55:66–71

    CAS  Google Scholar 

  42. Paushter DM, Modic MT, Masaryk TJ. Magnetic resonance imaging of the spine: applications and limitations. Radiol Clin North Am 1985;23:551–62

    PubMed  CAS  Google Scholar 

  43. Jaeckle KA, Young DF, Foley KM. The natural history of lumbosacral plexopathy in cancer. Neurology 1985;35:8–15

    PubMed  CAS  Google Scholar 

  44. Cascino TL, Kori S, Krol G, Foley KM. CT of the brachial plexus in patients with cancer. Neurology 1983;33:1553–7

    PubMed  CAS  Google Scholar 

  45. Young RF, Post EM, King GA. Treatment of spinal epidural metastases: a randomized prospective comparison of laminectomy and radiotherapy. J Neurosurg 1980;53:741–8

    PubMed  CAS  Google Scholar 

  46. Ushio Y, Posner R, Kim J, Shapiro WR, Posner JB. Treatment of experimental spinal cord compression caused by extradural neoplasms. J Neurosurg 1977;47:380–90

    PubMed  CAS  Google Scholar 

  47. Findlay G. Adverse effects of the management of malignant spinal cord compression. J Neurol Neurosurg Psychiat 1984;47:761–8

    PubMed  CAS  Google Scholar 

  48. Siegal T, Tiqva P, Siegal T. Vertebral body resection for epidural compression by malignant tumors: results of forty-seven consecutive operative procedures. J Bone Joint Surg 1985;67:375–82

    PubMed  CAS  Google Scholar 

  49. Harrington KD. Anterior cord decompression and spinal stabilization for patients with metastatic lesions of the spine. J Neurosurg 1984;61:107–17

    PubMed  CAS  Google Scholar 

  50. Siegal T, Siegal T, Robin G, Lubetski-Korn I, Fuks Z. Anterior decompresion of the spine for metastatic epidural cord compression: a promising avenue of therapy? Ann Neurol 1982;11:28–34

    Article  PubMed  CAS  Google Scholar 

  51. Tang SG, Byfield JE, Sharp TR, Utley JF, Quinol L, Seagren SL. Prognostic factors in the management of metastatic epidural spinal cord compression. J Neuro-oncol 1983;1:21–8

    Article  CAS  Google Scholar 

  52. Constans JP, DeDivitis E, Donzelli R, Spaziane R, Meder JF, Haye C. Spinal metastases with neurological complications; review of 600 cases. J Neurosurg 1983;59:111–8

    Article  PubMed  CAS  Google Scholar 

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Received from the Division of General Medicine, Department of Medicine, Oregon Health Sciences University, and the Ambulatory Care and Medical Services, Veterans Administration Medical Center, Portland, Oregon.

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Bates, D.W., Reuler, J.B. Back pain and epidural spinal cord compression. J Gen Intern Med 3, 191–197 (1988). https://doi.org/10.1007/BF02596130

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