Warning: Undefined variable $zfal in C:\Inetpub\vhosts\kidney.de\httpdocs\mlpefetch.php on line 525
Deprecated: str_replace(): Passing null to parameter #3 ($subject) of type array|string is deprecated in C:\Inetpub\vhosts\kidney.de\httpdocs\mlpefetch.php on line 525
Warning: Undefined variable $sterm in C:\Inetpub\vhosts\kidney.de\httpdocs\mlpefetch.php on line 530
Warning: Undefined variable $sterm in C:\Inetpub\vhosts\kidney.de\httpdocs\mlpefetch.php on line 531
English Wikipedia
Nephropedia Template TP (
Twit Text
DeepDyve Pubget Overpricing |
lüll Medical management and adjuvant therapies in spinal metastatic disease Schuster JM; Grady MSNeurosurg Focus 2001[Dec]; 11 (6): e3Metastatic spinal tumors are an increasingly common and difficult problem encountered by neurosurgeons and orthopedic surgeons. To improve therapies and increase life expectancy for patients with tumors such as those of the breast and prostate, a global, systematic approach is required to maximize the preservation of neurological function, maintenance of spinal stability, and relief of pain, all with the ultimate goal of improved functional capacity and quality of life (QOL). Although radiotherapy and surgery are still the primary therapeutic options, several new adjuvant therapies initially implemented to control pain more effectively have also been shown to reduce overall skeleton-related complications (pathological fractures and hypercalcemia) and may ultimately improve and extend QOL. This more global approach to spinal metastases also includes optimizing each patient's overall medical condition and potential for healing (that is, nutrition), as well as avoiding potential complications associated with metastatic disease (such as deep vein thrombosis), including excessive blood loss in the case of renal metastasis. A thorough knowledge and understanding of these therapeutic adjuvants is required to optimize care and to respond to our increasingly medically knowledgable patient population whose access to prevalent medical information has been increased because of the internet.|Analgesics/therapeutic use[MESH]|Antineoplastic Agents/therapeutic use[MESH]|Chemotherapy, Adjuvant[MESH]|Diphosphonates/therapeutic use[MESH]|Embolization, Therapeutic[MESH]|Fractures, Spontaneous/drug therapy/etiology/prevention & control[MESH]|Humans[MESH]|Hypercalcemia/drug therapy/etiology[MESH]|Pain/drug therapy/etiology[MESH]|Postoperative Complications[MESH]|Quality of Life[MESH]|Radiopharmaceuticals/therapeutic use[MESH]|Radiotherapy, Adjuvant[MESH]|Spinal Neoplasms/complications/drug therapy/radiotherapy/*secondary/surgery/*therapy[MESH]|Treatment Outcome[MESH] |