Lower dorsal spine was the most common site of compression (35%) followed by lumbar (31%) and mid-dorsal (26%) spine. 70 (91%) patients had cord compression subsequent to bone metastasis while as other patients had leptomeningeal metastasis.
Which segment of the spine is commonly involved in malignant cord compression?
The most common site of involvement is the dorsal aspect of the spinal cord, particularly at the level of the cauda equina. Metastatic disease is thought to reach the leptomeninges through hematogenous spread, CSF seeding, and direct extension.
How common is metastatic spinal cord compression?
Metastatic spinal cord compression (MSCC) is a well-recognised complication of cancer and usually presents as an oncological emergency. Metastases to the spine occur in 3–5% of all patients who have cancer and are more common in patients with breast, prostate and lung cancer, in whom the incidence is 19%.
Is spinal compression permanent?
Without treatment, spinal cord compression can permanently damage the nerves in the spine, which can result in long-term disability. In some cases, spinal cord compression can cause paralysis.
What are the symptoms of spinal cord problem?
Symptoms of a Spinal Cord Disorder
- Weakness or paralysis of limbs.
- Loss of sensation.
- Changes in reflexes.
- Loss of urinary or bowel control.
- Uncontrolled muscle spasms.
- Back pain.
What happens if spinal cord compression is left untreated?
Compression of these nervous system structures leads to the previously mentioned symptoms – namely pain, weakness, numbness, difficulty walking, and bowel and bladder dysfunction – which become progressively worse over time. If left untreated, cervical myelopathy can progress to paraplegia (inability to use the legs).
What cancers cause spinal cord compression?
Any type of cancer can lead to malignant spinal cord compression. But it is more common in people with breast cancer, lung cancer and prostate cancer, lymphoma and myeloma. It is important that you know the symptoms so you can get medical advice as soon as possible.
What is the difference between cauda equina and spinal cord compression?
Spinal cord compression and Cauda Equina Syndrome have similar symptoms, including back pain and weakness or paralysis of the lower limbs. This means the relatively rare Cauda Equina Syndrome is often misdiagnosed as spinal cord compression, resulting in the right treatment often not being given in time.
Why do spinal tumors hurt at night?
This pain happens because tumors create a great deal of inflammation, and your adrenal gland does not make steroids when you sleep. Spine tumors that are close to major nerves can disrupt their ability to transmit messages between the body and the brain.
How long can you live with a spinal tumor?
He found a significant effect on mean survival time: patients scoring 7 or below lived an average of 5.3 months, while those scoring 8 or above lived an average of 23.6 months.
What percent of spinal tumors are cancerous?
Overall, the chance that a person will develop a malignant tumor of the brain or spinal cord in his or her lifetime is less than 1%.