neurologic disorders
Spinal Tumors
Treatment of Spinal Tumors
Corticosteroids to prevent spinal cord compression Excision, radiation therapy, or both If patients have neurologic deficits due to Spinal Cord Compression , corticosteroids (eg, Some well-localized primary spinal tumors can be excised surgically. Deficits resolve in about half of these patients. If tumors cannot be surgically excised, radiation therapy is used, with or without surgical decompression. Compressive metastatic extradural tumors are usually surgically excised from the vertebral body, then treated with radiation therapy. Noncompressive metastatic extradural tumors may be treated with radiation therapy alone but may require surgical excision if radiation therapy is ineffective. For metastatic prostate cancer to the spinal vertebrae, antiandrogenic chemotherapy may be used as an adjunct to focal radiation. 