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Metastatic Spinal Cord Compression (MSCC) Resources

The 6th Christie Metastatic Spinal Cord Compression Study Day is an opportunity for attendees to better understand how to manage patients with suspected or confirmed metastatic spinal cord compression throughout the pathway.

We have put together a collection of resources with input from the course leader which will help inform you about this subject area.

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Twitter:

@DrVMisra – speaker Dr Misra
#radonc
#MSCC2019
#RedFlags
#SpinalTumors
#pallonc
#CancerTeamScience

Guidelines

NICE: Use of Clinical Audit to improve a musculoskeletal (MSK) pathway: NICE Metastatic Spinal Cord Compression (MSCC) Guidelines

NICE: Metastatic spinal cord compression in adults: risk assessment, diagnosis and management
This guidance is due for updating.  Information about this can be found here

West of Scotland Cancer Network (2013) West of Scotland Guidelines for Malignant Spinal Cord Compression. Scotland: NHS West of Scotland Cancer Network. (Online)

The Christie NHS Foundation Trust (2009) Metastatic Spinal Cord Compression guidelines.

GAIN (Guidelines and Audit Implementation Network) – Northern Ireland Cancer Network (NICaN) MSCC Allied Health Professional (AHP) sub group (2014) Guidelines for the Rehabilitation of Patients with Metastatic Spinal Cord Compression (MSCC), Assessment and Care Provision by Occupational Therapists and Physiotherapists.

Recommended Articles

Open Athens may be required:

Christie Staff? access journals here easily using your Open Athens log on from anywhere!

Turnpenney J, Greenhalgh, S, Richards L, Crabtree A, Selfe J (2015) Developing an early alert system for metastatic spinal cord compression.  Primary Health Care Research & Development 16(1): 14-20.

Al-Qurainy, R, Collis, E (2016) Metastatic spinal cord compression: diagnosis and management.  The BMJ, 353, 2539

Levack P, Graham J, Collie et al (2002) Don’t wait for a sensory level-listen to the symptoms: a prospective audit of the delays in diagnosis of malignant cord compression. Clinical Oncology, 14. Pp. 472-480.

Lee SH, Grant R, Kennedy C, Kilbride L (2015)  Positioning and spinal bracing for pain relief in metastatic spinal cord compression in adults (Review).  Cochrane database of Systematic Reviews, 2015 Sep 24;9:cd007609.

Fehlings MG, Nater A, Tetreault L et al (2015) Survival and Clinical Outcomes in Surgically Treated Patients with Metastatic Epidural Spinal Cord Compression:  Results of the Prospective Multicenter AOSpine Study. Journal of Clinical Oncology: official journal of the American Society of Clinical Oncology 34(3): (268-276), 1527-7755 (Jan 2016).

Loblaw DA and Laperriere N (1998) Emergency treatment of malignant extra-dural spinal cord compression: evidence based guideline. Journal of Clinical Oncology, 16 (4), pp.1613-1624.

Molloy et al (2015) Optimizing the management of patients with spinal myeloma disease.  British Journal of Haematology 171, 332-343

Patchell R et al (2005) Direct decompressive surgical resection in the treatment of spinal cord compression caused by metastatic cancer: a randomised trial. The Lancet 366(9486): 643-648

Spinal Injuries Association Academy (SIA), Multidisciplinary Association of Spinal Cord Injury Professionals (MASCIP) and Huntleigh Healthcare, undated. Moving and handling patients with actual or suspected spinal cord injury. (Online). Available: http://www.spinal.co.uk/userfiles/images/uploaded/pdf/288-709666.pdf (11/9/13).

Tokuhashi Y et al (2005) A revised scoring system for preoperative evaluation of metastatic spine tumor prognosis. Spine, 30, 19, 2186 -2191

Lawton et al (2019) Assessment and Management of Patients With Metastatic Spinal Cord Compression: A Multidisciplinary Review. Journal of Clinical Oncology, 37, 1, 61-71

Books

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Differential diagnosis in neuro-oncology

(Hildebrand & Brada, 2001)

Chapter 7 Spinal Cord Lesions

p134 Metastatic lesions

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Practical neuro-oncology: a guide to patient care (McAllister et al, 2002)

Part 5. Specific tumours
Primary tumours/Metastatic tumours

p133 Spinal Cord Metastases

untitledTextbook of neuro-oncology

(Berger, 2005)

Chapter 71

Therapeutic options for treating metastatic spine tumours p521-530

Spinal Cord Compression p781

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Principles Of Neuro-oncology: Cancer of the Nervous System

(Schiff & O’Neill, 2005)

Chapter 71 Spinal Metastases p581

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Carr, Finlay, et al., (2008) Multiprofessional management of patients with neurological tumours and associated conditions. 

In: Rankin, J., et al., 2008.  Rehabilitation in cancer care. 1st ed. Chichester: Wiley- Blackwell.

EBooks

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Neuro-oncology (Rees & Wen, 2010)

Open Athens Required, click here to access.

EJournals

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Journal of Neurology, Neurosurgery, and Psychiatry

[BMJ eJournal]  – OpenAthens Required

Other resources available online:

Metastatic Spinal Cord Compression (MSCC) – MSCC fact Sheeet

Manchester Cancer Metastatic Spinal Cord Compression (MSCC) Coordinator Service

The Christie Way: cancer services at The Christie Trust in Manchester
A centralised service based in Manchester is improving provision for local people with metastatic spinal cord compression.

Metastatic Epidural Spinal Cord Compression and Decompression Surgery Multicenter Study Results

Repository

Research by Christie authors:

Developing an early alert system for metastatic spinal cord compression (MSCC): red flag credit cards (2015)

Tiredness, pain and quality of life for patients receiving RT for spinal cord compression.(2018)

Integrating radiation therapy with emerging systemic therapies: Lessons from a patient with cerebral radionecrosis, spinal cord myelopathy, and radiation pneumonitis.

Only a handful of places are left on the study day now, so book your place today HERE to ensure you are able to attend.