What is it about?

This study aimed to clarify the outcomes and prognostic factors of postoperative re-irradiation using SBRT for metastatic epidural spinal cord compression (MESCC).

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Why is it important?

There have been no reports that were limited to patients with both elements of re-irradiation SBRT and SBRT after surgical decompression. The results of the present study suggest that postoperative spine SBRT for MESCC as re-irradiation was effective and a clinically acceptable safety profile. Postoperative re-irradiation SBRT appeared effective for patients with a good survival prognosis, and the Rades score seemed useful for patient selection.

Perspectives

It is necessary to evaluate the outcomes by clinical trials. Based on the present results, we suggest that the Rades score should be included as an eligibility criterion in future clinical trials.

Kei Ito
Tokyo Metropolitan Cancer and Infectious Diseases Center Komagome Hospital

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This page is a summary of: Postoperative re-irradiation using stereotactic body radiotherapy for metastatic epidural spinal cord compression, Journal of Neurosurgery Spine, September 2018, Journal of Neurosurgery Publishing Group (JNSPG),
DOI: 10.3171/2018.1.spine171155.
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