Does Neurosurgery need to be consulted for assessment of spinal stability in patients with cervical spine mets prior to starting RT?
Would you feel comfortable treating with palliative radiation without neurosurgical assessment? Are these patients at increased risk for neurologic complications?
Answer from: Radiation Oncologist at Community Practice
To address the first question, for me personally, I would feel uncomfortable not including neurosurgery. Fortunately, there has been good work in this area by the Spinal Oncology Study group to help clinically clarify the matter. That is, these folks in 2010, developed a so-called "Spinal Instabilit...