Any type of cancer can spread to the bones of the spine (vertebrae), which may lead to spinal cord compression. Click through to become a member and gain access to support, information and real time replies. Management of Pain and Spinal Cord Compression in Patients with Advanced Cancer Janet L. Abrahm, MD, FACP Pain and spinal cord compression are two of the most distressing problems faced by patients with advanced cancer. Spinal cord compression is, as it suggests, compression of the spinal cord that causes progressive and irreversible neurological damage (Watson, 2006) and is therefore a true emergency. *This response is based on the best information available as of 12/19/19. These patients have substantial morbidity caused by moderate to severe pain and by spinal cord compres-sion. For some, it’s mild and for others, it’s overwhelming and can significantly interfere with quality of life. About 3 to 5 in 100 people with cancer (3 to 5%) develop MSCC. Spinal cord compression and cancer. Spinal cord compression happens when pressure on the spinal cord stops the nerves working normally. The purpose of this study was to review the morbidity and mortality suffered by these patients. Objectives: Communication about end-of-life decisions is crucial. There are varying levels of depression. The primary diagnosis is the patient’s condition that warranted the neurostimulator. Life after spinal cord injury can require a lot of change, and many people struggle to adjust. Background: Few studies have focused on the outcomes of nonambulatory patients diagnosed with spinal cord compression from metastatic cancer. As a result, they may develop depression. In this situation it is appropriate to begin discussions related to end of life desires, hospice care, and terminal pain/symptom management. Prostate Cancer UK Online Community » Living with prostate cancer » End-of-life issues » Spinal cord compression and paralysis Join the online community now. Find out more about what it is, the symptoms, what causes it … This advice actually applies to spinal cord stimulator and vagus nerve stimulator battery replacement. The spinal cord is surrounded by the bones of the spine, which protect it. End of life issues: The patient with spinal cord compression from metastases is usually in the late stages of his/her disease process. Management of Pain and Spinal Cord Compression in Patients with Advanced Cancer Janet L. Abrahm, MD, for the ACP–ASIM End-of-Life Care Consensus Panel General internists often care for patients with advanced cancer. Although patients with metastatic spinal cord compression (MSCC) have a median survival time of 3 to 6 months, few data are available concerning the presence of advance directives and do-not-resuscitate (DNR) orders in this population. 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