Michael D. Stubblefield is an Assistant Attending Physiatrist in Memorial Sloan-Kettering Cancer Center and Assistant Professor of Rehabilitation Medicine in Weill Medical College of Cornell University, New York City, New York; Mark H. Bilsky is an Associate Attending Neurosurgeon in Memorial Sloan-Kettering Cancer Center and Associate Professor of Neurosurgery in Weill Medical College of Cornell University, New York City, New York.
Barriers to rehabilitation of the neurosurgical spine cancer patient†
Article first published online: 7 MAR 2007
Copyright © 2007 Wiley-Liss, Inc.
Journal of Surgical Oncology
Special Issue: Seminars in Patient Rehabilitation
Volume 95, Issue 5, pages 419–426, 1 April 2007
How to Cite
Stubblefield, M. D. and Bilsky, M. H. (2007), Barriers to rehabilitation of the neurosurgical spine cancer patient. J. Surg. Oncol., 95: 419–426. doi: 10.1002/jso.20783
- Issue published online: 21 APR 2007
- Article first published online: 7 MAR 2007
- Manuscript Accepted: 9 JAN 2007
- Manuscript Received: 8 JAN 2007
- spine metastasis
The treatment of metastatic spine tumors has evolved significantly over the past 20 years due largely to improvements in magnetic resonance imaging; decompressive surgical techniques, spinal instrumentation, and high-dose conformal radiation. These advances have improved our ability to provide meaningful palliation for patients who often have significant medical and cancer-related issues. Despite technical advances that have improved our ability to maintain neurologic function, stabilize the spine, and prevent local tumor recurrences, significant barriers to rehabilitation remain. This article reviews these primary barriers to rehabilitation of the cancer patient following spine surgery and emphasizes the importance of diagnostic accuracy and a comprehensive team approach to the treatment of pain and other disorders in this population. J. Surg. Oncol. 95:419–426. © 2007 Wiley-Liss, Inc.