The prevalence, pathophysiology and clinical features of spinal cord compression are reviewed, with particular emphasis on the diagnostic challenge presented by the patient with metastatic disease, back pain and normal neurological findings. Methods of investigation and treatment options are reviewed. Interdisciplinary collaboration is essential in formulating treatment decisions and evaluating outcomes. Palliative medicine physicians need to be aware of the possible benefits available to patients from a positive approach to the diagnosis and treatment of spinal cord compression.
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