HIGHLIGHTS
SUMMARY
The morbidity associated with metastatic spinal disease is significant because of spinal cord and/or nerve root compression. The aim of this paper is to define a diagnostic-therapeutic path for patients with vertebral metastases and from this path to build an algorithm to reduce the devastating consequences of spinal cord compression. The ER physician or the oncologist intercept the patient with symptoms and signs of a metastatic spinal cord compression. The spine surgeon takes charge of the patient and, on the base of the anamnestic data and neurological examination, defines the appropriate timing . . .

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