Positioning and spinal bracing for pain relief in metastatic spinal cord compression in adults.
Lee, Siew Hwa
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LEE, S.H., GRANT, R., KENNEDY, C. and KILBRIDE, L. 2015. Positioning and spinal bracing for pain relief in metastatic spinal cord compression in adults. Cochrane database of systematic reviews [online], Issue 9, article number CD007609. Available from: https://dx.doi.org/10.1002/14651858.CD007609.pub3
Background - This is an updated version of the original Cochrane review published in Issue 3 (Lee 2012) on patient positioning (mobilisation) and bracing for pain relief and spinal stability in adults with metastatic spinal cord compression. Many patients with metastatic spinal cord compression (MSCC) have spinal instability, but their clinician has determined that due to their advanced disease they are unsuitable for surgical internal fixation. Mobilising may be hazardous in the presence of spinal instability as further vertebral collapse can occur. Current guidance on positioning (whether a patient should be managed with bed rest or allowed to mobilise) and whether spinal bracing is helpful, is contradictory. Objectives - To investigate the correct positioning and examine the effects of spinal bracing to relieve pain or to prevent further vertebral collapse in patients with MSCC.