Spinal metastases and metastatic spinal cord compression: summary of updated NICE guidance

What you need to knowImmediately contact the MSCC coordinator if a person with a past or current diagnosis of cancer presents with the symptoms or signs of cord compressionStart immobilisation without delay for suspected or confirmed MSCC and neurological symptoms or signs suggestive of spinal instability to minimise weight bearing by the spine, but also seek advice early (within 24 hours) from an expert clinician in order to minimise the duration of immobilisationPrescribe adequate pain relief promptly for people with suspected or confirmed spinal metastases or MSCC and carry out an individualised pain assessmentMetastatic spinal cord compression (MSCC) is a well recognised complication of the spread of cancer to the vertebral column. Metastases to the spinal column occur in 3-5% of all people with cancer1 and can cause pain, vertebral collapse, and spinal cord compression. It is frequently an oncological or surgical emergency. Potential neurological damage can lead to irreversible…
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