Palliative care 2016

Selecting patients for treatment

• Easy

• Pain only, stable spine • Progressive instability with neurological complaints on 1 level

• Less easy • Favourable prognosis, pain only, but MSCC on MRI on 1 level

• Difficult • Neurological complaints on 3 not-adjacent levels • Radiosensitive primary tumor • Young age / expected prolonged prognosis (years?)