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Positioning and spinal bracing for pain relief in metastatic spinal cord compression in adults.

Lee, Siew Hwa; Grant, Robin; Kennedy, Catriona; Kilbride, Lynn

Authors

Siew Hwa Lee

Robin Grant

Catriona Kennedy

Lynn Kilbride



Abstract

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.

Journal Article Type Article
Publication Date Sep 24, 2015
Journal Cochrane database of systematic reviews
Electronic ISSN 1469-493X
Publisher Cochrane Collaboration
Peer Reviewed Peer Reviewed
Issue 9
Article Number CD007609
Institution Citation 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://doi.org/10.1002/14651858.CD007609.pub3
DOI https://doi.org/10.1002/14651858.CD007609.pub3
Keywords Joint instability; Pain management; Patient positioning; Spinal cord compression; Spinal neoplasms; Metastatic cord compression
Related Public URLs http://hdl.handle.net/10059/1672 ; http://hdl.handle.net/10059/1673

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