Patrick Linson, MD, MPH
Spinal Tumors or Metastases
Recognizing spinal cord compression and understanding treatment.
Patient Guide
Spinal Tumors or Metastases
Tumors may involve the vertebrae, tissues around the spinal cord or the spinal cord itself. Cancer that spreads to the spine can cause pain, instability, nerve compression or spinal cord compression.
← Back to diagnosis resourcesHow We Keep Your Treatment Accurate
- Customized support such a head-and-neck mask or a Vac-Lok cushion helps reproduce your position during each treatment.
- CT simulation maps area of the brain to be treated.
- The physician defines the target and organs to protect; the dosimetrist and medical physicist help to create and verify the plan.
- Image guidance confirms tumor location and positioning before radiation is delivered.
Before the First Treatment
- Complete your consultation.
- Complete CT simulation and individualized treatment planning.
- The care team completes dose calculations and quality checks.
During Treatment
- The team monitors pain, strength, sensation, walking, and bowel or bladder changes. Side effects depend on the spinal region treated and may include temporary swallowing discomfort, bowel changes or fatigue.
- Corticosteroids may be prescribed to reduce swelling; take them exactly as instructed and follow any taper schedule.
- Radiation can reduce tumor pressure, relieve pain and help prevent further neurologic complications.
After Treatment
Pain relief may continue to improve after radiation. Other effects and their duration depend on the spinal area treated, the radiation plan and your individual health. Report new or worsening weakness, numbness, walking difficulty, or bowel or bladder changes immediately.
Important: This guide is for patient education only. Your care team’s instructions and individualized treatment prescription take priority.