Malignant spinal cord compression: a retrospective audit of clinical practice at a UK regional cancer centre

Malignant Spinal Cord Compression (MSCC) is a serious complication of cancer where the spinal cord is compressed by a tumor. Early detection and specialized care are crucial. This study reviewed the care of 174 patients with MSCC at a cancer center. The audit revealed problems in pain management, patient mobility, and rehabilitation planning. The audit recommends creating guidelines for referral, treatment, and rehabilitation, along with a care pathway for all healthcare settings. These changes are being implemented with funding from Macmillan Cancer Relief.

• 1
  The common primary tumor diagnoses were lung (29%), prostate (19%), and breast (13%).
• 2
  The thoracic spine was the most common site of compression, affecting 77% of patients.
• 3
  At the time of admission, only 9% of patients were able to walk independently without aid, while 47% were unable to walk.