Spinal Mets

FACTS

 

HPI

 

PHYSICAL EXAM

IMAGING

  1. Find the Blisky Grade
Bilsky Grade
Description
Stenosis Analog
0
no epidural extension bone only
none
1
epidural extension without cord compression
mild
2
cord compression, CSF visible
moderate
3
cord compression, CSF not visible
severe
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A/P
  1. Use NOMS Algorithm to determine need for separation surgery
    NOMS Framework
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