Clinical Outcomes of Surgery Versus Radiotherapy in Bilsky Grade 3 Metastatic Epidural Spinal Cord Compression.

ABSTRACT: Background/Objectives: Surgery is generally recommended for higher Bilsky grade metastatic epidural spinal cord compression (MESCC); however, Bilsky grades 2-3 are often grouped together, leaving limited evidence for managing patients with Bilsky grade 3 MESCC who have not developed neurological deficits. This study aimed to evaluate whether, and when, surgery should be performed in Bilsky grade 3 MESCC. Methods: This retrospective cohort study included patients diagnosed with Bilsky grade 3 MESCC from January 2021 to January 2025. A total of 138 patients were assigned to a radiotherapy (RT) group (n = 54) or a surgery group (n = 65) based on initial treatment. Demographics, clinical data, treatment outcomes, and treatment modalities were analyzed. Logistic regr

SUBMITTER: Kwon K 

PROVIDER: S-EPMC12786538 | biostudies-literature | 2025 Dec

REPOSITORIES: biostudies-literature