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UMHS Home/Logo Consult Request Guidelines

for Painful Metastasis To Spine, But No Spinal Cord Compression

   
Painful Metastasis To Spine, But No Spinal Cord Compression
Suggested Pre-Referral Evaluation and Management Guidelines

For patients with spinal instability:

  • Imaging features in which instability may be present
    • Fracture
    • Retropulsed bone fragments, malalignment of vertebrae
    • Very obvious kyphosis
  • Neurosurgery consultation (see below) for surgical consideration:
    • Open surgical stabilization
    • Kyphoplasty
    • Vertebroplasty
(Orthopadic Surgery and Radiology perform some of these procedures as well)
  • Radiation Oncology consultation for radiation therapy
  • Hematology Oncology evaluation, specially for newly diagnosed patients
    • Consider systemic therapy
    • Consider PM&R consultation
    • Consider supportive or palliative care
For patients with no spinal instability:
  • Radiation Oncology consultation for radiation therapy, or
  • Hematology Oncology evaluation:
    • Consider systemic therapy
    • Consider PM&R consultation
    • Consider supportive or palliative care

If intractable pain, consider neurosurgery consultation for kyphoplasty/vertebroplasty evaluation.
Suggested Additional Test/Management Prior to Specialty Visit  
Patient Education/Information (includes preps)  
Appointment Timeframe Neurosurgery Consultations: ER or inpatient pager 31777. Clinic consultations, please contact Paul Park, M.D. or Frank La Marca, M.D. directly by e-mail or page.
Radiation Oncology Consultations: ER or inpatients, refer to on-call paging system. For clinic consultations, route through Radiation Oncology scheduling office at (734) 936-4300.
Please complete Consult Request form and fax to 734-647-9233.
How to Get Results to Consultant UMHS Patients: See MiChart
External Patients: Hand carry non-UM records to visit
Clinic Contact Information Physicians: 800-962-3555
For Patients:
    734-936-7010 Neurosurgery
    734-936-4300 Radiation Oncology
Clinic Location Sites Neurosurgery
Radiation Oncology
UM Consulting Physician Spine Neurosurgery Program Faculty
Radiation Oncology Faculty
Revised on: 09/05/2012