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NOMS framework

One of the most-used decision paradigms for selecting appropriate management for spinal metastatic disease is the NOMS framework, which takes into account neurologic, oncologic, mechanical, and systemic considerations to optimize treatment. (Contributed by Dr. Deric Park.)

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  • Anterior spinal artery syndrome
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  • Epidural lipomatosis
  • Kidney cancer
  • Lung cancer
  • Lymphoma
  • Melanoma
  • Methotrexate myelopathy
  • Paraneoplastic subacute necrotic myelopathy
  • Prostate cancer
  • Radiation myelopathy
  • Sarcoma
  • Spinal arteriovenous malformation
  • Subdural hematoma