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All patients were ambulatory following the first course of radiation,40 (74%)were ambulatory at the onset of reirradiation,and 42(78%)were ambulatory at the end of reirradiation.Thirty-seven patients(69%)remained ambulatory at their last follow-up 6 days to 80 months following reirradiation(median,4.7 months.Five patients eventually became nonambulatory 6.5 to 35 months following reirradiation.Median survival for all patients following reirradiation was 4.2 months.We conclude that for cancer patients with progressive epidural disease following radiotherapy, reirradiation frequently preserves ambulation and carries minimal risk of radiation myelopathy during the patients'lifetime. |
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myelopathy,radiation induced
prognosis
radiation therapy,CNS treatment and complications with
spinal cord,compression of
spinal cord,metastasis to
spinal cord,metastasis to,treatment of
spine,metastasis to
treatment of neurologic disorder
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