{"id":"https://openalex.org/W2002643576","doi":"https://doi.org/10.1002/ana.410080404","title":"Epidural spinal cord compression from metastatic tumor: Results with a new treatment protocol","display_name":"Epidural spinal cord compression from metastatic tumor: Results with a new treatment protocol","publication_year":1980,"publication_date":"1980-10-01","ids":{"openalex":"https://openalex.org/W2002643576","doi":"https://doi.org/10.1002/ana.410080404","mag":"2002643576","pmid":"https://pubmed.ncbi.nlm.nih.gov/7436380"},"language":"en","primary_location":{"id":"doi:10.1002/ana.410080404","doi":"https://doi.org/10.1002/ana.410080404","is_oa":false,"landing_page_url":"https://doi.org/10.1002/ana.410080404","pdf_url":null,"source":{"id":"https://openalex.org/S114530997","display_name":"Annals of Neurology","issn_l":"0364-5134","issn":["0364-5134","1531-8249"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-b","doyens","jufo-3","ki-jl-2","medline","norway-2","poland-200","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320595","host_organization_name":"Wiley","host_organization_lineage":["https://openalex.org/P4310320595"],"host_organization_lineage_names":["Wiley"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Annals of Neurology","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5109986808","display_name":"Harry S. Greenberg","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I1334819555","display_name":"Memorial Sloan Kettering Cancer Center","ror":"https://ror.org/02yrq0923","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1334819555"]},{"id":"https://openalex.org/I205783295","display_name":"Cornell University","ror":"https://ror.org/05bnh6r87","country_code":"US","type":"education","lineage":["https://openalex.org/I205783295"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Harry S. Greenberg","raw_affiliation_strings":["Departments of Neurology and Radiation Therapy, Memorial Sloan-Kettering Cancer Center, Cornell University Medical College, New York, NY"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Departments of Neurology and Radiation Therapy, Memorial Sloan-Kettering Cancer Center, Cornell University Medical College, New York, NY","institution_ids":["https://openalex.org/I1334819555","https://openalex.org/I205783295"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5100649967","display_name":"Jae Ho Kim","orcid":"https://orcid.org/0000-0003-4323-4790","observed_orcids":["https://orcid.org/0000-0003-4323-4790"]},"institutions":[{"id":"https://openalex.org/I1334819555","display_name":"Memorial Sloan Kettering Cancer Center","ror":"https://ror.org/02yrq0923","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1334819555"]},{"id":"https://openalex.org/I205783295","display_name":"Cornell University","ror":"https://ror.org/05bnh6r87","country_code":"US","type":"education","lineage":["https://openalex.org/I205783295"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Jae\u2010Ho Kim","raw_affiliation_strings":["Departments of Neurology and Radiation Therapy, Memorial Sloan-Kettering Cancer Center, Cornell University Medical College, New York, NY"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Departments of Neurology and Radiation Therapy, Memorial Sloan-Kettering Cancer Center, Cornell University Medical College, New York, NY","institution_ids":["https://openalex.org/I1334819555","https://openalex.org/I205783295"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5111371793","display_name":"Jerome B. Posner","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I1334819555","display_name":"Memorial Sloan Kettering Cancer Center","ror":"https://ror.org/02yrq0923","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1334819555"]},{"id":"https://openalex.org/I205783295","display_name":"Cornell University","ror":"https://ror.org/05bnh6r87","country_code":"US","type":"education","lineage":["https://openalex.org/I205783295"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"Jerome B. Posner","raw_affiliation_strings":["Departments of Neurology and Radiation Therapy, Memorial Sloan-Kettering Cancer Center, Cornell University Medical College, New York, NY"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Departments of Neurology and Radiation Therapy, Memorial Sloan-Kettering Cancer Center, Cornell University Medical College, New York, NY","institution_ids":["https://openalex.org/I1334819555","https://openalex.org/I205783295"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":["https://openalex.org/A5111371793"],"corresponding_institution_ids":["https://openalex.org/I1334819555","https://openalex.org/I205783295"],"apc_list":{"value":4700,"currency":"USD","value_usd":4700},"apc_paid":null,"fwci":6.3076,"has_fulltext":false,"cited_by_count":401,"citation_normalized_percentile":{"value":0.95908172,"is_in_top_1_percent":false,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":93,"max":100},"biblio":{"volume":"8","issue":"4","first_page":"361","last_page":"366"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T12108","display_name":"Management of metastatic bone disease","score":1.0,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T12108","display_name":"Management of metastatic bone disease","score":1.0,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11600","display_name":"Brain Metastases and Treatment","score":0.0,"subfield":{"id":"https://openalex.org/subfields/2740","display_name":"Pulmonary and Respiratory Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11381","display_name":"Infectious Diseases and Tuberculosis","score":0.0,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/epidural-spinal-cord-compression","display_name":"epidural spinal cord compression","score":0.9919999837875366},{"id":"https://openalex.org/keywords/spinal-metastases","display_name":"spinal metastases","score":0.800000011920929},{"id":"https://openalex.org/keywords/high-dose-dexamethasone","display_name":"high-dose dexamethasone","score":0.8389999866485596},{"id":"https://openalex.org/keywords/adrenocortical-hormones","display_name":"adrenal cortex hormones","score":0.9670000076293945},{"id":"https://openalex.org/keywords/radiation-fractionation","display_name":"radiation fractionation","score":0.7630000114440918},{"id":"https://openalex.org/keywords/hyperfractionated-radiotherapy","display_name":"hyperfractionated radiotherapy","score":0.6449999809265137},{"id":"https://openalex.org/keywords/myelography","display_name":"myelography","score":0.6480000019073486},{"id":"https://openalex.org/keywords/pain-relief","display_name":"analgesia","score":0.6660000085830688},{"id":"https://openalex.org/keywords/ambulatory-function","display_name":"ambulatory function","score":0.5090000033378601},{"id":"https://openalex.org/keywords/paraplegia","display_name":"paraplegia","score":0.7940000295639038}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9346354007720947},{"id":"https://openalex.org/C2778231337","wikidata":"https://www.wikidata.org/wiki/Q2990703","display_name":"Spinal cord compression","level":3,"score":0.7817766070365906},{"id":"https://openalex.org/C509974204","wikidata":"https://www.wikidata.org/wiki/Q180507","display_name":"Radiation therapy","level":2,"score":0.6982215642929077},{"id":"https://openalex.org/C2780775167","wikidata":"https://www.wikidata.org/wiki/Q9606","display_name":"Spinal cord","level":2,"score":0.6030440926551819},{"id":"https://openalex.org/C35785553","wikidata":"https://www.wikidata.org/wiki/Q756720","display_name":"Ambulatory","level":2,"score":0.5916589498519897},{"id":"https://openalex.org/C2780401358","wikidata":"https://www.wikidata.org/wiki/Q422252","display_name":"Dexamethasone","level":2,"score":0.576507031917572},{"id":"https://openalex.org/C2777905831","wikidata":"https://www.wikidata.org/wiki/Q2122468","display_name":"Myelography","level":3,"score":0.5610367655754089},{"id":"https://openalex.org/C42219234","wikidata":"https://www.wikidata.org/wiki/Q131130","display_name":"Anesthesia","level":1,"score":0.4339296817779541},{"id":"https://openalex.org/C2779632786","wikidata":"https://www.wikidata.org/wiki/Q920297","display_name":"Cord","level":2,"score":0.4297892451286316},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.403189092874527},{"id":"https://openalex.org/C126838900","wikidata":"https://www.wikidata.org/wiki/Q77604","display_name":"Radiology","level":1,"score":0.2506929039955139},{"id":"https://openalex.org/C118552586","wikidata":"https://www.wikidata.org/wiki/Q7867","display_name":"Psychiatry","level":1,"score":0.0}],"mesh":[{"descriptor_ui":"D000293","descriptor_name":"Adolescent","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000305","descriptor_name":"Adrenal Cortex Hormones","qualifier_ui":"Q000008","qualifier_name":"administration & dosage","is_major_topic":true},{"descriptor_ui":"D000328","descriptor_name":"Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000368","descriptor_name":"Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D003907","descriptor_name":"Dexamethasone","qualifier_ui":"Q000008","qualifier_name":"administration & dosage","is_major_topic":false},{"descriptor_ui":"D004381","descriptor_name":"Duodenal Ulcer","qualifier_ui":"Q000139","qualifier_name":"chemically induced","is_major_topic":false},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008875","descriptor_name":"Middle Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D011879","descriptor_name":"Radiotherapy Dosage","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D013117","descriptor_name":"Spinal Cord Compression","qualifier_ui":"Q000209","qualifier_name":"etiology","is_major_topic":false},{"descriptor_ui":"D013117","descriptor_name":"Spinal Cord Compression","qualifier_ui":"Q000628","qualifier_name":"therapy","is_major_topic":true},{"descriptor_ui":"D013120","descriptor_name":"Spinal Cord Neoplasms","qualifier_ui":"Q000150","qualifier_name":"complications","is_major_topic":false},{"descriptor_ui":"D013120","descriptor_name":"Spinal Cord Neoplasms","qualifier_ui":"Q000556","qualifier_name":"secondary","is_major_topic":false},{"descriptor_ui":"D013120","descriptor_name":"Spinal Cord Neoplasms","qualifier_ui":"Q000628","qualifier_name":"therapy","is_major_topic":true}],"locations_count":2,"locations":[{"id":"doi:10.1002/ana.410080404","doi":"https://doi.org/10.1002/ana.410080404","is_oa":false,"landing_page_url":"https://doi.org/10.1002/ana.410080404","pdf_url":null,"source":{"id":"https://openalex.org/S114530997","display_name":"Annals of Neurology","issn_l":"0364-5134","issn":["0364-5134","1531-8249"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-b","doyens","jufo-3","ki-jl-2","medline","norway-2","poland-200","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320595","host_organization_name":"Wiley","host_organization_lineage":["https://openalex.org/P4310320595"],"host_organization_lineage_names":["Wiley"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Annals of Neurology","raw_type":"journal-article"},{"id":"pmid:7436380","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/7436380","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Annals of neurology","raw_type":"Journal Article"}],"best_oa_location":null,"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being","score":1.0}],"study_designs":[{"id":"https://openalex.org/study-designs/clinical-trial","display_name":"Clinical Trial"}],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":8,"referenced_works":["https://openalex.org/W1965948448","https://openalex.org/W2052530965","https://openalex.org/W2095352947","https://openalex.org/W2129174433","https://openalex.org/W2149975418","https://openalex.org/W2152663431","https://openalex.org/W2395084217","https://openalex.org/W4233842868"],"related_works":["https://openalex.org/W2163235609","https://openalex.org/W112852188","https://openalex.org/W1572280672","https://openalex.org/W7162626066","https://openalex.org/W2029139723","https://openalex.org/W2062550356","https://openalex.org/W2052530965","https://openalex.org/W2102319028","https://openalex.org/W2129174433","https://openalex.org/W2028473083"],"abstract_inverted_index":{"Eighty-three":[0],"patients":[1,23,114,124],"with":[2,12,120,145,169],"epidural":[3],"spinal":[4,176],"cord":[5,177],"compression,":[6],"from":[7,105],"metastatic":[8],"cancer":[9],"were":[10,24,49,116],"treated":[11],"high-dose":[13],"adrenocorticosteroids":[14,167],"and":[15,35,61],"a":[16,74,85],"new":[17,95],"radiation":[18,41,65,77,170,184],"fractionation":[19,181],"protocol.":[20],"Only":[21],"those":[22,106],"included":[25],"who":[26,36],"had":[27,37],"complete":[28,31],"or":[29],"almost":[30],"block":[32],"on":[33,66,97],"myelography":[34],"not":[38,103,187],"received":[39],"prior":[40],"therapy":[42,78,171,185],"to":[43,84],"the":[44,57,69,98,141,152,157],"area":[45],"of":[46,53,59,64,68,88,93,107,112,132,135,143,159,166,175],"compression.":[47,178],"Patients":[48],"given":[50],"100":[51],"mg":[52],"dexamethasone":[54,136],"intravenously":[55],"at":[56,81],"time":[58],"diagnosis":[60],"500":[62],"rads":[63,83],"each":[67],"first":[70],"three":[71],"days.":[72],"After":[73],"four-day":[75],"rest,":[76],"was":[79,154],"continued":[80],"300":[82],"total":[86],"dose":[87],"3,000":[89],"rads.":[90],"The":[91,179],"effects":[92],"this":[94],"protocol":[96],"patient's":[99],"motor":[100],"abilities":[101],"did":[102],"differ":[104],"previous":[108],"protocols,":[109],"namely,":[110],"47":[111],"83":[113],"(57%)":[115],"ambulatory":[117],"after":[118,151],"treatment,":[119],"no":[121],"responses":[122],"in":[123,140],"totally":[125],"paraplegic":[126],"before":[127],"treatment.":[128],"However,":[129],"early":[130],"administration":[131],"high":[133,164],"doses":[134,165],"substantially":[137],"ameliorated":[138],"pain":[139],"majority":[142],"patients,":[144],"relief":[146],"often":[147],"coming":[148],"within":[149],"hours":[150],"drug":[153],"given.":[155],"On":[156],"basis":[158],"these":[160],"data,":[161],"we":[162],"recommend":[163],"combined":[168],"for":[172,183],"acute":[173],"treatment":[174],"optimum":[180],"schedule":[182],"is":[186],"established.":[188]},"counts_by_year":[{"year":2026,"cited_by_count":5},{"year":2025,"cited_by_count":3},{"year":2024,"cited_by_count":2},{"year":2023,"cited_by_count":4},{"year":2022,"cited_by_count":6},{"year":2021,"cited_by_count":2},{"year":2020,"cited_by_count":4},{"year":2019,"cited_by_count":4},{"year":2018,"cited_by_count":10},{"year":2017,"cited_by_count":10},{"year":2016,"cited_by_count":12},{"year":2015,"cited_by_count":5},{"year":2014,"cited_by_count":9},{"year":2013,"cited_by_count":7},{"year":2012,"cited_by_count":14}],"updated_date":"2026-11-04T10:54:05.112534","created_date":"2016-06-24T00:00:00"}
