Spinal metastases and metastatic spinal cord compression

The following documents contain the evidence that was used to develop the 2023 recommendations:

• Service configuration and delivery – investigations
• Service configuration and delivery (management and rehabilitation)
• Information and support
• Recognition – spinal metastases
• Recognition – MSCC
• Investigations – diagnosis
• Investigations – management
• Immobilisation
• Analgesic interventions
• Corticosteroids
• Prognostic tools – spinal instability
• Prognostic tools – overall survival
• Radiotherapy
• Invasive interventions

These documents preserve evidence reviews and committee discussions for areas of the guideline from 2008:

• Full guideline
• Evidence review (NICE guideline CG75)

Other supporting evidence

• Methods
• Health economics