Patchell criteria

Metastatic epidural spinal cord compression

Surgical decompression has proven to be beneficial if a patients meets these criteria:




Patients with metastatic epidural spinal cord compression treated with direct (<24h after randomisation) decompressive surgery plus postoperative radiotherapy retain the ability to walk for longer and regain the ability more often than do patients treated with radiotherapy alone.


Patchell et al. Direct decompressive surgical resection in the treatment of spinal cord compression caused by metastatic cancer: a randomised trial. Lancet (2005) vol. 366 (9486) pp. 643-8