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A Journal on Forensic Medicine




Minerva Medicolegale 2007 September;127(3):197-214

language: Italian

Metastasis to the spine in the evaluation of incapacity caused by cancer

Bertino M. 1, Guercio N. 2, Iorio M. 1, Bruno G. L. 1

1 Dipartimento di Anatomia Farmacologia e Medicina Legale Università degli Studi di Torino, Torino
2 Struttura Complessa di Ortopedia e Traumatologia Azienda Sanitaria Ospedaliera San Giovanni Battista, Torino


This study on the anatomomorphological and clinical orthopaedic aspects of metastasis to the spine revealed several shortcomings and slight dysymmetries in the global assessment of disabling and permanent incapacity. A review of recent orthopedic and cancer studies highlighted basic elements that may be useful for formulating a medico-legal opinion. Following a review of legal tables and those of major scientific societies, for modulating a series of percentage points of permanent incapacitating damage, a procedure is presented for establishing a nosographic definition associated with clinical disease staging and prognostic indication in order to achieve a targeted score that better corresponds to the patient’s actual situation of incapacity.

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