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

Copyright © 2007 EDIZIONI MINERVA MEDICA

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


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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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