THE APPROACH OF NOMS FRAMEWORK IN THE MANAGEMENT OF SPINAL METASTASIS

Malignant tumors often metastasize to spine. Metastases in the spine account for 20-40% of cases in cancer patients. Increased mobility and pain control are two forms of treatment for spinal metastases that aim to improve quality of life. Three components of an interdisciplinary team that offers the best therapeutic treatment for spinal metastases are chemotherapy, radiation and surgery. Different authors have created various decision-making frameworks for the treatment of spinal metastases. They are mainly categorized as prognostic systems based on principles and classifications. Four fundamental and comprehensive assessments are integrated into the NOMS framework, a decision-making approach: neurological, oncological, mechanical (stability) and systemic disease. When NOMS is compared to other scoring systems or methods, it turns out that NOMS can manage almost all facets of spinal metastases. To improve patient outcomes and personalize the treatment plan for each patient, the NOMS framework offers a standardized, evidence-based approach to the treatment of spinal metastases. This approach takes into account many characteristics of the disease to inform treatment decisions.