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Table 2 Bilsky’s epidural spinal cord compression grading system

From: Neurosurgical emergencies in spinal tumors: pathophysiology and clinical management

Grade

Description

Low grade

0

Bone involvement only

1a

Epidural impingement, without deformation of thecal sac

1b

Epidural impingement, deformation of thecal sac but no spinal cord abutment

1c

Epidural impingement, deformation of thecal sac, spinal cord abutment, no SCC

High grade

2

SCC, CSF visible around spinal cord

3

SCC, CSF not visible around spinal cord

  1. Abbreviations: SCC Spinal cord compression, CSF Cerebrospinal fluid