Praxis Medical Insights

Est. 2024 • Clinical Guidelines Distilled

Made possible by volunteer editors from the University of Calgary & University of Alberta

Last Updated: 8/25/2025

Relationship Between Tissue Pressure and Myelomalacia: Pathophysiology and Treatment

Treatment Recommendations

  • High-dose dexamethasone therapy should be immediately administered in patients with spinal cord compression to reduce inflammation and tissue pressure, as recommended by the Haematologica guideline 1
  • If spinal cord compression is due to bone fragments, patients should undergo surgical decompression, according to the Haematologica guideline 1
  • Patients with neurologic impairment should receive local radiotherapy in addition to surgical intervention, as suggested by the Haematologica guideline 1