Which drug is a palliative treatment for tumor-induced spinal cord compression?

Dexamethasone is the correct choice for a palliative treatment for tumor-induced spinal cord compression due to its powerful anti-inflammatory properties. In cases of spinal cord compression caused by tumors, inflammation in the area can exacerbate symptoms and increase the risk of permanent neurological damage. Dexamethasone helps to reduce this inflammation, alleviating pressure on the spinal cord and improving symptoms such as pain, weakness, and sensory changes.

While morphine sulfate is effective for pain management, it does not address the underlying inflammation that contributes to spinal cord compression. Ibuprofen is also an anti-inflammatory drug, but it is typically less effective than corticosteroids like dexamethasone for severe cases of inflammation related to tumors. Amitriptyline, primarily used as an antidepressant and for chronic pain management, does not provide the targeted anti-inflammatory effects needed in this context. Thus, dexamethasone is the most appropriate choice, as it directly targets the inflammation associated with tumor-induced spinal cord compression.