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Spine, kyphoplasty, vertebroplasty, ablation

N A Quraishi, Z L Gokaslan, S Boriani
Metastatic epidural compression of the spinal cord is a significant source of morbidity in patients with systemic cancer. With improved oncological treatment, survival in these patients is improving and metastatic cord compression is encountered increasingly often. The treatment is mostly palliative. Surgical management involves early circumferential decompression of the cord with concomitant stabilisation of the spine. Patients with radiosensitive tumours without cord compression benefit from radiotherapy...
August 2010: Journal of Bone and Joint Surgery. British Volume
S Masala, P Lunardi, R Fiori, G Liccardo, F Massari, A Ursone, G Simonetti
The purpose of this retrospective study was to assess the effectiveness and safety of Percutaneous Vertebroplasty and Kyphoplasty, in the treatment of pain deriving from neoplastic vertebral compression fractures (VCF). We treated 33 oncologic patients with these new techniques (2 pts with aggressive haemangiomas, 8 pts with myelomas and 23 pts with metastases) suffering from severe motion pain in the back, notwithstanding conservative treatment with medication and corset therapy, in the absence of neurological signs...
November 2004: Journal of Chemotherapy
Mandy J Binning, Oren N Gottfried, Paul Klimo, Meic H Schmidt
Minimally invasive approaches are finding their way into all aspects of metastatic spinal disease from diagnosis to treatment of patients who are diagnosed early in their course as well as patients with multifocal metastases. For patients who are found to have asymptomatic spinal metastases, diagnosis is important to guide management and treatment so as to prevent future morbidity. These patients also now have the option of less invasive techniques for resection,reconstruction, and stabilization, including endoscopy and less invasive surgical approaches...
October 2004: Neurosurgery Clinics of North America
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