Percutaneous Vertebroplasty in a Patient with an Osteolytic Spinal Metastatic Tumor: A case report. |
Wan Soo Oh, Min Jae Son, Jun Ku Hwang, Kwang Min Kim, Sang Chul Lee |
1Pain Management Center, Department of Anesthesiology, College of Medicine, Hallym University, Korea. 2Department of Anesthesiology, College of Medicine, Seoul National University, Seoul, Korea. |
|
|
Abstract |
Percutaneous vertebroplasty was first introduced in 1984.
It allows reduction in pain and strengthening of bone. Main indications for this procedure are an osteoporotic compression fracture, hemangioma or a malignant spine tumor.
Metastases to the vertebrae are not rare and often painful.
Radiation therapy results in delayed (10 14 days) pain relief and minimal bone strengthening. Surgical procedures require significant postoperative recovery and have associated morbidity and mortality. However, a percutaneous vertebroplasty in patients with an osteolytic spinal metastatic tumor results in quick (1 3 days) disappearance of pain, vertebral consolidation, and spinal stability. We encontered a patient with severe back pain due to an osteolytic spinal metastatic tumor that had not responded to radiation therapy but which responded successfully to pain relief by a percutaneous vertebroplasty. |
Key Words:
spinal metastatic cancer; vertebroplasty |
|