Vertebroplasty and kyphoplasty for spinal metastases.

John H. Chi, Ziya L. Gokaslan

Research output: Contribution to journalArticle

Abstract

PURPOSE OF REVIEW: Pathologic fractures of the spine are extremely painful and cause significant disability and morbidity in patients suffering from metastatic cancer. Often, these patients are not candidates for open surgical procedures and cannot address mechanical instability and radiation therapy can take weeks to become effective. Minimally invasive surgical techniques have been developed over the past several years, offering a simple and effective way of managing painful pathologic fractures. RECENT FINDINGS: Vertebroplasty and kyphoplasty offer patients a minimally invasive, percutaneous procedure that dramatically reduces pain related to pathologic spinal fractures almost immediately with very low complication rates. Visual analog scale pain scores, narcotic usage and quality of life scales (SF-36) have all been shown to improve in a durable fashion for over 1 year. Also, these procedures can be performed before, after or concurrently with most radiation and chemotherapy protocols. SUMMARY: We recommend vertebroplasty or kyphoplasty in properly selected patients with painful pathologic fractures as early as possible. Newer biomaterials, which are softer than currently used cement, may offer better protection from adjacent level fracturing and lower complication rates.

Original languageEnglish (US)
Pages (from-to)9-13
Number of pages5
JournalCurrent Opinion in Supportive and Palliative Care
Volume2
Issue number1
StatePublished - Mar 2008

Fingerprint

Kyphoplasty
Vertebroplasty
Spontaneous Fractures
Neoplasm Metastasis
Spinal Fractures
Narcotics
Biocompatible Materials
Pain Measurement
Spine
Radiotherapy
Quality of Life
Radiation
Morbidity
Drug Therapy
Pain
Neoplasms

ASJC Scopus subject areas

  • Oncology
  • Medicine(all)
  • Critical Care and Intensive Care Medicine
  • Oncology(nursing)

Cite this

Vertebroplasty and kyphoplasty for spinal metastases. / Chi, John H.; Gokaslan, Ziya L.

In: Current Opinion in Supportive and Palliative Care, Vol. 2, No. 1, 03.2008, p. 9-13.

Research output: Contribution to journalArticle

Chi, John H. ; Gokaslan, Ziya L. / Vertebroplasty and kyphoplasty for spinal metastases. In: Current Opinion in Supportive and Palliative Care. 2008 ; Vol. 2, No. 1. pp. 9-13.
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