Results of kyphoplasty in the minimally invasive treatment of vertebral metastasis

Carlos Fernando Pereira Da Silva Herrero,Marcello Henrique Nogueira-Barbosa,Vitor Rodrigues Fornazari,Lilian Maria Pacola,Mario Bressan Neto,Helton Luiz Aparecido Defino,Carlos Eduardo Sargi Godoy

doi:10.1590/s1808-18512014130300433

Carlos Fernando Pereira Da Silva Herrero, Marcello Henrique Nogueira-Barbosa + Show 5 more

Open Access

https://doi.org/10.1590/s1808-18512014130300433

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Journal: Coluna/Columna	Publication Date: Sep 1, 2014
License type: cc-by

Affiliation: Universidade de São Paulo

Abstract

OBJECTIVE: To evaluate the clinical and radiological outcome of minimally invasive surgical treatment of vertebral metastases using the technique of kyphoplasty. METHODS: This was a prospective observational study of patients with the diagnosis of spinal metastasis who underwent minimally invasive surgical treatment by filling the vertebral body with balloon kyphoplasty technique. Clinical evaluation included patient age at surgery, diagnosis of the tumor, biopsy results, data of the surgical procedure performed, visual pain scale (VAS) and complications related to surgery. Radiological evaluation involved the study of radiographic procedures in the anteroposterior and lateral incidences, with the analysis of vertebral body kyphosis and the occurrence of extravasation of cement. RESULTS: 22 patients with spinal metastases who were treated by balloon kyphoplasty, 8 (36%) males and 14 (64%) females were studied. The average age was 56.05 years and the mean follow-up was 8.5 months. The mean preoperative VAS was 8.73, 1.73 in the initial postoperative period, and 1.92 in the late postoperative period. CONCLUSION: Kyphoplasty proved to be a safe and effective technique for symptomatic treatment of vertebral metastases.

Highlights

One characteristic of metastatic disease involving the spine is the presence of fractures of the vertebral bodies affected by the tumor.[1,2]
This is an observational study of a prospective database of patients diagnosed with spinal tumor lesions and treated using the balloon kyphoplasty technique
We studied 22 patients with metastases affecting at least one vertebral body who underwent the balloon kyphoplasty surgical procedure

Summary

Introduction

One characteristic of metastatic disease involving the spine is the presence of fractures of the vertebral bodies affected by the tumor.[1,2] This complication is a serious health problem because, in addition to affecting a high number of patients, it is responsible for reducing their quality of life and increasing costs for the health care system.[1,3,4,5,6,7]Balloon kyphoplasty is a minimally invasive procedure that pro-1. Motes stabilization of spinal fractures and correction of the kyphotic segmental deformity resulting from the fracture.[8,9] Its effectiveness in relieving pain, reducing the use of medication, and improving the quality of life is documented in the literature on the treatment of osteoporotic fractures.[10,11,12,13]

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