The role of vertebroplasty in metastatic spinal disease.
Many advances have been made in the treatment of metastatic spinal disease over the last few decades. Radiotherapy offers benefit and pain relief to many patients; however, this modality provides minimal vertebral stabilization. Surgical management consists of decompression and complex fusions. Vertebroplasty offers an adjuvant therapy to both radiotherapy and surgery by providing additional stabilization and pain relief. The results of case studies suggest that including vertebroplasty in the management of these patients is beneficial. In this article the authors review the role of vertebroplasty in metastatic spinal disease.
Pilitsis
J G
JG
Department of Neurological Surgery, Wayne State University, University Health Center, Detroit, Michigan 48201, USA. jpilitsis@neurosurgery.wayne.edu
Rengachary
S S
SS
D001843:Bone Cements / Q000009:adverse effects / Q000627:therapeutic use*; D003131:Combined Modality Therapy; D005069:Evaluation Studies as Topic; D050815:Fractures, Compression / Q000209:etiology / Q000601:surgery; D006801:Humans; D015552:Injections, Intralesional; D010024:Osteoporosis / Q000209:etiology / Q000601:surgery; D010146:Pain / Q000209:etiology / Q000601:surgery; D010166:Palliative Care; D019904:Polymethyl Methacrylate / Q000008:administration & dosage / Q000009:adverse effects / Q000627:therapeutic use*; D011183:Postoperative Complications; D011300:Preoperative Care; D011379:Prognosis; D013117:Spinal Cord Compression / Q000209:etiology / Q000517:prevention & control / Q000601:surgery; D016103:Spinal Fractures / Q000209:etiology / Q000601:surgery; D013125:Spinal Neoplasms / Q000150:complications / Q000556:secondary* / Q000601:surgery*
D001843:Bone Cements; D019904:Polymethyl Methacrylate