Relief of radicular pain in metastatic disease by vertebroplasty.
Two patients with compression fractures from metastases who had pain with radicular symptoms mainly in upright position that resolved when not upright and were treated with vertebroplasty were retrospectively analyzed. Both patients had symptom relief at treated levels until death. These cases show that patients with radicular signs and symptoms from compression fractures secondary to metastases or myeloma, worse in upright position and relieved when recumbent, may benefit from vertebroplasty.
Washington University School of Medicine, St. Louis, Missouri, USA.
Avi
A
Mazumdar
Louis A
LA
Gilula
D000368:Aged; D001466:Barium Sulfate / Q000008:administration & dosage; D001943:Breast Neoplasms / Q000150:complications*; D005260:Female; D050815:Fractures, Compression / Q000209:etiology* / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009101:Multiple Myeloma / Q000150:complications*; D010148:Intractable Pain / Q000209:etiology* / Q000601:surgery*; D019904:Polymethyl Methacrylate / Q000008:administration & dosage; D011187:Posture; D016103:Spinal Fractures / Q000209:etiology* / Q000601:surgery*; D014031:Tobramycin / Q000008:administration & dosage; D054854:Vertebroplasty / Q000379:methods*
D001466:Barium Sulfate; D019904:Polymethyl Methacrylate; D014031:Tobramycin