Document Detail


Kyphoplasty for lytic tumour lesions of the spine: prospective follow-up of 11 cases from procedure to death.
MedLine Citation:
PMID:  22481549     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: The life span of cancer patients has improved due to advancements in cancer management. With long survival periods, more patients show metastatic disease. Osteolytic tumours of spine are generated by metastatic deposits or primary tumours of the spine. A prospective study was performed to evaluate the efficacy and safety of percutaneous kyphoplasty in patients with osteolytic tumours of the thoracic and lumbar spine.
MATERIALS AND METHODS: Eleven patients (age range 52-77/average 65 years; 7 female, 4 male) with osteolytic tumours of the spine were treated with kyphoplasty. The main Tokuhashi score was registered preoperatively. Outcome was assessed prospectively by visual analogue scale (VAS) for pain, ECOG performance status, walking distance, standing and sitting time.
RESULTS: Preoperative VAS (average 7.5; range 2.6-10) dropped to 3.0, 5 days postoperatively and remained below 5 for follow-up. Main Tokuhashi score was 6.3, ranging from 3 to 9. Survival time ranged from 2 to 293 (average 74.4) weeks. Average walking distance, standing and sitting time and ECOG performance score showed improvement. All patients returned home and no patient required re-operation or readmission due to local disease progression or recurrence.
CONCLUSION: Kyphoplasty is a suitable palliative treatment option for patients with advanced metastatic disease of the spine even with low Tokuhashi scores allowing rapid pain relief and mobilisation to increase the quality of life.
Authors:
Matthias A König; Shah Jehan; Gopalakrishnan Balamurali; Michael Bierschneider; Andreas Grillhösl; Bronek M Boszczyk
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Publication Detail:
Type:  Journal Article     Date:  2012-04-06
Journal Detail:
Title:  European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society     Volume:  21     ISSN:  1432-0932     ISO Abbreviation:  Eur Spine J     Publication Date:  2012 Sep 
Date Detail:
Created Date:  2012-09-27     Completed Date:  2013-04-19     Revised Date:  2013-09-03    
Medline Journal Info:
Nlm Unique ID:  9301980     Medline TA:  Eur Spine J     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  1873-9     Citation Subset:  IM    
Affiliation:
Centre for Spinal Studies and Surgery, Queens Medical Centre, Nottingham, NG7 2UH, UK.
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MeSH Terms
Descriptor/Qualifier:
Aged
Female
Follow-Up Studies
Humans
Kyphoplasty* / methods
Lumbar Vertebrae / surgery
Male
Middle Aged
Pain Measurement
Spinal Neoplasms / secondary*,  surgery*
Thoracic Vertebrae / surgery
Comments/Corrections

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