Role of percutaneous vertebroplasty and biopsy in diagnostics and treatment of pateints with spinal tumors
Abstract
Treatment of the pain syndrome in cancer patients is one of the most important problems in oncology. And the fact that 85-96% of patients complain to pain makes this aspect of the treatment very actual. Percutaneous biopsy of the spine is small invasive and effective way in the preoperative investigation in patients with spinal tumors and its effectiveness in some cases reaches 83-97%. Percutaneous vertebroplasty is modern and effective way of treatment of patients with spinal tumors. In case of adequate indications to the procedure its effectiveness reaches 85-95%. Complication rate is rather small 2-7%.
About the Authors
A. K. Valiev
N.N. Blokhin Russian Cancer Research Center, Russian Academy of Medical Sciences
Russian Federation
Russian Federation
M. D. Aliev
N.N. Blokhin Russian Cancer Research Center, Russian Academy of Medical Sciences
Russian Federation
Russian Federation
References
1. Алиев М.Д., Тепляков В.В., Каллистов В.Е., Валиев А.К., Карпенко В.Ю., Трапезников Н.Н. Современные подходы к хирургическому лечению метастазов злокачественных опухолей в кости. Практическая онкология: избранные лекции. Санкт-Петербург: Центр ТОММ. 2004, с. 738-748 (глава книги).
2. Валиев А.К. Вертебропластика в лечении больных с опухолевым поражением позвоночника. Диссертация канд. мед. наук. 2006, 127 с.
3. Каллистов В.Е. Метастатические опухоли позвоночника (клиника, диагностика, лечение). Диссертация канд. мед. наук.1999, 121 с.
4. Abrahm J.L. Assesment and Treatment of Patients With Malignant Spinal Cord Compression. J. Support Oncol. 2004, v. 2, p. 377-401.
5. Anselmetti G.C., Corrao G., Patrizia Della Monica, Vincento Tartaglia et al. Pain Relief Following Percutaneous Vertebroplasty: Results of Series of 283 Consecutive Patients Treated in Single Institution, CardVasc and Int. Radiol. 2007, v. 30, No. 3, p. 441-447.
6. Bauer H.C., Wedin R. Survival after surgery for spinal and extremity metastases: prognostication in 241 patients. Acta Orthop. Scand. 1995, v. 66, p. 143-146.
7. Chiras J., Deramond H. Complications des vertebroplasties. In: Sailant G., Laville C., eds Echecs et Complications de la Chirurgie du Rachis. Chirurgie de Reprise. Paris: Sauramps Medical. 1995, p. 149-153.
8. Dahlin D.C. Bone Tumors. General Aspects and Data on 6221 Cases. Springfield, II, Charles C. Thomas. 1978.
9. Deramond H., Depriester C., Galibert P. et al. Percutaneous vertebroplasty with polymethyl metacrylate. Technique, indications and results. Radiol. Clin. North Am. 1998, v. 36 (3), p. 533-546.
10. Donnelly S., Walsh D. The symptoms of advanced cancer. Semin. Oncol. 1995, v. 22 (suppl), p. 67-72.
11. Gangi A., Dietermann J.L., Mortazavi R. et al. CT-guided interventional proccedures for pain management in the lumbosacral spine. Radiographics. 1998, v. 18 (3), p. 621-633.
12. Guo Y., Young B., Palmer J.L., Mun Y., Bruera E. Prognostic factors for survival in metastatic spinal cord compression: a retrospective study in a rehabilitation setting. Am. J. Phys. Med. Rehabil. 2003; v. 82, p. 665-668.
13. Grados F., Depriester C., Cayrolle G. et al. Long-term observations of vertebral osteoporotic fractures treated by percutaneous vertebroplasty. Rheumatology (Oxford). 2000, v. 39, p. 1410-1414.
14. Hage W.D., Aboulafia A.J., Aboulafia D.M. Incidence, location and diagnostic evaluation of metastatic bone disease. Orthop. Clin. North Am. 2000, v. 31, p. 515-528.
15. Harrop J.S., Prpa B., Reinhardt M.K. et al. Primary and Secondary Osteoporosis’ Incidence of Subsequent Vertebral Compression Fractures After Kyphoplasty. 2004, Spine, v. 29, p. 2120-2125.
16. Kaemmerlen P., Thiesse P., Jonas P. et al. Percutaneous injection of orthopedic cement in metastatic vertebral lesions [letter]. N. Engl. J. Med. 1989, v. 321 (2), p. 121.
17. Kayanja M.M., Ferrara L.A., Lieberman I.H. Distribution of anterior cortical shear strain after a thoracic wedge compression fracture. Spine J: in press. 2004.
18. Keller T.S., Harrison D.E., Colloca C.J. et al. Prediction of osteoporotic spinal deformity. 2003, Spine, v. 28, p. 455-462.
19. Lindsay R., Silverman S.L., Cooper C. et al. Risk of new vertebral fracture in the year following a fracture. 2001, Jama, v. 285, p. 320-323.
20. Loblaw D.A., Laperriere N.J., Mackillop WJ. A population-based study of malignant spinal cord compression in Ontario. Clin. Oncol (R. Coll. Radiol.). 2003, v. 15, p. 211-217.
21. O’Brien J.P., Sims J.T., Evans A.J. Vertebroplasty in patients with severe vertebral compression fractures: a technical report. Am. J. Neuroradiol. 2000, v. 21 (8), p. 1555-1558.
22. O’Rourke R.L., George C.B., Redmond J. et al. Spinal computed tomography and computed tomographic metrizamide myelography in the early diagnosis of metastatic disease. J. Clin. Oncol. 1986, v. 4, p. 576-583.
23. Riley L.K., Franklin C.L. Tyzzer’s disease, rat, mouse, and hamster. In: TC. Jones, J.A. Popp, and Mohr(eds). Monographs on Pathology of Laboratory Animals: Digestive System. 1997.
24. Ruff R.L., Lanska D.J. Epidural metastases in prospectively evaluated veterans with cancer and back pain. Cancer. 1989, v. 63, p. 2234-2241.
25. Silverman S.L. The clinical consequences of vertebral compression fracture. 1992, v. 13 (suppl), р. 27-31.
26. Stoll B.A., Parbhoo S. eds. Bone Metastasis: Monitoring and Treatment. New York, Raven Press. 1983.
27. Schiff D. Spinal cord compression. Neurol. Clin. 2003, v. 21, p. 67-86.
28. Slatkin N., MD. Cancer-Related Pain and its Pharmacologic Management in the Patients With Bone Metastasis, J. Support Oncol. 2006, v. 4 (suppl 1) 015-021.
29. Walker D.H. Mummaneni P. Roger G.E. Jr. Infected vertebroplasty: report of two cases and review of the literature. Neurosurg. Focus. 2004, v. 17, p. 6.
30. Wong D.A., Fornasier L., MacNab I. Spinal metastases: the obvious, the occult, and the imposters. Spine. 1990, v. 15, p. 1-4.
31. Uppin A.A., Hirsch J.A., Centenera L.V. et al. Occurrence of new vertebral body fracture after percutaneous vertebroplasty in patients with osteoporosis. Radiology. 2003, v. 226, p. 119-124.
Review
For citations:
Valiev A.K., Aliev M.D. Role of percutaneous vertebroplasty and biopsy in diagnostics and treatment of pateints with spinal tumors. Bone and soft tissue sarcomas, tumors of the skin. 2012;(2):3-9. (In Russ.)
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