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Abstract:

Our experience of percutaneous vertebroplasty - one of the most up-to-date methods of vertebral tumors treatment - is presented in the article.

The purpose of the work was to assess vertebroplasty as a method, improving quality of life. In the years 2001-2007 235 vertebroplasty procedures (168 patients) were done in Blokhin's Cancer Research Center. The most common diagnoses were metastases of renal carcinoma, breast carcinoma or multiple myeloma. The main indications for vertebroplasty procedure were chronic pain due to vertebral tumor progression and the loss of vertebral supporting function. Quality of life is shown to improve in the majority of the operated patients.

Relative simplicity of the percutaneous vertebroplasty and high effectiveness of the method allow us to recommend its widespread adoption in clinical practice. 

 

 

Reference

 

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3.     Coleman R., Bone Metastases From BreastCancer and Other Solid Tumors. ASCO 2001, San-Fransisco, May 12-15. Education Book.152-163.

4.     Deramond H., Depriester C., Galibert P. et al. Percutaneous vertebroplasty with polymethylmetacrylate. Technique, indications and results. Radiol. Clin. North. Am. 1998; 36 (3): 533-546.

 

5.     Anselmetti G.C., Corrao G., Patrizia D.M., Tartaglia V. et al. Pain Relief Following Percutaneous Vertebroplasty. Results of Series of 283 Consecutive Patients Treated in Single Institution. Card. Vasc. and Int. Radiol. 2007; 30 (3): 441-447.

 

6.     Weill A., Chiras J., Simon J.M. Spinal metastases: indications for and results of percutaneous injection of acrylic surgical cement. Radiology. 1996; 199: 241-247.

7.     Robertson R.C., Ball R.P. Destructive spine lesions: diagnosis by needle biopsy.J. Bone. Joint. Surg. 1969; 51: 1531-1544. Martin H.E, Ellis E.B. Biopsy by needle puncture and aspiration. Ann. Surg. 1930; 92: 169-181.

 

Abstract:

We present case reports of patients with multiple metastatic lesions and multiple myeloma in vertebral column with pathological fractures of vertebral bodies and intense pain. Authors recommend to perform multilevel vertebroplasty because this approach allows to reduce pain severity, and to prevent pathological vertebral fracture and provides early rehabilitation of patient. 

 

References

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4.     Fadilah S.A. Fundamentals in the management of multiple myeloma. Med. J. Malaysia. 2010; 65(3):231-9.

5.     Kasperk C., Grafe I. Osteoplastic procedures for the treatment of vertebral complications in multiple myeloma patients. Review. Recent Results Cancer Res. 2011; 183:293-306.

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8.     Basile A., Cavalli M., Fiumara P, Di Raimondo F., Mundo E., Caltabiano G., Arcerito F., Patti M.T., Granata A., Tsetis D. Vertebroplasty in multiple myeloma with osteolysis or fracture of the posterior vertebral wall. Usefulness of a delayed cement injection. Skeletal Radiol. 2011 Jul; 40(7):913-9. Epub 2011 Feb 28.

9.     Anselmetti G.C., Manca A., Montemurro F., Hirsch J., Chiara G., Grignani G., Carnevale Schianca F., Capaldi A., Rota Scalabrini D., Sardo E., Debernardi F., lussich G., Regge D. Percutaneous Vertebroplasty in Multiple Myeloma: Prospective Long-Term Follow-Up in 106 Consecutive Patients. Cardiovasc .Intervent. Radiol. 2011 Feb 9. [Epub ahead of print].

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11.   Hrabalek L., Bacovsky J., Scudla V., Wanek T., Kalita O. Multiple spinal myeloma and its surgical management. Rozhl. Chir. 2011; 90(5):270-6 [In Czech].

12.   Tepljakov V.V., Karpenko V.Ju., Buharov A.V. Intervencionnye metody lechenija pri opuholevom porazhenii kostej. Sarkomy kostej, mjagkih tkanej i opuholi kozhi [Interventional treatment methods of bone tumoral lesions] M., Izd-vo «Farmarus Print Media». 2010; 1: 21-25 [In Russ]. 

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