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Percutaneous Vertebroplasty for Palliative Treatment of Painful Osteoblastic Spinal Metastases: A Single-Center Experience.
- Source :
-
Journal of vascular and interventional radiology : JVIR [J Vasc Interv Radiol] 2016 Sep; Vol. 27 (9), pp. 1420-1424. Date of Electronic Publication: 2016 Jul 07. - Publication Year :
- 2016
-
Abstract
- Purpose: To evaluate safety and efficacy of fluoroscopy-guided percutaneous vertebroplasty (PVP) for painful osteoblastic spinal metastases.<br />Materials and Methods: PVP was performed in 39 consecutive patients (median age, 60.1 y ± 9.5) with 51 osteoblastic metastatic spinal lesions; 14 patients had pathologic fractures. The patients were followed for 3-30 months (average, 14.5 mo ± 7.4). Visual analog scale (VAS), Oswestry Disability Index (ODI), and Karnofsky performance scale (KPS) were used to evaluate pain, quality of life, and performance status before the procedure and at 3 days and 1, 3, 6, 12, and 18 months after the procedure.<br />Results: Technical success was achieved in all patients. Minimal follow-up time was 3 months. Mean VAS scores declined significantly from 7.4 ± 1.1 before the procedure to 2.5 ± 0.9 by day 3 after the procedure and were 2.1 ± 1.1 at 1 month, 2.0 ± 1.1 at 3 months, 1.9 ± 1.1 at 6 months, 1.8 ± 0.9 at 12 months, and 1.7 ± 0.7 at 18 months after the procedure (P < .001). ODI and KPS scores also changed after the procedure, with significant differences between baseline scores and at each follow-up examination (P < .001). Extraosseous cement leakage occurred in 15 cases without causing any clinical complications.<br />Conclusions: PVP is a safe and effective treatment for painful osteoblastic spinal metastases. It can relieve pain, reduce disability, and improve function.<br /> (Copyright © 2016 SIR. Published by Elsevier Inc. All rights reserved.)
- Subjects :
- Adult
Aged
Back Pain diagnosis
Back Pain etiology
China
Disability Evaluation
Female
Fluoroscopy
Fractures, Spontaneous diagnostic imaging
Fractures, Spontaneous etiology
Fractures, Spontaneous pathology
Humans
Karnofsky Performance Status
Magnetic Resonance Imaging
Male
Middle Aged
Pain Measurement
Radiography, Interventional methods
Retrospective Studies
Spinal Fractures diagnostic imaging
Spinal Fractures etiology
Spinal Fractures pathology
Spinal Neoplasms complications
Spinal Neoplasms diagnostic imaging
Spinal Neoplasms secondary
Time Factors
Tomography, X-Ray Computed
Treatment Outcome
Vertebroplasty adverse effects
Back Pain therapy
Fractures, Spontaneous therapy
Osteoblasts pathology
Palliative Care methods
Spinal Fractures therapy
Spinal Neoplasms therapy
Vertebroplasty methods
Subjects
Details
- Language :
- English
- ISSN :
- 1535-7732
- Volume :
- 27
- Issue :
- 9
- Database :
- MEDLINE
- Journal :
- Journal of vascular and interventional radiology : JVIR
- Publication Type :
- Academic Journal
- Accession number :
- 27397620
- Full Text :
- https://doi.org/10.1016/j.jvir.2016.04.033