Percutaneous vertebroplasty - A technique to treat refractory spinal pain in the setting of advanced metastatic cancer: A case series

Allen W. Burton, Suresh K. Reddy, Hemant N. Shah, Ivo Tremont-Lukats, Ehud Mendel

Research output: Contribution to journalShort surveypeer-review

39 Scopus citations

Abstract

We present three cases of severe movement-related spinal pain in patients with advanced metastatic carcinomas successfully treated with percutaneous vertebroplasty (PV). These patients had multi-symptom burden and progressive metastasis. Their movement-related pain was incapacitating and refractory to a variety of more conservative interventions. PV is a minimally invasive technique to stabilize vertebral compression fractures, thereby decreasing spinal pain in this setting. Its use in the setting of advanced cancer with severe movement-related pain has not been previously clarified in the palliative care literature. In summary, PV is a technique with a favorable risk: benefit ratio even in the setting of advanced metastatic cancer. The keys to successful utilization of PV in this patient population are careful patient assessment and selection as outlined in the report, in addition to an experienced care team approach.

Original languageEnglish (US)
Pages (from-to)87-95
Number of pages9
JournalJournal of pain and symptom management
Volume30
Issue number1
DOIs
StatePublished - Jul 2005

Keywords

  • Cancer
  • Pain management
  • Palliative care
  • Percutaneous vertebroplasty
  • Spinal metastasis
  • Vertebral body fracture
  • Vertebral compression fracture

ASJC Scopus subject areas

  • General Nursing
  • Clinical Neurology
  • Anesthesiology and Pain Medicine

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