Extraspinal Percutaneous Osteoplasty for the Treatment of Painful Bony Metastasis

Autor: Tae Kyun Kim, Kyung-Hoon Kim, Hwoe Gyeong Ok, Jae Heon Lee, Su Young Kim
Rok vydání: 2017
Předmět:
Adult
Male
medicine.medical_specialty
Percutaneous
Lung Neoplasms
genetic structures
Karnofsky Performance Status Scale
Pain
Bone Neoplasms
behavioral disciplines and activities
Metastasis
03 medical and health sciences
0302 clinical medicine
Early Mobilization
Life Expectancy
030202 anesthesiology
medicine
Humans
Karnofsky Performance Status
Bone
Aged
Pain Measurement
Retrospective Studies
Percutaneous Osteoplasty
Aged
80 and over
Lung
Cementoplasty
business.industry
urogenital system
Anesthesiology & Pain
Medical record
Liver Neoplasms
Cancer
Retrospective cohort study
General Medicine
Middle Aged
medicine.disease
Surgery
body regions
medicine.anatomical_structure
Treatment Outcome
Bony metastasis
Female
Original Article
business
030217 neurology & neurosurgery
psychological phenomena and processes
Zdroj: Journal of Korean Medical Science
ISSN: 1598-6357
Popis: Background Extraspinal percutaneous osteoplasties (POPs) are novel techniques for the treatment of painful bony metastasis, which is often the cause of both persistent and incidental breakthrough pain. This retrospective study explored the efficacy and complications of extraspinal POPs. Methods The origin of the cancer metastasis, performed POP sites, necessity of adjacent joint injections, pain and Karnofsky Performance Scale (KPS) scores, complications related to the POPs, and life expectancy were evaluated from the medical records from 2009 to 2016. Results A total of 47 (M/F = 28/19) patients had received 54 POPs, including costoplasty, scapuloplasty, ilioplasty, humeroplasty, ischioplasty, femoroplasty, sternoplasty, and puboplasty, in order of frequency. The most common sites for the origin of the cancer, in order of frequency, were the lung, liver, breast, colon, and kidney. All patients receiving POPs including scapuloplasty, ilioplasty, humeroplasty, and femoroplasty needed adjacent joint injections before or after the POPs. Pain due to metastatic lesions was reduced significantly immediately after the POPs and the reduction was sustained until the end of their lives. The median KPS was increased from 35.4% to 67.7% immediately after the POPs. There were no complications related to the procedures. The mean life expectancy after performing the POPs, for 35 patients which died afterwards, was 99.3 days, ranging from 1 to 767 days. Conclusion Even though pain in the isolated POP sites may be difficult to measure due to overlapping systemic pain, the POPs provided immediate local pain relief, and the patients showed better physical performance without procedure-related complications.
Graphical Abstract
Databáze: OpenAIRE
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