Percutaneous Image-Guided Vertebral Fixation in Cancer-Related Vertebral Compression Fractures: A Case Series Study
| Autor: | Matthias Barral, Mohamed Ben Ammar, Milan Najdawi, François Gardavaud, Sanaa El-Mouhadi, François Cornelis, Leo Razakamanantsoa |
|---|---|
| Přispěvatelé: | Service d'oncologie-radiothérapie [CHU Tenon], CHU Tenon [AP-HP], Sorbonne Université (SU)-Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Sorbonne Université (SU)-Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP), Service de Radiologie [CHU Saint-Antoine], Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-CHU Saint-Antoine [AP-HP], Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Sorbonne Université (SU)-Sorbonne Université (SU) |
| Rok vydání: | 2021 |
| Předmět: |
Adult
Male Medicine (General) medicine.medical_specialty Percutaneous Visual analogue scale Kyphosis back pain [SDV.CAN]Life Sciences [q-bio]/Cancer Lumbar vertebrae Article spinal fractures 030218 nuclear medicine & medical imaging kyphosis 03 medical and health sciences R5-920 0302 clinical medicine Neoplasms Fractures Compression [INFO.INFO-IM]Computer Science [cs]/Medical Imaging medicine Back pain cancer Humans Adverse effect Aged Retrospective Studies Lumbar Vertebrae business.industry General Medicine Middle Aged medicine.disease 3. Good health Surgery Treatment Outcome medicine.anatomical_structure Vertebral fixation Quality of Life vertebroplasty Female medicine.symptom business 030217 neurology & neurosurgery Case series |
| Zdroj: | Medicina Medicina, MDPI, 2021, 57 (9), pp.907. ⟨10.3390/medicina57090907⟩ Medicina, Vol 57, Iss 907, p 907 (2021) Volume 57 Issue 9 |
| ISSN: | 1648-9144 1010-660X |
| DOI: | 10.3390/medicina57090907 |
| Popis: | Background and objectives: Cancer-related vertebral compression fractures (VCF) may cause debilitating back pain and instability, affecting the quality of life of cancer patients. To further drive cement deposition during vertebroplasty, the aims of this restrospective case series study were to report the feasibility, safety and short term efficacy (≤6 months) of percutaneous vertebral fixation in cancer-related vertebral compression fractures using various intravertebral implants. Methods: All consecutive cancer patients treated with percutaneous vertebral fixation for VCF were retrospectively included. Various devices were inserted percutaneously under image guidance and filled by cement. Descriptive statistics were used and a matched paired analysis of pain scores was performed to assess for changes following interventions. Results: A total of 18 consecutive patients (12 women (66.6%) and 6 men (33.3%) mean age 59.7 ± 15.5 years) were included. A total of 42 devices were inserted in 8 thoracic and 16 lumbar vertebrae. Visual analogue scale measurement significantly improved from 5.6 ± 1.8 preoperatively to 1.5 ± 1.7 at 1 week (p < 0.01) and to 1.5 ± 1.3 at 6 months (p < 0.01). No severe adverse events were observed, but three adjacent fractures occurred between 1 week and 5 months after implantation. Conclusions: Percutaneous vertebral fixation of cancer-related VCF is feasible and safe and allows pain relief. |
| Databáze: | OpenAIRE |
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