Abstracts Posters SICOT-SOF meeting Gothenburg 2010 _2_

Poster
Topic: Tumours
Abstract number: 25119
PAIN RELIEF IN TUMORAL FRACTURES OF THE SPINE TREATED BY
PERCUTANEOUS KYPHOPLASTY
Juan Luis CEBRIáN, Alvaro COLINO, Luis LOPEZ-DURáN
Hospital Clínico San Carlos, Madrid (SPAIN)
Introduction: Percutaneous kyphoplasty is a minimally invasive, radiologically guided
procedure in which bone cement is injected into structurally weakened or destructed
vertebrae. In addition to treating osteoporotic vertebral fractures, this technique gains
popularity to relieve pain by stabilizing vertebrae compromised by, for example,
metastases, aggressive hemangiomas or multiple myeloma that are at risk of
pathologic fracture. Material and Methods: Retrospective study including 44 patients
(67 fractures) who undergone percutaneous kyphoplasty from one or several tumoral
fractures of the spine between January 2006 and February 2009. 77% were female.
The mean age was 67. VAS scale and Karnofsky index were both measured pre and
postoperatively. The most frequent lesion found was metastases from a primary
tumor followed by myeloma. Results: All patients were seated 24 hours after surgery.
Partial or complete pain relief was obtained in 91% of patients (40/44); significant
results were also obtained with regard to improvement in functional mobility and
reduction of analgesic use. The mean value of the visual analogue scale (VAS) was
5.9 preoperatively, and significantly decreased to 3.3 one day after kyphoplasty. We
reported 4 new vertebral fractures and no cases of cement extrusion during the
follow-up. We didn´t report any case of neurological dysfunction after surgery.
Discussion: Most cases in our study show a significant improvement in pain and
functionality with no associated complications. Kyphoplasty cement augmentation
has been a safe and effective method in the treatment of symptomatic vertebral
neoplasic compression fractures
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