Aims and objectives
The most frequent site of bone metastasis is the vertebrae,
likely related to the high hematopoietic activity and vascularization of the spine.
Most of the times first the posterior part of the vertebral body is invaded.
Spine metastases can lead to radiculopathy,
myelopathy,
deformity,
severe pain and pathologic fracture that result in spinal cord compression.
Spinal cord compressions present with pain in 90% of patients.
The treatment purpose is to palliate pain and prevent complications by reducing the length of hospital stay and by improving...
Methods and materials
Series selection
Our series was collected between January 2015 and December 2015.
We performed 28 procedures (12 men and 16 women) in patients with dorsolumbar metastases from breast (14),
lung (8),
kidney (3),
colon (2) and prostate (1) cancer.
12 patients were treated using computed tomography (CT) combined with conventional fluoroscopy imaging guide.
In 16 patients,
the procedure was performed only with multislice CT fluoroscopy.
Lesion diameter ranged from 2,0 – 6,0 cm.
Patients mean age 64 y; range 55-76 y.
In our series,
all...
Results
All procedures were successfully completed.
Mean overall procedure time was 40 ±10 min.
On the day of the procedure,
the mean VAS score was 6,8 ± 1,7 (range 5–9).
It decreased to 1,8 ±1.4 by the 24-hour postoperative time point and was 1,4 ± 1.3 at 1 week and 1,25 ± 1.6 at 1 month.
The mean VAS score at all of the post-operative time points differed significantly from the preoperative baseline score (P,0.05).
Analgesic use evaluation showed that the patients had a statisticaly significant...
Conclusion
Our personal experience confirms that combined technique,
with CT-guided approach,
are a minimally invasive procedures,
safe and effective for acute pain treatment in patients whit dorso-lumbar metastasis who are not surgical or radiotherapy candidates or choose not to undergo surgery.
The use of CT guidance increases the safety and reduces the risk of complications.
Personal information
Dr.
Vincenzo Costanzo,
Dipartimento di Scienze Radiologiche,
Di.Bi.Med.,
Università di Palermo,
Via del Vespro 127,
90100,
Palermo,
Italia; Phone: +393498189666; Mail:
[email protected]
References
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