Purpose
Two-thirds of patients with cancer will develop bone metastasis and the spine is the most common site.
A spinal metastasis may cause pain,
instability and neurological injuries.
In this study we evaluated safety and effectiveness of Vesselplasty,
i.
e.
positioning a new cement containment system,
after radiofrequency ablation (RFA) of osteolytic vertebral bone tumoral lesions.
Vesselplasty is an osteoplasty technique using the Vessel®,
which acts as an implant body expander to restore vertebral height in Vertebral Compression Fractures (VCF)but could prevents the potential risk of...
Methods and Materials
This retrospective study included 12 lumbar and 4 thoracic vertebrae treated in 14 patients (10 M,
4 F; mean age,
60 years; range,
23-79) suffering from symptomatic vertebral bone metastases or multiple myeloma.
The primary cancer locations were: Breast n.3; Lung n.5; Multiple Myeloma n.3; Kidney n.2; Colon n.1.In 2 patients,
the procedure was performed at 2 levels at the same time.
Inclusion criteria were 1) painful vertebral lytic lesion with high risk of collapse or pathologic fracture seen at MRI or CT2) persistent pain...
Results
There wereno major complications related to the procedures and all patients had an immediate pain relief.
Thethoraco-lumbar spine gadolinium-enhanced MRI after 1 month of the treatment showed a complete repair of the vertebral fracture.
There were 4 asymptomatic cement leakage into an intervertebral contiguous disc.
Preoperative mean VAS was 8.
2,
while mean VAS after 1 week,
1 month,
and 6 months was 3.
65,
1.
85 and 1.
42,
respectively.
Conclusion
This percutaneous technique can be effective and safe in patients with secondary and primary vertebral tumors,
leading to immediate and lasting relief of pain and durable improvement of both autonomy and quality of life.
Vessellplasty Is an alternative to vertebroplasty and kyphoplasty following RFA for minimally invasive treatment of vertebral bone osteolytic lesion.
Further studies are needed to confirm those promising results on larger cohorts with long-term follow-up.
References
- J.-H.
Klingler,
R.
Sircar,
M.
H.
Deininger,
C.
Scheiwe,
E.
Kogias,
U.
Hubbe
Vesselplasty: a new minimally invasive approach to treat pathological vertebral fractures in selected tumor patients - preliminary results.
Rofo.2013 Apr;185(4):340-50.
doi: 10.1055/s-0032-1330443.
Epub 2013 Mar 7.
Personal Information
Department of Medical,
Surgical and Neuro Sciences,
Section of Radiological Sciences,
University of Siena,
Siena Italy
