Keywords:
Patterns of Care, Metabolic disorders, Oedema, Vertebroplasty, Ethics, Audit and standards, MR, Fluoroscopy, CT, Musculoskeletal spine, Interventional non-vascular, Haematologic
Authors:
D. J. Wilson, S. Owen; Oxford/UK
DOI:
10.1594/ecr2013/C-2636
Methods and Materials
We are planning a prospective study to randomise patients with back pain associated with multiple myeloma comparing treatment with radiotherapy and cement augmentation. To determine the efficacy of vertebroplasty we undertook a retrospective review of patients with myeloma who we have treated with cement augmentation betweewn 2006 and 2011.
A VAS pain score and Roland Morris Disability score was taken before treatment and then at one month after treatment.
Some patients treated from 2009 onwards were offered a facet joint infiltration prior to treatment with cement augmentation following our own research that demonstrated success with this therapy in 34% of patients with osteoporotic fractures.
This therapy was not offered when there was a chance of mechanical instabiity of the fracture.
We measured success as an improvement of 2 or more on the VAS score and 4 or more from the disability score.