Is vertebral augmentation the right choice for cancer patients with painful vertebral compression fractures?

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Publication Type pre-print
School or College School of Medicine
Department Neurosurgery
Creator Schmidt, Meic H.
Other Author Papanastassiou, Ioannis D.; Aghayev, Kamran; Berenson, James R.; Vrionis, Frank D.
Title Is vertebral augmentation the right choice for cancer patients with painful vertebral compression fractures?
Date 2012-01-01
Description Cancer-related fractures of the spine are different from osteoporotic ones, not only in pathogenesis but also in natural history and treatment. Higher class evidence now supports offering balloon kyphoplasty to a patient with cancer, provided that the pain is significant in intensity, has a positional character, and correlates to the area of the fractured vertebrae. Absence of clinical spinal cord compression and overt instability are paramount. Because of the frequent disruption of the posterior vertebral body cortex in these patients, the procedure should be performed by experienced operators who could also quickly perform an open decompression if cement extravasation occurs. Patients will benefit from vertebral augmentation, even in chronic malignant fractures. A biopsy should be routinely performed and a combination with radiation treatment would be beneficial in most cases.
Type Text
Publisher National Comprehensive Cancer Network (NCCN)
Volume 10
Issue 6
First Page 715
Last Page 719
Dissertation Institution University of Utah
Language eng
Bibliographic Citation Papanastassiou, I. D., Aghayev, K., Berenson, J. R., Schmidt, M. H., & Vrionis, F. D. (2012). Is vertebral augmentation the right choice for cancer patients with painful vertebral compression fractures?. JNCCN Journal of the National Comprehensive Cancer Network, 10(6), 715-9.
Rights Management (c) JNCCN ; Reprinted from Papanastassiou, I. D., Aghayev, K., Berenson, J. R., Schmidt, M. H., & Vrionis, F. D. (2012). Is vertebral augmentation the right choice for cancer patients with painful vertebral compression fractures?. JNCCN Journal of the National Comprehensive Cancer Network, 10(6), 715-9. Reprinted with permission from JNCCN Journal of the National Comprehensive Cancer Network.
Format Medium application/pdf
Format Extent 359,687 bytes
Identifier uspace,17653
ARK ark:/87278/s66t15fx
Setname ir_uspace
Date Created 2013-02-04
Date Modified 2013-02-04
ID 708311
Reference URL https://collections.lib.utah.edu/ark:/87278/s66t15fx
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