The role of vertebroplasty in metastatic spinal disease

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Many advances have been made in the treatment of metastatic spinal disease over the last few decades. Radiotherapy offers benefit and pain relief to many patients; however, this modality provides minimal vertebral stabilization. Surgical management consists of decompression and complex fusions. Vertebroplasty offers an adjuvant therapy to both radiotherapy and surgery by providing additional stabilization and pain relief. The results of case studies suggest that including vertebroplasty in the management of these patients is beneficial. In this article the authors review the role of vertebroplasty in metastatic spinal disease.

Abbreviations used in this paper:CT = computerized tomography; NSAID = nonsteroidal antiinflammatory drug; PMMA = polymethylmethacrylate; QOL = quality of life; VB = vertebral body.

Many advances have been made in the treatment of metastatic spinal disease over the last few decades. Radiotherapy offers benefit and pain relief to many patients; however, this modality provides minimal vertebral stabilization. Surgical management consists of decompression and complex fusions. Vertebroplasty offers an adjuvant therapy to both radiotherapy and surgery by providing additional stabilization and pain relief. The results of case studies suggest that including vertebroplasty in the management of these patients is beneficial. In this article the authors review the role of vertebroplasty in metastatic spinal disease.

Abbreviations used in this paper:CT = computerized tomography; NSAID = nonsteroidal antiinflammatory drug; PMMA = polymethylmethacrylate; QOL = quality of life; VB = vertebral body.

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Contributor Notes

Address reprint requests to: Julie G. Pilitsis, M.D., Department of Neurosurgery, Wayne State University, University Health Center Suite 6E, 4201 St. Antoine, Detroit, Michigan 48201. email: jpilitsis@neurosurgery.wayne.edu.

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