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Pain management in spinal metastases: the role of percutaneous vertebral augmentation

Recent technological advances combined with innovative interventional radiology techniques can now offer an alternative less invasive treatment option for many patients with malignant vertebral body infiltration. Percutaneous vertebral augmentation procedures offer less invasive but effective pain relief to many patients with symptomatic spinal metastatic disease. The procedures are image guided and involve the injection of polymethylmethacrylate bone cement into the effected vertebral body. This technique can also be combined with radiofrequency ablation, which may accelerate vertebral stability. In this review, we examine the recent literature surrounding this topic and provide an overview of these emerging techniques

Keywords : complications,England,etiology,Heart,Humans,Kyphoplasty,Pain,Pain Management,Palliative Care,Patients,physiopathology,Radiology,secondary,Spinal Fractures,Spinal Neoplasms,Spine,surgery,, Management,Spinal,Metastases, ibs london

Date of Publication : 2011 Apr

Authors : Kassamali RH;Ganeshan A;Hoey ET;Crowe PM;Douis H;Henderson J;

Organisation : Department of Interventional Radiology, Heart of England National Health Service Foundation Trust, Birmingham, UK

Journal of Publication : Ann Oncol

Pubmed Link : https://www.ncbi.nlm.nih.gov/pubmed/20966180

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This surgical technique consists of a percutaneous approach for the treatment of small to medium size hernias of the intervertebral disc by laser energy. The main objective is to reduce the intradiscal pressure in the nucleus pulposus

Laser Disc Surgery can be performed under local anaesthetic as a day case at our centre on the prestigious Harley Street.
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