[Percutaneous vertebroplasty and open vertebroplasty for metastatic spinal tumor].
Zhongguo Gu Shang. 2017 Feb 25;30(2):115-120
Authors: Zhao XJ, Qi XS, Mao ZX, Wang QM, Gao XB, Zhang XJ
OBJECTIVE: To discover the scientific utility and therapeutic impact of percutaneous vertebroplasty(PVP) and open vertebroplasty for metastatic spinal tumor.
METHODS: The scientific information of 126 sufferers with metastatic spinal tumor underwent surgical procedure and obtained follow-up from January 2012 to March 2016 had been retrospectively analyzed. These 126 instances had been divided into two teams in line with completely different operative strategies. The metastatic tumor of 43 instances encroached vertebral canal oppressing spinal twine and nerve root, they had been handled with open operation(open vertebroplasty group);and different 83 instances with out clearly spinal twine or nerve root compression, or unfit for open operation, had been handled with PVP (percutaneous vertebroplasty group) . VAS rating, ECOG and Frankel grade had been used to guage the ache and neurofunction in two teams.All out-hospital sufferers had been adopted up each three months for 1 time. X-ray, CT, MRI had been examined in follow-up.
RESULTS: A complete of 112 vertebrae underwent PVP with the median surgical time of 50 min;VAS scores decreased considerably at 2 days after operation, which maintained until 1 month later; ECOG grade at 1 month decreased considerably;44 of 112 vertebrae suffered from asymptomatic bone cement leakage, no problems corresponding to nerve harm or pulmonary embolism was discovered; the median survival time was 16 months. Whereas for open vertebroplasty group, the median surgical time was 160 min and blood loss was 1 000 ml; postoperative VAS scores and ECOG grade at 1 month decreased considerably. Postoperative Frankel grade of 36 sufferers obtained enchancment in 41 sufferers with spinal twine useful disturbance(87.eight%); and 29 of 40 sufferers with incompleteness out of motor perform had been full restoration(76.three%); 12 instances (27.9%) occurred problems and the median survival time was 11 months.
CONCLUSIONS: The completely different vertebroplasty therapies might be chosen for sufferers with metastatic spinal tumor, which may relieve the ache, enhance the nerve perform, reconstruct the spinal stabilization, preserve the native management and lift the life high quality.
PMID: 29350000 [PubMed – indexed for MEDLINE]