Journal
JOURNAL OF PAIN AND SYMPTOM MANAGEMENT
Volume 30, Issue 1, Pages 87-95Publisher
ELSEVIER SCIENCE INC
DOI: 10.1016/j.jpainsymman.2004.12.011
Keywords
percutaneous vertebroplasty; vertebral compression fracture; vertebral body fracture; spinal metastasis; cancer; palliative care; pain management
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We present three cases of severe movement-related spinal pain in patients with advanced metastatic carcinomas successfully treated, with percutaneous vertebroplasty (PV). These patients had multi-symptom burden. and progressive metastasis. Their movement-related pain was incapacitating and refractory to a varied) of more conservative interventions. PV is a minimally invasive technique to stabilize vertebral compression fractures, thereby decreasing spinal pain in this setting. Its use in the setting of advanced cancer with severe movement-related pain has not been previously clarified in the Palliative care literature. In summary, PV is a technique with a favorable risk: benefit ratio even in the setting of advanced metastatic cancer. The keys to successful utilization of PV in this patient population are careful patient assessment and selection (is outlined in the report, in addition to an experienced care team approach. (c) 2005 U.S. Cancer Pain Relief Committee. Published by Elsevier Inc. All rights reserved.
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