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LIU Wenhua,QIU Yujin,LIU Ya.Percutaneous vertebroplasty for multiple thoracic vertebral metastases[J].Chinese Journal of Spine and Spinal Cord,2010,20(1):43-46. |
Percutaneous vertebroplasty for multiple thoracic vertebral metastases |
Received:September 03, 2009 Revised:November 02, 2009 |
English Keywords:Percutaneous vertebroplasty Thoracic vertebrae Neoplasm metastasis PMMA |
Fund:山东省高层次卫生科技人才海内外培训专项经费资助 |
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English Abstract: |
【Abstract】 Objective:To investigate the clinical efficacy of percutaneous vertebroplasty(PVP) for multiple thoracic vertebral metastases.Method:A total of 104 thoracic vertebral from 28 patients suffering from metastases underwent percutaneous vertebroplasty(Polymethyl methacrylate,PMMA) under fluoroscopy.The clinical outcome was self-measured by VAS scale at 1 week,3 months,6 months and 1 year respectively,and by activity of daily life(ADL) system at 1 year,the morphology of revolved vertebral and infiltration of tumor into spinal canal was observed either.Result:All cases underwent surgery successfully,no serious neurological and pulmonary complications relative to PVP except bone cement leakage into adjacent disc.Pain relief beyond 80% was reached at any time point.ADL score of 1 year showed remarkable higher of postoperative than preoperative(P<0.01).The height of the veterbral body(anterior,median and posterior) showed no significant difference during 12 months of follow-up(P>0.05).5 thoracic vertebras from 4 patients had the tumor infiltration into pedicle and spinal canal.Conclusion:PVP is a reliable and safe procedure for multiple thoracic vertebral metastases,which is effective in pain relief and improving of life quality as well as preventing of vertebral collapse,it also can delay and reduce the neoplasm infiltration at the same time. |
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