Navigation Links
Surgical technique relieves painful spine fractures in patients with metastatic cancer

A surgical technique appears to offer quick and effective relief for debilitating spinal fractures often suffered by patients with metastatic cancer, researchers reported at the 35th Congress of the European Society for Medical Oncology (ESMO) in Milan.

Many patients with multiple myeloma, or those whose cancer has spread beyond the initial tumor site, suffer compression fractures in their spine. This is partly because the spine is one of the most common sites for metastatic spread of the disease, making the vertebrae brittle and at risk for fractures. Widely-used cancer treatments such as corticoid treatment, hormone therapy, radiation therapy can also have a weakening effect on bone and increase the risk for fractures in these patients.

Professor Leonard Bastian from Klinikum Leverkusen in German led an international trial testing a new technique to treat these compression fractures, called balloon kyphoplasty.

"Balloon Kyphoplasty is a minimally invasive surgical procedure to treat patients with painful vertebral compression fractures," Prof Bastian explained.

To perform the procedure, a surgeon inserts a small orthopedic balloon through a 1 cm incision into the fractured vertebra. Inflation of the balloon can restore the shape and height of the vertebrae. The balloon is then deflated and removed and a precise amount of quick-setting bone cement is injected in the vertebral body restoring the shape and strength of the vertebrae.

At the congress, Prof Bastian reported the results of a trial including 134 patients randomly assigned to either balloon kyphoplasty (70 patients) or non-surgical management (64).

Those who had the surgery showed improvements in a questionnaire designed to measure their level of disability at one month after surgery. They also experienced a significant improvement in back pain one week after surgery, while those who received non-surgical management saw no improvement.

After one month, patients in the non-surgical arm of the study were allowed to receive balloon kyphoplasty. Thirty-eight chose to do so. All patients who underwent balloon kyphoplasty reported sustained improvements in quality of life for a year after treatment.

"Balloon kyphoplasty offers quick pain relief; restores patient activity and mobility and it gives an important improvement of quality of life," Prof Bastian said. "It may be the right treatment option for vertebral compression fractures if conventional pain medication has not been effective or has too many side-effects."

"This study demonstrates balloon kyphoplasty should be considered when painful vertebral compression fractures occur in cancer patients. It is an additional therapy which can really add to the patient's quality of life."

"The role of balloon kyphoplasty for the control of pain and disability in cancer patients is a hot topic," commented Dr Fausto Roila from Ospedale Santa Maria, Terni, Italy. "Managing the side-effects of therapies and the symptoms of cancer is an important aspect of cancer care."

The study by Prof Bastian's group adds to a growing literature on the role of kyphoplasty, Dr Roila noted. "As research into this technique continues it will be important to conduct double-blind, placebo-controlled studies to identify the place of balloon kyphoplasty in cancer care."


Contact: Vanessa Pavinato
European Society for Medical Oncology

Related medicine news :

1. John Theurer Cancer Center to present innovative research at 2 surgical meetings
2. Smaller hospitals can provide safe and high-quality surgical care comparable to larger counterparts
3. Jackson Surgical Assistants Names Dr. Sidney Funk as Medical Director
4. More than 2 billion people worldwide lack access to surgical services
5. New non-surgical treatment for uterine fibroids can improve quality of life
6. Surgical repair of knee injuries does not decrease risk of osteoarthritis
7. Reported surgical quality measures not associated with lower infection rates
8. Optimal surgical procedure for duodenal gastrointestinal stromal tumors
9. Spectrum Surgical Instruments Appoints President, Chief Operating Officer
10. GYN Oncologist Uses da Vinci Surgical Robot to Preserve Fertility
11. Spectrum Surgical Instruments Corp. Announces: Cleanables™ Instrument Cleaning Brushes
Post Your Comments:
(Date:11/26/2015)... ... November 26, 2015 , ... WorldCare International, Inc., ... the 61st annual Employee Benefits Conference. The Employee Benefits Conference was hosted by ... through Wednesday, November 11th, 2015. The conference was held at the Hawaii Convention ...
(Date:11/26/2015)... ... November 26, 2015 , ... Indosoft Inc., developer and distributor of ... server to improve system efficiency and reliability. , The new Q-Suite 6 platform is ... the system avoids locking itself into a specific piece of software for many key ...
(Date:11/25/2015)... ... November 25, 2015 , ... ... preparing the perfect dish and pleasing the palates of attendees is of the ... a dish to a seasonal get-together, give these recipes a try this holiday ...
(Date:11/25/2015)... , ... November 25, 2015 , ... ... offering factory direct sauna parts and accessories. , Sauna accessories help improve the ... bather’s style and personality. From basic styles for the purist looking for simplicity ...
(Date:11/25/2015)... ... ... On November 10, 2015, Bohrer Brady, LLC filed a class and collective ... home health care worker who provided companionship services for the elderly, ill or disabled ... Humana, Inc., Humana at Home, Inc., and SeniorBridge Family Companies (CT), Inc. since January ...
Breaking Medicine News(10 mins):
(Date:11/25/2015)... 2015  Amgen (NASDAQ: AMGN ) today announced ... the United States (U.S.) Food ... candidate to Humira ® (adalimumab). Amgen believes this ... the FDA and represents Amgen,s first BLA submission using ... , M.D., executive vice president of Research and Development ...
(Date:11/25/2015)... -- On Tuesday, November 24, 2015, the jury ... Medical Technology, Inc. for product liability and misrepresentation ... device, awarded $11 million in favor of Plaintiff ... three days of deliberations, the jury found that ... and unreasonably dangerous, and that Wright Medical made ...
(Date:11/25/2015)... Nov. 25, 2015 Allergan plc (NYSE: AGN ... the New York State Attorney General,s ... Sherman Act, and other statutes with the Attorney General over ... to cease marketing and selling the now generic version of ... admits no liability, has released its counterclaims against ...
Breaking Medicine Technology: