A comprehensive therapeutic procedure in palliative treatment of spinal cancer metastases by the polymethyl methacrylate (PMMA) intravertebral injection -- with decompression of nervous elements of the vertebral canal.

  • Chantsoulis M
  • Patrzyk R
  • Skrzek A
 et al. 
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Abstract

Polimethyl methacrylate (PMMA) intravertebral injections are a modern method in the treatment of vertebral compression fractures in palliative treatment of cancer metastases, osteoporosis, as well as of vertebral body haemanginoma. The method consists in injecting cement into the vertebral body, and thus filling bone structure losses. It results in reduced pain, strengthening and stabilization of the vertebral body in compression fractures. It translates into stability of the spine which in turn enables fast introduction of early physiotherapy and individually adjusted physical activity in the process of rehabilitation. The aim of the paper is to present advantages, practical and theoretical basis of the comprehensive therapeutic procedure in palliative treatment of vertebral compression fractures with operative decompression of the nervous elements in the vertebral canal by means of vertebroplasty, taking into consideration perioperative physiotherapy in the authors' own material. From 2004 to April 2007 in 4WSKzP [4th Military University Hospital with Polyclinic] 78 PMMA intravertebral injection procedures were performed, including 56 patients with metastases, 12 due to fractures caused by osteoporosis and in 10 patients with vertebral body haemanginoma. In 35 patients with metastases to the vertebral bodies, the procedure was performed during so-called open operations. The other 43 patients underwent percutaneous vertebroplasty. The comprehensive therapeutic procedure presented in this paper in selected spinal conditions as well as the applied perioperative physiotherapy seem to conform to contemporary views on the treatment of such conditions. It is an alternative for traditional methods frequently requiring long-term immobilization connected with the effects of hypokinesis. The present knowledge as well as the authors' own experiences confirm justifiability of the taken measures. ABSTRACT FROM AUTHOR

Author-supplied keywords

  • *CANCER
  • *CANCER patients
  • *OSTEOPOROSIS
  • *PHYSICAL therapy
  • *REHABILITATION
  • *SPINAL cord
  • HEMANGIOMAS
  • METHYL methacrylate
  • NEUROSURGERY
  • PMMA
  • haemangioma
  • neurosurgery
  • osteoporosis
  • pain
  • physiotherapy
  • spinal metastases
  • vertebral compression fractures
  • vertebroplasty

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Authors

  • Marzena Chantsoulis

  • Rafał Patrzyk

  • Anna Skrzek

  • Tomasz Sipko

  • Agnieszka Szweda

  • Jarosław Sakowski

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