Prophylactic stabilization of vertebral body metastasis at risk of imminent fracture using balloon kyphoplasty.

Abstract:

STUDY DESIGN:Case report. OBJECTIVE:Presentation of the previously unreported technique of balloon kyphoplasty being used to prophylactically stabilize a vertebral body metastasis at risk of imminent fracture. SUMMARY OF BACKGROUND DATA:Many patients with spinal metastases are not suitable for a total en bloc resection. Untreated these metastases may fracture, with the risk of cord compression. METHODS:We present the case of a 53-year-old gentleman with an isolated T10 renal cell metastasis. This gentleman presented with back pain, and was deemed to be at risk of imminent fracture. The metastasis was prophylactically stabilized using balloon kyphoplasty. RESULTS:Lasting pain relief and spinal stability were achieved following treatment with balloon kyphoplasty. He remains pain free 14-months post treatment. CONCLUSION:This is the first reported case of balloon kyphoplasty being used to prophylactically stabilize a vertebral body containing a metastasis, achieving both mechanical stability and pain relief.

journal_name

Spine (Phila Pa 1976)

journal_title

Spine

authors

Langdon J,Bernard J,Molloy S

doi

10.1097/BRS.0b013e3181a482f6

subject

Has Abstract

pub_date

2009-06-01 00:00:00

pages

E469-72

issue

13

eissn

0362-2436

issn

1528-1159

pii

00007632-200906010-00020

journal_volume

34

pub_type

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