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Painful Spine Fractures in Patients With Metastatic Cancer Relieved by Surgery
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).
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