Percutaneous Techniques in the Treatment of Spine Tumors : What Are the Diagnostic and Therapeutic Indications and Outcomes?

摘要: Study Design. Systematic review of the literature. Objective. Should cement augmentation procedures such as vertebroplasty and kyphoplasty be used in patients with painful compression fractures associated metastatic spine disease? What is role embolization treatment Summary Background Data. Vertebral commonly employed treating osteoporotic now increasingly management pain spinal tumors. Intra-arterial transcutaneous techniques are also available To date, effectiveness safety these have not been adequately demonstrated. Methods. A English literature was performed Pub-Med. One search using following keywords: cancer, tumor, vertebroplasty, kyphoplasty, vertebral augmentation, outcome, safety, pain, quality life. Second embolization, spinal, Original studies reporting on at least 10 were included systematically reviewed. The results reviewed discussed through consensus among a multidisciplinary panel expert members Spine Oncology Group. Recommendations made according to Guyatt Guidelines. Results. total 1665 abstracts identified. Twenty-eight articles reported 877 1599 treated levels. Medical neurologic complications varied from 0% 7.1% 8.1%, respectively. Twelve 333 481 complication rates 0.5%, without any complications. Pain functional outcomes universally successful either technique. Ten 330 patients. There 4 permanent (1.4%). Complete or partial possible 97.5% an estimated reduction intraoperative blood loss 2.3 L. Conclusion. strong recommendation moderate evidence for safe effective providing relief improving outcome body axial due disease. very low decreasing hypervascular