Anterolateral kyphoplasty in the management of cervical spinal metastasis

Summary Management of spinal metastasis is still controversial and must take into account various parameters. The aim of this study is to report the technical feasibility of a less invasive anterior cervical balloon kyphoplasty for vertebral body reinforcement. Six consecutive patients with an osteo...

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Bibliographic Details
Published in:Orthopaedics & traumatology, surgery & research surgery & research, 2012-05, Vol.98 (3), p.341-345
Main Authors: Blondel, B, Adetchessi, T, Demakakos, J, Pech-Gourg, G, Dufour, H, Fuentes, S
Format: Article
Language:English
Subjects:
Aged
Bone Cements - therapeutic use
Breast Neoplasms - pathology
Breast Neoplasms - surgery
Cervical spine
Cervical Vertebrae
Female
Follow-Up Studies
Humans
Injections
Kidney Neoplasms - pathology
Kidney Neoplasms - surgery
Kyphoplasty
Kyphoplasty - methods
Lung Neoplasms - pathology
Lung Neoplasms - surgery
Magnetic Resonance Imaging
Male
Middle Aged
Minimal invasive
Minimally Invasive Surgical Procedures - methods
Multiple Myeloma - pathology
Multiple Myeloma - surgery
Orthopedics
Retrospective Studies
Spinal metastasis
Spinal Neoplasms - diagnosis
Spinal Neoplasms - secondary
Spinal Neoplasms - surgery
Surgery
Tomography, X-Ray Computed
Treatment Outcome
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Summary:Summary Management of spinal metastasis is still controversial and must take into account various parameters. The aim of this study is to report the technical feasibility of a less invasive anterior cervical balloon kyphoplasty for vertebral body reinforcement. Six consecutive patients with an osteolytic cervical metastasis, without neurologic compromise, and for whom a curative treatment was not indicated, were retrospectively reviewed. All patients underwent balloon kyphoplasty through a small anterolateral cervicotomy. Evaluation of the technique outcomes was clinical and radiologic with a systematic CT-scan. During the follow-up period (6 months average), neurologic examination was normal in all cases with reduced cervical pain and without reported loss of motion of the cervical spine. A cement leakage was noticed in two cases without clinical consequences. This less invasive procedure was feasible and provided satisfactory preliminary results. It can therefore be a valuable alternative in selected cases where a curative treatment is not indicated. Level of evidence Level IV retrospective observational study.
ISSN:1877-0568
1877-0568
DOI:10.1016/j.otsr.2012.01.004