Vertebral augmentation has emerged as a crucial intervention for cancer patients suffering from vertebral compression fractures (VCFs) due to metastatic spinal tumors. These fractures significantly compromise patients' quality of life and exacerbate pain, leading to increased morbidity and decreased functional status. This comprehensive review explores the efficacy, safety, and outcomes of vertebral augmentation techniques, including vertebroplasty and kyphoplasty, in cancer patients. It examines the underlying pathophysiology of VCFs in cancer, patient selection criteria, procedural techniques, complications, and future directions in research and clinical practice. The review emphasizes the importance of a multidisciplinary approach involving oncologists, interventional radiologists, and pain management specialists to optimize patient outcomes and improve overall well-being.
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http://dx.doi.org/10.1093/bjr/tqaf032 | DOI Listing |
Phlebology
March 2025
Department of Neurology, Xuanwu Hospital, Capital Medical University, Beijing, China.
ObjectivesThe aim of this study was to formulate an ultrasonic diagnostic criterion for stenosis in the J3 segment of internal jugular vein (IJV) and probe into the effects of stenosis in the J3 segment on intracranial pressure (ICP) and the cerebral drainage pattern.MethodsParticipants who exhibited narrowing in the J3 segment of IJV on neuroimaging and reported symptoms correlated with IJV stenosis (IJVS) were enlisted from Xuanwu Hospital. Clinical data were retrospectively amassed.
View Article and Find Full Text PDFJ Orthop Surg Res
March 2025
People's Hospital of Ningxia Hui Autonomous Region, Ningxia Medical University, No. 301, Zhengyuan North Street, Jinfeng District, Yinchuan City, 750001, Ningxia Hui Autonomous Region, China.
Background: Vertebral Hounsfield unit (HU) were regarded as a new way to predict fragility fracture. However, HU values were measured in a single plane, which is not accurate for the entire vertebral body. This study aimed to create a new CT-based metric for assessing bone mineral density, three-dimensional Hounsfield unit value (3D-HU), and to evaluate its effect in independently predicting new vertebral fracture (NVF) after percutaneous vertebral augmentation (PVA) in postmenopausal women.
View Article and Find Full Text PDFJ Surg Case Rep
March 2025
Department of Orthopedic Surgery, Hyogo Medical University, Nishinomiya City 663-8501, Japan.
Pyogenic spondylitis in older patients with osteoporosis presents significant challenges due to implant failure and comorbidities. This study reports two cases of osteoporotic pyogenic spondylitis with substantial bony destruction, treated with cement-augmented pedicle screws (CAPS) and titanium mesh cages (TMC). Both patients achieved complete eradication of infection, spinal stabilization, and favorable clinical outcomes without recurrence or implant failure during follow-up.
View Article and Find Full Text PDFJ Craniovertebr Junction Spine
January 2025
Unité de Recherche Clinique, CH Valence, Valence Cedex, France.
Context: Thoracolumbar spine fractures are frequent and the treatments are debatable because of the lack of randomized control studies and of low number of patient series. Percutaneous Vertebral Body Augmentation using SpineJack prosthesis (SJPVBA) followed by bracing is an available mini-invasive technique. The aim of the study was to assess the imaging and functional results of the largest homogeneous cohort of SJPVBA.
View Article and Find Full Text PDFBr J Radiol
March 2025
Department of Radiology, USL Toscana Centro, Firenze, Italy.
Vertebral augmentation has emerged as a crucial intervention for cancer patients suffering from vertebral compression fractures (VCFs) due to metastatic spinal tumors. These fractures significantly compromise patients' quality of life and exacerbate pain, leading to increased morbidity and decreased functional status. This comprehensive review explores the efficacy, safety, and outcomes of vertebral augmentation techniques, including vertebroplasty and kyphoplasty, in cancer patients.
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