Osteoplastic Procedures for the Treatment of Verte

Authors: Christian Kasperk Ingo Grafe

Publish Date: 2011

Volume: , Issue: , Pages: 293-306

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Abstract

Pain induced by vertebral fracture in multiple myeloma can be treated by an osteoplastic procedure The magnitude of the pain reduction by the procedure depends on the presence of additional causes for pain as spondylosis deformans osteochondrosis stenosis of the spinal canal or intervertebral nerve compression To identify additional reasons for pain apart from a verterbal fractureinduced pain a detailed preoperative analysis of the patients complaints is crucial for the outcome after an osteoplastic procedure In addition the technical aspects for performing the procedure and potential complications have to be considered as well as the stability of the cortical bone of the respective verterbal body A complete collapse of the vertebra vertebra plana is an unfavorable situation for any osteoplastic procedure In case of inflammatory or infetctious vertebral lesions eg spondylodiscitis osteoplastic procedures are contraindicated An interdisciplinary discussion of the individual case among oncologists radiotherpists trauma/spien surgeons radiologists and osteologists/endocrinologists is a prerequisite for the identification of patients who will truly benefit from an osteoplastic procedure and to avoid overtreatment of the patient and economical expoitation of healthcare providers

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