Percutaneous vertebroplasty in metastatic vertebral fracture: A retrospective cross-sectional study

• Published in: Indian Journal of Pain Vol. 36; no. 4; pp. 40 - 45
• Main Authors: Rastogi, Shivani, Agarwal, Anurag, Litin, Yasum, Singh, Neha, Patel, Hitesh
• Format: Journal Article
• Language: English
• Published: Wolters Kluwer India Pvt. Ltd 01.12.2022; Medknow Publications and Media Pvt. Ltd; Wolters Kluwer Medknow Publications
• Subjects: bone cement; cancer; Care and treatment; Fractures; Metastasis; Orthopedic surgery; Pain; percutaneous vertebroplasty; vertebral metastasis; visual analog scale; Visual Analog Scale; Bone cement; cancer; percutaneous vertebroplasty; vertebral metastasis
• ISSN: 0970-5333
• DOI: 10.4103/ijpn.ijpn_103_22

Introduction: Metastatic vertebral fractures (VF) commonly cause severe disabling pain in cancer patients. VFs are common among elderly patients and account for approximately 1.5 million per year in the general population. Objective: Bone metastasis, which is a second major cause of pathologic fracture, may lead to severe intolerable pain, life-threatening hypercalcemia, spinal cord compression, and immobility. The purpose of this study was to evaluate pain relief and improvement in quality of life (QOL) in patients with metastatic VF undergoing percutaneous vertebroplasty (PVP). Methods: Ten cancer patients having metastatic VF underwent PVP from July 2018 to August 2020. All demographic data, procedures, improvement in pain, and analgesic requirements of patients were taken from a computer data system and telephonic follow-up. Results: Majority of patients were suffering from carcinoma lung followed by carcinoma pancreas. The mean ± standard deviation of Visual Analog Scale preoperatively was 8.8 ± 1.35, reduced to 2.14 ± 2.11 at 6 months postoperatively, suggesting significant pain reduction. Eight patients had reduction in analgesic requirements and two did not require any analgesics postoperatively. During the entire follow-up, there was no delayed complication. Conclusion: PVP is an effective, safe, and minimally invasive procedure for treating painful metastatic vertebral compression fracture refractory to conservative treatments. It provides a marked reduction of pain, maintains mechanical stability of the vertebrae, and improves QOL.