PALIATIVE RADIONUCLIDE MANAGEMENT OF THE PAINFULL PATIENTS WITH METASTATIC SPINAL TUMORS
Journal Title: Journal of Turkish Spinal Surgery - Year 2007, Vol 18, Issue 3
Abstract
Spinal metastases with pain are a common and significant problem for patients with advan-ced cancer. The long-term management of ref-ractory spinal pain requires a multidisciplinary approach. Management of bone pain includes analgesia, hormones, chemotherapy, surgery, biphosphonates, external beam radiation and radiopharmaceuticals. External beam radiation therapy is the treatment of choice in single site of painfull metastases, in impending pathologic fracture and spinal cord compression. Pain pal-liation therapy with radionuclides such as Phosphorus-32, Strontium-89 , Samarium-153 and Rhenium-186 should be actively considered especially in patients with widespread painful os-teoblastic spinal metastases. It is a cost-effecti-ve systemic therapy to relieve pain from skeletal metastases with a consequent decrease in mor-bidity with an improvement in quality of life. Side effects are usually mild and limited to tempo-raıy myelosupression, influenced by the admi-nistred activity and bone marrow reserve.
Authors and Affiliations
Emel ÖZTURK
Keywords
Related Articles
- EP ID EP676515
- DOI -
- Views 113
- Downloads 0
HEMATOMA OF LIGAMENTUM FLAVUM CAUSE TO DROP FOOT
Ligamentum flavum hematoma is a very rare entity that can occur in any part of the spine. Etiology is still unclear while the minor trauma and ligamentum flavum degeneration are the potential suspects. Patients can prese...
COMPARISON OF FACET DENERVATION AND FACET JOINT INJECTION FOR THE TREATMENT OF CHRONIC LOWER BACK PAIN
Purpose: The aim of our study is to compare the pain score results of patients treated with facet injection or facet denervation, to understand which technique is more effective. Materials and Methods: 28 patients...
THORACOLUMBAR AND LUMBAR VERTEBRAL TRAUMAS TREATED WITH POSTEROLATERAL DECOMPRESSION REVIEW OF 24 CASES
The authors present the results obtained in a review of 24 patients with vertebral fractures undergoing surgery by means of posterolateral synthesis and decompression. They conclude by recognising the high degree of reli...
GROWTH PROGRESSION OF FORESTIER’S DiSEASE İN THE CERVICAL SPINE
Forestier’s disease is known as a diffuse idiopathic skeletal hyperostosis (DISH) and the nature of its progression is not completely understood. A 50-year-old female was admitted with neck pain, headaches for 22 years a...
NEW CLASSIFICATION SYSTEM IN AIS: IMPACT ON SURGERY
AIS CURVE CLASSIFICATION The King classification system has remained the principle means of classifying thoracic adolescent idiopathic scoliosis (AIS). Despite marked changes in the three-dimensional preoperative asses...