Skip to main content
SpringerLink
Log in

Minimally Invasive Stabilization Alone (Thoracic and Lumbar): Cement Augmentation

  • Chapter
  • First Online:
Spinal Tumor Surgery

  • 1160 Accesses

Abstract

The majority (90%) of metastatic tumors of the spine occur in the thoracic and lumbar region. These tumors can cause instability of the spine, severe pain, and neurologic deficits. Surgical treatment is focused on stabilization, pain reduction, and improvement of quality of life. Many patients do not qualify for conventional open surgery due to medical comorbidities and limited life expectancy when compared to the recovery from surgery. However, minimally invasive surgery allows this group of patients to safely undergo surgery with shorter recovery periods.

The currently utilized minimally invasive procedures for spine stabilization and pain control include vertebral augmentation in the form of kyphoplasty or vertebroplasty, cement augmentation to pedicle screw fixation, and cement reconstruction of vertebral bodies. These procedures are illustrated via individual cases. This surgical modality involves less surgical trauma and proves to be efficient in the management of cancer patients.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
eBook
USD 16.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Hardcover Book
USD 139.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Binning MJ, Gottfried ON, Klimo P Jr, Schmidt MH. Minimally invasive treatments for metastatic tumors of the spine. Neurosurg Clin N Am. 2004;15:459–65.

    Article  Google Scholar 

  2. Gerszten PC, Welch WC. Current surgical management of metastatic spinal disease. Oncology (Williston Park). 2000;14:1013–24.

    CAS  Google Scholar 

  3. Sciubba DM, Petteys RJ, Dekutoski MB, Fisher CG, Fehlings MG, Ondra SL, et al. Diagnosis and management of metastatic spine disease. A review. J Neurosurg Spine. 2010;13:94–108.

    Article  Google Scholar 

  4. Murakami H, Kawahara N, Demura S, Kato S, Yoshioka K, Tomita K. Total en bloc spondylectomy for lung cancer metastasis to the spine. J Neurosurg Spine. 2010;13:414–7.

    Article  Google Scholar 

  5. Tokuhashi Y, Matsuzaki H, Oda H, Oshima M, Ryu J. A revised scoring system for preoperative evaluation of metastatic spine tumor prognosis. Spine (Phila Pa 1976). 2005;30:2186–91.

    Article  Google Scholar 

  6. Fourney DR, Frangou EM, Ryken TC, Dipaola CP, Shaffrey CI, Berven SH, et al. Spinal instability neoplastic score: an analysis of reliability and validity from the spine oncology study group. J Clin Oncol. 2011;29:3072–7.

    Article  Google Scholar 

  7. Kim CH, Chung CK, Sohn S, Lee S, Park SB. Less invasive palliative surgery for spinal metastases. J Surg Oncol. 2013;108:499–503.

    Article  Google Scholar 

  8. Bartolozzi B, Nozzoli C, Pandolfo C, Antonioli E, Guizzardi G, Morichi R, et al. Percutaneous vertebroplasty and kyphoplasty in patients with multiple myeloma. Eur J Haematol. 2006;76:180–1.

    Article  Google Scholar 

  9. Ha KY, Min CK, Seo JY, Kim YH, Ahn JH, Hyun NM, et al. Bone cement augmentation procedures for spinal pathologic fractures by multiple myeloma. J Korean Med Sci. 2015;30:88–94.

    Article  Google Scholar 

  10. Tosi P. Diagnosis and treatment of bone disease in multiple myeloma: spotlight on spinal involvement. Scientifica (Cairo). 2013;2013:104546.

    Google Scholar 

  11. Quan R, Ni Y, Zhang L, Xu J, Zheng X, Yang D. Short- and long-term effects of vertebroplastic bone cement on cancellous bone. J Mech Behav Biomed Mater. 2014;35:102–10.

    Article  CAS  Google Scholar 

  12. Tatsui CE, Belsuzarri TA, Oro M, Rhines LD, Li J, Ghia AJ, et al. Percutaneous surgery for treatment of epidural spinal cord compression and spinal instability: technical note. Neurosurg Focus. 2016;41:E2.

    Article  Google Scholar 

  13. Fan HT, Zhang RJ, Shen CL, Dong FL, Li Y, Song PW, et al. The biomechanical properties of pedicle screw fixation combined with trajectory bone cement augmentation in osteoporotic vertebrae. Clin Spine Surg. 2016;29(2):78–85. https://doi.org/10.1097/BSD.0b013e3182a14870.

    Article  PubMed  Google Scholar 

  14. Moussazadeh N, Rubin DG, McLaughlin L, Lis E, Bilsky MH, Laufer I. Short-segment percutaneous pedicle screw fixation with cement augmentation for tumor-induced spinal instability. Spine J. 2015;15:1609–17.

    Article  Google Scholar 

  15. Kim P, Kim SW. Bone cement-augmented percutaneous screw fixation for malignant spinal metastases: is it feasible? J Korean Neurosurg Soc. 2017;60:189–94.

    Article  Google Scholar 

  16. Hariri O, Takayanagi A, Miulli DE, Siddiqi J, Vrionis F. Minimally invasive surgical techniques for management of painful metastatic and primary spinal tumors. Cureus. 2017;9:e1114.

    PubMed  PubMed Central  Google Scholar 

  17. Abi LG, Abi JS. Role of surgery in the management of vertebral metastases. General revue. Cancer Radiother. 2016;20:484–92.

    Article  Google Scholar 

  18. Hamad A, Vachtsevanos L, Cattell A, Ockendon M, Balain B. Minimally invasive spinal surgery for the management of symptomatic spinal metastasis. Br J Neurosurg. 2017:1–5.

    Google Scholar 

  19. Fourney DR, et al. Percutaneous vertebroplasty and kyphoplasty for painful vertebral body fractures in cancer patients. J Neurosurg. 2003;98(1 suppl):21–30.

    PubMed  Google Scholar 

Download references

Conflict of Interest

We declare no conflict of interest.

Author information

Authors and Affiliations

  1. Ohio State University Medical Center, Department of Neurosurgery, Columbus, OH, USA

    Zoe Zhang, Ahmed Mohyeldin & Ulas Yener

  2. Ohio State University Wexner Medical Center, Department of Radiology, Columbus, OH, USA

    Eric Bourekas

  3. The Ohio State Neurological Society, Columbus, OH, USA

    Ehud Mendel

  4. OSU Spine Research Institute, Columbus, OH, USA

    Ehud Mendel

  5. Wexner Medical Center at The Ohio State University/The Arthur James Cancer Hospital, Columbus, OH, USA

    Ehud Mendel

Authors
  1. Zoe Zhang
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Ahmed Mohyeldin
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Ulas Yener
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Eric Bourekas
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Ehud Mendel
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Ehud Mendel .

Editor information

Editors and Affiliations

  1. Department of Neurosurgery, Johns Hopkins University, Baltimore, MD, USA

    Daniel M. Sciubba

Rights and permissions

Reprints and permissions

Copyright information

© 2019 Springer Nature Switzerland AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Zhang, Z., Mohyeldin, A., Yener, U., Bourekas, E., Mendel, E. (2019). Minimally Invasive Stabilization Alone (Thoracic and Lumbar): Cement Augmentation. In: Sciubba, D. (eds) Spinal Tumor Surgery. Springer, Cham. https://doi.org/10.1007/978-3-319-98422-3_18

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-98422-3_18

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-98421-6

  • Online ISBN: 978-3-319-98422-3

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation