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

  • Zoe Zhang
  • Ahmed Mohyeldin
  • Ulas Yener
  • Eric Bourekas
  • Ehud Mendel
Chapter

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.

Keywords

Augmentation Kyphoplasty Vertebroplasty Minimally invasive Percutaneous Spine Tumors Palliative Metastases Bone cement 

Notes

Conflict of Interest

We declare no conflict of interest.

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Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Zoe Zhang
    • 1
  • Ahmed Mohyeldin
    • 1
  • Ulas Yener
    • 1
  • Eric Bourekas
    • 2
  • Ehud Mendel
    • 3
    • 4
    • 5
  1. 1.Ohio State University Medical Center, Department of NeurosurgeryColumbusUSA
  2. 2.Ohio State University Wexner Medical Center, Department of RadiologyColumbusUSA
  3. 3.The Ohio State Neurological SocietyColumbusUSA
  4. 4.OSU Spine Research InstituteColumbusUSA
  5. 5.Wexner Medical Center at The Ohio State University/The Arthur James Cancer HospitalColumbusUSA

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