Skip to main content

The Role of the Orthopaedic Surgeon in the Treatment of Skeletal Metastases

  • Chapter
Bone Metastases

Abstract

Skeletal metastases may present with pain, hypercalcaemia, impending fractures, pathological fractures, spinal instability or compression of the spinal cord or cauda equina. Furthermore, patients with metastatic cancer may present with pain from benign conditions that require treatment.

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

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 39.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 54.99
Price excludes VAT (USA)
  • Compact, lightweight 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

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  • Bonarigo BC, Rubin P (1967) Non-union of pathologic fracture after radiation therapy. Radiology 88:889–898

    PubMed  CAS  Google Scholar 

  • Bouma WH, Mulder JH, Hop WCJ (1983) The influence of intramedullary nailing upon the development of metastases in the treatment of an impending pathological fracture: an experimental study. Clin Exp Metastasis 1:205–212

    Article  PubMed  CAS  Google Scholar 

  • Cobb CA III, Leavens ME, Eckles N (1977) Indications for nonoperative treatment of spinal cord compression due to breast cancer. J Neurosurg 47:653–658

    Article  PubMed  Google Scholar 

  • DeWald RL, Bridwell KH, Prodromas C, Rodts MF (1985) Reconstructive spinal surgery as palliation for metastatic malignancies. Spine 10:21–26

    Article  Google Scholar 

  • Edelstyn GA, Gillespie PJ, Grebbel FS (1967) The radiological demonstration of osseous metastases. Experimental observations. Clin Radiol 18:158–162

    CAS  Google Scholar 

  • Fidler M (1981) Incidence of fracture through metastases in long bones. Acta Orthop Scand 52:623–627

    Article  PubMed  CAS  Google Scholar 

  • Fidler MW (1987) Pathological fractures of the spine including those causing anterior spinal cord compression: surgical management. In: Noble J, Galasko CSB (eds). Recent developments in orthopaedic surgery: Festschrift to Sir Harry Platt. Manchester University Press, Manchester, pp 94–103

    Google Scholar 

  • Findlay GFG (1984) Adverse effects of the management of malignant spinal cord compression. J Neurol Neurosurg Psychiatry 47:761–768

    Article  PubMed  CAS  Google Scholar 

  • Gainor BJ, Buchert P (1983) Fracture healing in metastatic bone disease. Clin Orthop 178:297–302

    PubMed  Google Scholar 

  • Galasko CSB (1972) Skeletal metastases and mammary cancer. Ann R Coll Surg Engl 50:3–28

    PubMed  CAS  Google Scholar 

  • Galasko CSB (1974) Pathological fractures secondary to metastatic cancer. J R Coll Surg Edinb 19:351–362

    PubMed  CAS  Google Scholar 

  • Galasko CSB (1980) The management of skeletal metastases. J R Coll Surg Edinb 25:143–161

    Google Scholar 

  • Galasko CSB (1986) Skeletal metastases. Butterworths, London

    Google Scholar 

  • Galasko CSB, Burn JI (1971) Hypercalcaemia in patients with advanced mammary cancer. Br Med J iii:573–577

    Google Scholar 

  • Galasko CSB, Sylvester BS (1978) Back pain in patients treated for malignant tumours. Clin Oncol 4:273–283

    PubMed  CAS  Google Scholar 

  • Harrington KD (1981) The management of acetabular insufficiency secondary to metastatic malignant disease. J Bone Joint Surg [Am] 63:653–684

    CAS  Google Scholar 

  • Johnson JR, Leathenan KD, Holt RT (1983) Anterior decompression of the spinal cord for neurological deficit. Spine 8:396–405

    Article  PubMed  CAS  Google Scholar 

  • Kostuik JP (1983) Anterior spinal cord decompression for lesions of the thoracic and lumbar spine, techniques, new methods of internal fixation results. Spine 8:512–531

    Article  PubMed  CAS  Google Scholar 

  • Kunec JR, Lewis RJ (1984) Closed intramedullary rodding of pathologic fractures with supplemental cement. Clin Orthop 188:183–186

    PubMed  Google Scholar 

  • Lodwick GS (1964) Reactive response to local injury in bone. Radiol Clin North Am 2:209–219

    PubMed  CAS  Google Scholar 

  • Lodwick GS (1965) A systematic approach to the roentgen diagnosis of bone tumours. In: Tumours of bone and soft tissue, Year Book Pub, Chicago, pp 49–68

    Google Scholar 

  • McCormack RR Jr, Glass DB, Lane JM (1985) Functional cast bracing of metastatic humeral shaft lesion. Orthop Trans 9:50–51

    Google Scholar 

  • Merrin C, Avellanosa A, West C, Wajsman Z, Baumgartner G (1976) The value of palliative spinal surgery in metastatic urogenital tumours. J Urol 115:712–713

    PubMed  CAS  Google Scholar 

  • Schaberg J, Gainor BJ (1985) A profile of metastatic carcinoma of the spine. Spine 10:19–20

    Article  PubMed  CAS  Google Scholar 

  • Siegal T, Siegal T (1985) Vertebral body resection for epidural compression by malignant tumours. Results of forty-seven consecutive operative procedures. J Bone Joint Surg [Am] 67:375–382

    CAS  Google Scholar 

Download references

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 1991 Springer-Verlag London Limited

About this chapter

Cite this chapter

Galasko, C.S.B. (1991). The Role of the Orthopaedic Surgeon in the Treatment of Skeletal Metastases. In: Rubens, R.D., Fogelman, I. (eds) Bone Metastases. Springer, London. https://doi.org/10.1007/978-1-4471-3254-7_11

Download citation

  • DOI: https://doi.org/10.1007/978-1-4471-3254-7_11

  • Publisher Name: Springer, London

  • Print ISBN: 978-1-4471-3256-1

  • Online ISBN: 978-1-4471-3254-7

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics