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.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
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.
Gerszten PC, Welch WC. Current surgical management of metastatic spinal disease. Oncology (Williston Park). 2000;14:1013–24.
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.
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.
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.
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.
Kim CH, Chung CK, Sohn S, Lee S, Park SB. Less invasive palliative surgery for spinal metastases. J Surg Oncol. 2013;108:499–503.
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.
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.
Tosi P. Diagnosis and treatment of bone disease in multiple myeloma: spotlight on spinal involvement. Scientifica (Cairo). 2013;2013:104546.
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.
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.
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.
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.
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.
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.
Abi LG, Abi JS. Role of surgery in the management of vertebral metastases. General revue. Cancer Radiother. 2016;20:484–92.
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.
Fourney DR, et al. Percutaneous vertebroplasty and kyphoplasty for painful vertebral body fractures in cancer patients. J Neurosurg. 2003;98(1 suppl):21–30.
Conflict of Interest
We declare no conflict of interest.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2019 Springer Nature Switzerland AG
About this chapter
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)