Spinal surgery in the treatment of metastatic back pain: three case reports

Abstract

Back pain resulting from spinal instability in metastatic bone disease can be difficult to alleviate by pharmacological methods and surgical intervention is frequently required. This paper discusses the treatment options with three illustrative case reports.

Keywords

pain palliative treatment quality of life spinal neoplasms surgery

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References

Hoskin PJ Scientific and clinical aspects of radiotherapy in the relief of bone pain . Cancer Surv 1988; 7: 69-86.

Hanks GW The pharmacological treatment of bone pain. Cancer Surv 1988; 7: 87-101.

Hanks GW , Justins DM Cancer pain: management. Lancet 1992; 339: 1031-36.

Galasko Csb , Sylvester BS Back pain in patients treated for malignant tumours. Clin Oncol 1978; 4: 273-83.

Siegal T. , Siegal T. Current considerations in the management of neoplastic spinal cord compression . Spine 1989; 14: 223-28.

Galasko Csb. The role of the orthopaedic surgeon in the treatment of bone pain. Cancer Surv 1988; 7: 103-25.

Chan D. , Carter SR , Grimer RJ , Sneath RS Endoprosthetic replacement for bony metastases. Ann R Coll Surg Engl 1992; 74: 13-18.

Harrington KD Anterior cord decompression and spinal stabilization for patients with metastatic lesions of the spine. J Neurosurg 1984; 61: 107-17.

Galasko Csb. Spinal instability secondary to metastatic cancer . J Bone Joint Surg [Br] 1991; 73B: 104-108.

10.

Harrington KD The use of methylmethacrylate for vertebral-body replacement and anterior stabilization of pathological fracture-dislocations of the spine due to metastatic malignant disease. J Bone Joint Surg [Br] 1981; 63A (1): 36-46.

11.

Portenoy RK , Lipton RB , Foley KM Back pain in the cancer patient: an algorithm for evaluation and management. Neurology 1987 ; 37: 134-38.