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.
Galasko Csb, Sylvester BSBack pain in patients treated for malignant tumours. Clin Oncol1978; 4: 273-83.
5.
Siegal T., Siegal T.Current considerations in the management of neoplastic spinal cord compression . Spine1989; 14: 223-28.
6.
Galasko Csb.The role of the orthopaedic surgeon in the treatment of bone pain. Cancer Surv1988; 7: 103-25.
7.
Chan D., Carter SR, Grimer RJ, Sneath RSEndoprosthetic replacement for bony metastases. Ann R Coll Surg Engl1992; 74: 13-18.
8.
Harrington KDAnterior cord decompression and spinal stabilization for patients with metastatic lesions of the spine. J Neurosurg1984; 61: 107-17.
9.
Galasko Csb.Spinal instability secondary to metastatic cancer . J Bone Joint Surg [Br] 1991; 73B: 104-108.
10.
Harrington KDThe 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 KMBack pain in the cancer patient: an algorithm for evaluation and management. Neurology1987 ; 37: 134-38.
