Long-term pain relief effects in four patients undergoing percutaneous vertebroplasty for metastatic vertebral tumor

被引：42

作者：

Yamada K. ^{[1
]}

Matsumoto Y. ^{[1
]}

Kita M. ^{[1
]}

Yamamoto K. ^{[1
]}

Kobayashi T. ^{[2
]}

Takanaka T. ^{[2
]}

机构：

[1] Dept. Anesthesiol./Intens. Care Med., Graduate School of Medical Science, Kanazawa University, Kanazawa 920-8641

[2] Department of Radiology, Graduate School of Medical Science, Kanazawa University, Kanazawa 920-8641

来源：

Journal of Anesthesia | 2004年 / 18卷 / 4期

关键词：

Cancer pain; Metastatic vertebral tumor; Pain management; Percutaneous vertebroplasty;

D O I：

10.1007/s00540-004-0252-6

中图分类号：

学科分类号：

摘要：

We reviewed long-term pain relief in four patients undergoing percutaneous vertebroplasty (PVP) for lumbar or back pain due to metastatic vertebral tumors. The patients received anesthesiological palliative care with analgesics until their death after PVP. Pain intensity, the presence or absence of recurrence of pain, changes in dosage of analgesics given before and after PVP, and complications associated with PVP were evaluated. A numerical rating scale (NRS) from 0 (no pain) to 10 (worst pain imaginable) was used to measure pain. The patients were three men and one woman (mean age, 58 years). PVP was performed in five vertebrae (one thoracic and four lumbar). The NRS scores on moving before PVP were 10, 8, 10, and 10. After PVP, NRS decreased to 0, 3, 5, and 0, respectively, within 72 h. No recurrence of pain in the treated area occurred until death in any of these patients. The dosages of analgesics given were decreased in two cases, but no changes were made in the other two cases. There were no complications associated with PVP. Percutaneous vertebro-plasty is a safe and effective treatment for long-time pain relief in patients with metastatic vertebral tumors. © JSA 2004.

引用

页码：292 / 295

页数：3

共 10 条

[1]

Gangi A., Guth S., Imbert J.P., Marin H., Dietemann J.L., Percutaneous vertebroplasty: Indications, technique, and results, Radiographics, 23, (2003)

[2]

Mathis J.M., Wong W., Percutaneous vertebroplasty: Technical considerations, J. Vasc. Interv. Radiol., 14, pp. 953-960, (2003)

[3]

Baba Y., Ohkubo K., Hamada K., Hokotate H., Nakajo M., Percutaneous vertebroplasty for osteolytic metastasis: A case report, Nippon Igaku Hoshasen Gakkai Zasshi (Nippon Act. Radiol.), 57, pp. 880-882, (1997)

[4]

Chapman C.R., Syrjala K.L., Measurement of pain, The Management of Pain, pp. 580-594, (1990)

[5]

Cotten A., Boutry N., Cortet B., Assaker R., Demondion X., Leblond D., Chastanet P., Duquesnoy B., Deramond H., Percutaneous vertebroplasty: State of the art, Radiographics, 18, pp. 311-320, (1998)

[6]

Phillips F.M., Todd Wetzel F., Lieberman I., Campbell-Hupp M., An in vivo comparison of the potential for extravertebral cement leak after vertebroplasty and kyphoplasty, Spine, 27, pp. 2173-2178, (2002)

[7]

Yeom J.S., Kim W.J., Choy W.S., Lee C.K., Chang B.S., Kang J.W., Leakage of cement in percutaneous transpedicular vertebroplasty for painful osteoporotic compression fractures, J. Bone Joint Surg. Br., 85, pp. 83-89, (2003)

[8]

Lee B.J., Lee S.R., Yoo T.Y., Paraplegia as a complication of percutaneous vertebroplasty with polymethyl-methacrylate: A case report, Spine, 27, (2002)

[9]

Ratliff J., Nguyen T., Heiss J., Root and spinal cord compression from methylmethacrylate vertebroplasty, Spine, 26, (2001)

[10]

Kobayashi T., Takanaka T., Matsui O., Yoshikawa J., Kawashima H., Sanada J., Takashima T., Efficacy of percutaneous vertebroplasty under CT fluoroscopic guidance, IVR Kaisi (Jpn. J. Intervent. Radiol.), 14, pp. 343-348, (1999)

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