The Korean Journal of Pain

The Korean Pain Society (대한통증학회)
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Percutaneous Pediculoplasty and Balloon Kyphoplasty in a Vertebral Metastatic Cancer Patient - A case report -

전이된 암 환자에서 풍선 후만 성형술과 동시에 시행한 경피적 추궁근 성형술 - 증례보고 -

  • Jo, Ji Yon (Department of Anesthesiology and Pain Medicine, Seoul National University College of Medicine) ;
  • Suh, Jeong Hoon (Department of Anesthesiology and Pain Medicine, Seoul National University College of Medicine) ;
  • Shin, Hwa Yong (Department of Anesthesiology and Pain Medicine, Seoul National University College of Medicine) ;
  • Choi, Yong Min (Department of Anesthesiology and Pain Medicine, Seoul National University College of Medicine) ;
  • Bang, Moon Sun (Department of Anesthesiology and Pain Medicine, Seoul National University College of Medicine) ;
  • Lee, Sang Chul (Department of Anesthesiology and Pain Medicine, Seoul National University College of Medicine) ;
  • Kim, Yong Chul (Department of Anesthesiology and Pain Medicine, Seoul National University College of Medicine)
  • 조지연 (서울대학교 의과대학 마취통증의학교실) ;
  • 서정훈 (서울대학교 의과대학 마취통증의학교실) ;
  • 신화용 (서울대학교 의과대학 마취통증의학교실) ;
  • 최용민 (서울대학교 의과대학 마취통증의학교실) ;
  • 방문선 (서울대학교 의과대학 마취통증의학교실) ;
  • 이상철 (서울대학교 의과대학 마취통증의학교실) ;
  • 김용철 (서울대학교 의과대학 마취통증의학교실)
  • Received : 2007.09.20
  • Accepted : 2007.11.19
  • Published : 2007.12.10
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Abstract

Percutaneous vertebroplasty and balloon kyphoplasty have been accepted as effective treatment modalities for vertebral compression fractures in patients with vertebral metastasis. However, when these procedures are conducted in patients with lytic lesions of the vertebral pedicle, polymethylmethacrylate leakage through the lytic lesions that occurs during percutaneous pediculoplasty can increase the procedural risks due to the immediate vicinity of neural structures. In spite of this risk, there are not many available reports on safer methods of pediculoplasty. Here we report a case of vertebral metastasis in which the pedicle infiltration of cancer was successfully treated by pediculoplasty using a bone filler device that contained thick bone cement during a balloon kyphoplasty procedure.

Keywords

References

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