Safety and efficacy of percutaneous vertebroplasty in malignancy: a systematic review

Chew, C., Craig, L., Edwards, R., Moss, J. and O'Dwyer, P.J. (2011) Safety and efficacy of percutaneous vertebroplasty in malignancy: a systematic review. Clinical Radiology, 66(1), pp. 63-72. (doi: 10.1016/j.crad.2010.09.011)

Full text not currently available from Enlighten.

Abstract

<b>Aim:</b> To establish the efficacy and complications associated with vertebroplasty in spinal metastases and myeloma. <b>Materials and methods:</b> A literature search was performed from inception to April 2010. Thirty relevant studies were identified. Only one was a randomized, controlled trial and seven were prospective studies. Nine hundred and eighty-seven patients aged between 45 and 72 years were included in this systematic review. <b>Results:</b> Most studies report performing the procedure under local anaesthetic and continuous fluoroscopic screening, and only two centres reported treating more than four vertebrae per session. Five deaths were attributable to vertebroplasty, with a further 19 patients suffering a serious complication related to the procedure. There is some evidence to suggest that the complication rate may be related to the higher cement volume used, although the data are not robust enough for meta-analysis. Pain reduction ranged between 47–87%, similar to the results for osteoporosis. There was no correlation between pain reduction and cement volume. <b>Conclusion:</b> This systematic review reveals the paucity of good-quality, robust data available on the subject of percutaneous vertebroplasty in malignancy. It also highlights the apparent high risk of serious complication (2%). Further research into the subject is required in this group of patient

Item Type:Articles
Status:Published
Refereed:Yes
Glasgow Author(s) Enlighten ID:O'Dwyer, Professor Patrick and Craig, Dr Louise and Moss, Professor Jonathan
Authors: Chew, C., Craig, L., Edwards, R., Moss, J., and O'Dwyer, P.J.
College/School:College of Medical Veterinary and Life Sciences > Institute of Health and Wellbeing > Health Economics and Health Technology Assessment
College of Medical Veterinary and Life Sciences > School of Medicine, Dentistry & Nursing
College of Medical Veterinary and Life Sciences > School of Medicine, Dentistry & Nursing > Clinical Specialities
Journal Name:Clinical Radiology
ISSN:0009-9260
Published Online:16 November 2010

University Staff: Request a correction | Enlighten Editors: Update this record