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58. Jahrestagung der Deutschen Gesellschaft für Neurochirurgie e. V. (DGNC)

Deutsche Gesellschaft für Neurochirurgie (DGNC) e. V.

26. bis 29.04.2007, Leipzig

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The course of pain immediately before and after vertebroplasty in spinal metastasis – a retrospective analysis

Der periinterventionelle Schmerzverlauf bei der Vertebroplastie spinaler Metastasen – eine retrospektive Analyse

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  • corresponding author F. Rommel - Neurochirurgische Klinik, Universitätsklinikum Düsseldorf
  • M. Klingenhöfer - Neurochirurgische Klinik, Universitätsklinikum Düsseldorf
  • B. Turowski - Abteilung für Neuroradiologie, Universitätsklinikum Düsseldorf
  • H.-J. Steiger - Neurochirurgische Klinik, Universitätsklinikum Düsseldorf

Deutsche Gesellschaft für Neurochirurgie. 58. Jahrestagung der Deutschen Gesellschaft für Neurochirurgie e.V. (DGNC). Leipzig, 26.-29.04.2007. Düsseldorf: German Medical Science GMS Publishing House; 2007. DocSO.05.08

The electronic version of this article is the complete one and can be found online at: http://www.egms.de/en/meetings/dgnc2007/07dgnc245.shtml

Published: April 11, 2007

© 2007 Rommel et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by-nc-nd/3.0/deed.en). You are free: to Share – to copy, distribute and transmit the work, provided the original author and source are credited.

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Objective: Vertebroplasty is an accepted method for the treatment of back pain in osteoporotic spinal fractures and spinal metastasis. Significant immediate back pain regression has been attributed to this intervention as its major benefit. This study has been initiated to investigate the contribution of vertebroplasty to perioperative pain therapy in spinal metastasis.

Methods: In 80 consecutive patients vertebroplasty was performed at 104 levels. 15 of these patients suffered from spinal metastasis, 61 from osteoporotic fractures and 4 patients had vertebral haemangiomas. Pain evaluation before and immediately after the intervention was performed by VAS in all patients suffering from spinal metastasis. Consumption of analgetic drugs was documented and classified by the WHO-pain scale before and in the first 4 days after vertebroplasty.

Results: A significant decrease in pain intensity could be evaluated by VAS immediately after vertebroplasty. No patients experienced an increase of packpain after the intervention. The total amount of analgetic consumption did not decline significantly within the WHO-classification.

Conclusions: Vertebroplasty influences the intensity of back pain in patients suffering from spinal metastasis immediately after the intervention. However, a significant decrease of analgetic demand within the short postinterventional course could not be observed in our series.