Kyphoplasty for Patients With Multiple Myeloma Is a Safe Surgical Procedure: Results From a Large Patient Cohort |
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| Authors: | Franz-Xaver Huber Nicholas McArthur Michael Tanner Bernd Gritzbach Oliver Schoierer Wolfram Rothfischer Gerhard Krohmer Erich Lessl Martin Baier Peter Jürgen Meeder Christian Kasperk |
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| Institution: | 1. Division of Traumatology and Reconstructive Surgery, Surgical Clinic, University of Heidelberg, Germany;2. Överläkare Ortopedi, Blekingesjukhuset, Karlshamn, Sweden;3. Abteilung Innere Medizin I, University of Heidelberg, Germany |
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| Abstract: | IntroductionOnly in recent years has balloon kyphoplasty gained significance in the treatment of vertebral fractures as an adequate minimally invasive vertebral stabilization technique. Kyphoplasty has also increasingly been used to treat vertebral osteolyses caused by multiple myeloma (MM).Patients and MethodsIn our cohort of 76 patients with MM with a total of 190 vertebral fractures treated with kyphoplasty, we performed a 30-day postoperative analysis of cement leakage, neurologic symptoms, pulmonary embolism, and infections.ResultsPainful osteolytic or fractured vertebrae or even imminent vertebral instability caused by osteolyses were seen as indications for kyphoplasty. One case of pulmonary embolism was observed because of cement leakage as the only postoperative complication.ConclusionBy careful interdisciplinary indication setting and a standardized treatment model, kyphoplasty presents a very safe and effective procedure for the treatment of vertebral osteolyses and fractures caused by MM. |
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