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Spinal stabilisation in plasma cell disorders
S R Smith1, P W Saunders, N V Todd
1Department of Haematology, Royal Victoria Infirmary, Newcastle upon Tyne, UK.
European Journal of Cancer (Oxford, England : 1990)
|January 1, 1995
Summary
Surgical spinal stabilization effectively relieved severe back pain in patients with plasma cell disorders and vertebral lesions. This procedure offers good symptom control for spinal instability caused by these conditions.
Area of Science:
- Neurosurgery
- Oncology
- Orthopedics
Background:
- Plasma cell disorders can cause vertebral body lesions, leading to severe localized back pain and spinal instability.
- Spinal instability in these patients often presents as pain exacerbated by movement.
Observation:
- Five patients with plasma cell disorders and vertebral lesions experienced severe localized back pain and spinal instability.
- They underwent a total of six surgical spinal stabilization procedures.
- Stabilization techniques included internal fixation and external fixation with a halo brace.
Findings:
- Surgical spinal stabilization provided excellent symptomatic relief in all patients.
- Procedures were performed with minimal operative morbidity.
- Good symptom control was achieved post-operatively.
Implications:
- Spinal instability should be considered in the differential diagnosis of severe back pain in patients with plasma cell disorders and vertebral lesions.
- Operative spinal stabilization is a viable and effective management option for these patients.
- This approach can significantly improve quality of life by controlling symptoms.