ABSTRACT
Bone metastases are the most common tumours affecting the musculoskeletal system. The most frequently affected area of the skeleton is the spine. The vertebral bodies are reached largely via the bloodstream and neoplastic substitution of the bone tissue causes progressive structural destruction leading to loss of stability and compression of the intracanal nerve structures. The treatment of bone metastases in the spine is different and controversial, mostly because of the wide spectrum of clinical and radiographic pattern of the local and systemic disease. Percutaneous vertebroplasty is emerging as one of the most promising new interventional procedures for relieving (or reducing) pain and improve stability. In this article we review indications, contraindications, technique, and complications of percutaneous vertebroplasty in spine metastases.
Subject(s)
Back Pain/etiology , Bone Cements/therapeutic use , Orthopedic Procedures/methods , Polymethyl Methacrylate/therapeutic use , Spinal Neoplasms/surgery , Spine/surgery , Adult , Back Pain/diagnostic imaging , Back Pain/surgery , Bone Cements/adverse effects , Decision Trees , Female , Humans , Male , Middle Aged , Orthopedic Procedures/adverse effects , Polymethyl Methacrylate/adverse effects , Practice Guidelines as Topic , Radiography , Spinal Neoplasms/complications , Spinal Neoplasms/diagnostic imaging , Spinal Neoplasms/secondary , Spine/diagnostic imaging , Treatment OutcomeABSTRACT
The Authors report a case of choledochal cystic dilatation and examine this particular anomaly of the main biliary duct analysing the complex classification. After a brief review of the embryology of the hepato-pancreatic ring, etiopathogenetic theories, clinic characteristics, as well as diagnostic and therapeutic possibilities for this affection are taken into account. It is concluded that the best therapeutic choice should be always based on an accurate evaluation of the anatomo-pathological conditions in each single case.
