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Revista Cubana de Ortopedia y Traumatología
On-line version ISSN 1561-3100
Abstract
JIMÉNEZ-ÁVILA, José María; PATINO-LOPEZ, Jesús Manuel; GARCIA-ROSAS, Lorena Alejandra and GONZÁLEZ-CISNEROS, Arelhi Catalina. Quality of Life and Sagittal Balance in the Evolution of Patients with Multiple Myeloma Who Received Treatment with Percutaneous Vertebroplasty. Rev Cubana Ortop Traumatol [online]. 2020, vol.34, n.2 Epub Feb 01, 2021. ISSN 1561-3100.
Introduction:
Multiple myeloma accounts for 1% of neoplasms and for 10% of malignant hematomas. The mean onset age is 65 years. Bone pain in the spine and ribs is its initial manifestation. Surgical treatment for multiple myeloma in the spine consists in wide decompression and arthrodesis. Vertebroplasty is considered the choice technique because it restores sagittal and coronal balance, contributes to the strengthening of the vertebral body, and reduces pain associated with fractures.
Objective:
To assess the effect of vertebroplasty on quality of life and the effect of sagittal balance in reducing pain.
Methods:
192 patients with multiple myeloma and spinal fracture were studied, 80 treated with vertebroplasty and 112 treated conservatively. The Oswestry questionnaire and the Karnofsky scale were used.
Results:
Vertebroplasty decreased the use of opioid analgesics by 0.52 times.
Conclusions:
Vertebroplasty represents a greater benefit for the quality of life of patients suffering from multiple myeloma with vertebral fracture. It affects the improvement of sagittal balance, the level of disability, and the ability to perform daily tasks.
Keywords : multiple myeloma; vertebroplasty; sagittal balance; neoplasms.