The Role of the Orthopaedic Surgeon in the Treatment of Skeletal Metastases

  • C. S. B. Galasko
Chapter

Abstract

Skeletal metastases may present with pain, hypercalcaemia, impending fractures, pathological fractures, spinal instability or compression of the spinal cord or cauda equina. Furthermore, patients with metastatic cancer may present with pain from benign conditions that require treatment.

Keywords

Bone Metastasis Mammary Carcinoma Intramedullary Nailing Skeletal Metastasis Spinal Stabilisation 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.
This is a preview of subscription content, log in to check access.

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Bonarigo BC, Rubin P (1967) Non-union of pathologic fracture after radiation therapy. Radiology 88:889–898PubMedGoogle Scholar
  2. Bouma WH, Mulder JH, Hop WCJ (1983) The influence of intramedullary nailing upon the development of metastases in the treatment of an impending pathological fracture: an experimental study. Clin Exp Metastasis 1:205–212PubMedCrossRefGoogle Scholar
  3. Cobb CA III, Leavens ME, Eckles N (1977) Indications for nonoperative treatment of spinal cord compression due to breast cancer. J Neurosurg 47:653–658PubMedCrossRefGoogle Scholar
  4. DeWald RL, Bridwell KH, Prodromas C, Rodts MF (1985) Reconstructive spinal surgery as palliation for metastatic malignancies. Spine 10:21–26CrossRefGoogle Scholar
  5. Edelstyn GA, Gillespie PJ, Grebbel FS (1967) The radiological demonstration of osseous metastases. Experimental observations. Clin Radiol 18:158–162Google Scholar
  6. Fidler M (1981) Incidence of fracture through metastases in long bones. Acta Orthop Scand 52:623–627PubMedCrossRefGoogle Scholar
  7. Fidler MW (1987) Pathological fractures of the spine including those causing anterior spinal cord compression: surgical management. In: Noble J, Galasko CSB (eds). Recent developments in orthopaedic surgery: Festschrift to Sir Harry Platt. Manchester University Press, Manchester, pp 94–103Google Scholar
  8. Findlay GFG (1984) Adverse effects of the management of malignant spinal cord compression. J Neurol Neurosurg Psychiatry 47:761–768PubMedCrossRefGoogle Scholar
  9. Gainor BJ, Buchert P (1983) Fracture healing in metastatic bone disease. Clin Orthop 178:297–302PubMedGoogle Scholar
  10. Galasko CSB (1972) Skeletal metastases and mammary cancer. Ann R Coll Surg Engl 50:3–28PubMedGoogle Scholar
  11. Galasko CSB (1974) Pathological fractures secondary to metastatic cancer. J R Coll Surg Edinb 19:351–362PubMedGoogle Scholar
  12. Galasko CSB (1980) The management of skeletal metastases. J R Coll Surg Edinb 25:143–161Google Scholar
  13. Galasko CSB (1986) Skeletal metastases. Butterworths, LondonGoogle Scholar
  14. Galasko CSB, Burn JI (1971) Hypercalcaemia in patients with advanced mammary cancer. Br Med J iii:573–577Google Scholar
  15. Galasko CSB, Sylvester BS (1978) Back pain in patients treated for malignant tumours. Clin Oncol 4:273–283PubMedGoogle Scholar
  16. Harrington KD (1981) The management of acetabular insufficiency secondary to metastatic malignant disease. J Bone Joint Surg [Am] 63:653–684Google Scholar
  17. Johnson JR, Leathenan KD, Holt RT (1983) Anterior decompression of the spinal cord for neurological deficit. Spine 8:396–405PubMedCrossRefGoogle Scholar
  18. Kostuik JP (1983) Anterior spinal cord decompression for lesions of the thoracic and lumbar spine, techniques, new methods of internal fixation results. Spine 8:512–531PubMedCrossRefGoogle Scholar
  19. Kunec JR, Lewis RJ (1984) Closed intramedullary rodding of pathologic fractures with supplemental cement. Clin Orthop 188:183–186PubMedGoogle Scholar
  20. Lodwick GS (1964) Reactive response to local injury in bone. Radiol Clin North Am 2:209–219PubMedGoogle Scholar
  21. Lodwick GS (1965) A systematic approach to the roentgen diagnosis of bone tumours. In: Tumours of bone and soft tissue, Year Book Pub, Chicago, pp 49–68Google Scholar
  22. McCormack RR Jr, Glass DB, Lane JM (1985) Functional cast bracing of metastatic humeral shaft lesion. Orthop Trans 9:50–51Google Scholar
  23. Merrin C, Avellanosa A, West C, Wajsman Z, Baumgartner G (1976) The value of palliative spinal surgery in metastatic urogenital tumours. J Urol 115:712–713PubMedGoogle Scholar
  24. Schaberg J, Gainor BJ (1985) A profile of metastatic carcinoma of the spine. Spine 10:19–20PubMedCrossRefGoogle Scholar
  25. Siegal T, Siegal T (1985) Vertebral body resection for epidural compression by malignant tumours. Results of forty-seven consecutive operative procedures. J Bone Joint Surg [Am] 67:375–382Google Scholar

Copyright information

© Springer-Verlag London Limited 1991

Authors and Affiliations

  • C. S. B. Galasko

There are no affiliations available

Personalised recommendations