Department of Spinal Surgery, Institute of Neurosurgery AMS Ukraine, Kiev, Ukraine.
Thyroid. 2010 May;20(5):555-60. doi: 10.1089/thy.2009.0420.
Spinal metastases secondary to thyroid cancer of follicular and parafollicular cell origin are uncommon but may require stabilization of the compromised vertebrae to prevent fracture with spinal cord injury. Such treatment may also relieve pain and improve survival and quality of life.
Percutaneous vertebroplasty (PV) is a minimally invasive, radiologically guided procedure whereby bone cement is injected into a structurally weakened vertebra to provide immediate stability. The authors present two cases of thyroid cancer with spinal metastases. Both patients successfully underwent PV. Following PV, the patients experienced significant pain relief with immediate reduction in analgesic requirements and improvement in other symptoms. Both were able to return to their daily activities.
PV is a minimally invasive spinal procedure and should be considered for patients with metastatic thyroid cancer with spinal metastases.
由滤泡细胞和滤泡旁细胞来源的甲状腺癌引起的脊柱转移较为少见，但可能需要稳定受损的椎体以防止骨折导致脊髓损伤。这种治疗方法还可以缓解疼痛，提高生存率和生活质量。
经皮椎体成形术（PV）是一种微创的放射学引导程序，通过该程序将骨水泥注入结构弱化的椎骨以提供即时稳定性。作者介绍了 2 例甲状腺癌伴脊柱转移的病例。这 2 位患者均成功接受了 PV 治疗。PV 后，患者的疼痛明显缓解，镇痛药的需求立即减少，其他症状也有所改善。他们都能够恢复日常活动。
PV 是一种微创的脊柱手术，对于伴有脊柱转移的甲状腺癌患者应考虑进行该手术。
