Metastatic Spinal Disease Clinical Trial
Official title:
A Randomized Controlled Trial Comparing Open Spinal Stabilisation and Percutaneous Solution (TPS) Surgery in Patients With Metastatic Spinal Disease.
Spread of cancer to the spinal column is a growing problem in patients with cancer. It can
cause a number of problems including pain, instability and neurologic problems. If left
untreated, progressive weakness, numbness and bladder/bowel disturbance occurs. The aim of
treatment is to help with pain and to reduce the risk of these neurological problems. This
treatment has traditionally been radiotherapy to the spine. Surgery has always meant large
open operations with a long recovery time and significant risk of complications. There has
been new technology that has allowed less invasive operations to take place to stabilise the
spine. The aim is to relieve the pressure on the spinal cord in addition to stabilising the
spinal cord. These techniques are called 'minimally invasive' and include surgical
techniques such as cement augmentation and percutaneous instrumentation.
The aim of this study is to compare traditional open operations with these new minimally
invasive techniques to see if they do result in reduced complications and quicker recovery
in addition to achieving the goals of surgery.
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