1、When do you offer intervention?Dr.TruumeesWhen do you offer intervention?Dr.TruumeesLieberman et al.,Spine 200116 kyphosis25 kyphosisPatient:89 YO FemaleDiagnosis:Primary osteoporosisFracture Location:T-7Courtesy of Wade Wong,DO,La Jolla,CAStage 1 InflationStage 2 InflationPatient:73 YO FemaleDiagno
2、sis:Primary OsteoporosisFracture Location:L1Courtesy of Mohammad Majd,M.D.,Jeffersonville,IN 554321154324321Images courtesy of Vivek Kushwaha,M.D.,Houston,TXorce=Pressure x AreaAAAAABeyond Osteoporosis:Metastatic Bone Disease and Multiple MyelomalSkeleton is the 4th most common site for metastases1 Spine most common site2 70%of patients who die of cancer have vertebral metastases217-50%of patients with breast carcinoma metastatic to bone will sustain incident fractures each year3Up to 41%of patients who undergo radiation therapy experience bone fractures4