Orthopedic emergencies in cancer patients

H. H. Manglani, Rex A.W. Marco, A. Picciolo, J. H. Healey

Research output: Contribution to journalReview article

15 Scopus citations

Abstract

The most frequent orthopedic emergency in oncology patients is fracture. Stabilization of the entire fractured bone restores function and relieves pain. The site, quality, and extent of the lesion can identify impending fractures that should be stabilized. New methods of pelvic stabilization effectively bypass periacetabular bone deficiency. Spinal cord decompression is important to maintain neurologic function. Advances in segmental fixation of the spine have improved the outcome over what was achieved by radiation alone. Infection is common in neutropenic patients, and should be treated aggressively with antibiotics and drainage of abscesses of the musculoskeletal system. Extravasation of doxorubicin requires prompt local debridement to limit the extent of necrosis propagation. These treatments can effectively improve the quality of life of patients with metastatic cancer. They should be included as 'best supportive care' for patients with more than 1 month to live.

Original languageEnglish (US)
Pages (from-to)299-310
Number of pages12
JournalSeminars in Oncology
Volume27
Issue number3
StatePublished - Jul 3 2000

ASJC Scopus subject areas

  • Hematology
  • Oncology

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