Symptoms
- Constant knawing pain gradually increasing in intensity. Associated change in general health, lassitude, weight loss.
- Increasing back pain usually mid-thoracic spine for some weeks with sudden increment in pain. In most cases there are preceding symptoms of underlying osteoporosis assessed by Dexa / CT scan.
Diagnosis
| Presentation | Diagnosis | Options |
|---|---|---|
| Unremitting back pain with possible buttock & leg pain requiring increasing analgesia | Primary spinal tumour or secondary tumour spread from Breast, Bronchus, Kidney, Bowel or Thyroid. | After establishing the compass, type & source of the tumour, treatment will be conducted by an Oncologist.Stabilisiation of segments likely to collapse by internal & external fixation |
| The increase in pain is associated with increased hooping of posture. | Fracture of the vertebral body is assessed byMRI scanning to determine the time of the fracture. | Kyphoplasty with angular correction / vertebroplasty |
