RESULTS: There were no complications associated with any part of the procedure.
Adequate cement augmentation within the vertebral body was achieved in all cases.
The mean radiosurgical tumor dose was 19 Gy covering the entire vertebral body.
The procedure provided long-term pain improvement and radiographic tumor control
in all patients (follow-up range 7-44 months). No patient later required open
surgery. No radiation-induced toxicity or new neurological deficit occurred
during the follow-up period. CONCLUSIONS This treatment paradigm for pathological
fractures of percutaneous transpedicular corpectomy combined with cement
augmentation followed by radiosurgery was found to be safe and clinically
effective. This technique combines minimally invasive procedures that avoid the
morbidity associated with open surgery while providing spinal canal decompression
and immediate fracture stabilization, and then administering a single-fraction
tumoricidal radiation dose.