radiotherapy

Management

Mirels Prediction system for Pathological Fracture

 

Clin Orthop 1989 

- 38 patients treated with DXRT without surgery 

- most breast cancer

- developed scoring system

- predicts post DXRT fracture risk in preDXRT long bones

- risk of fracture within 6 months 

- irradiated without fixation

 

Four risk factors

 

Spinal Metastasis

EpidemiologyThoracic Metastasis

 

80% cancer patients have spinal metastasis at autopsy 

 

Spine is number one site for bony metastasis (50%)

 

Cause

 

Hexagon: PBBLTK

 

                 Prostate    Breast