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Poster 357: Use of Radiotherapy in Immature Heterotopic Ossification in Patients With Spinal Cord Injury

2008; Elsevier BV; Volume: 89; Issue: 11 Linguagem: Inglês

10.1016/j.apmr.2008.09.362

1532-821X

Luciana Delboni Taricco, Isolda Ferreira de Araújo, Marcelo J. Ares, Adriana Rosa Lovisotto Cristante, Yára Juliano,

Spine and Intervertebral Disc Pathology

Objective: To determine if immature heterotopic ossification (HO) progresses in patients with spinal cord injury submitted to radiotherapy as the primary treatment. Design: Historical cohort-type study. Setting: Spinal Cord Injury Clinic of Associação de Assistência à Criança Deficiente, São Paulo, Brazil. Participants: Patients with spinal cord injury from Spinal Cord Injury Clinic of Associação de Assistência à Criança Deficiente, São Paulo, Brazil. Interventions: Medical records of patients attending to the Spinal Cord Injury Clinic of Associação de Assistência à Criança Deficiente, from February 2002, to December 2006, with immature HO treated exclusively with radiotherapy were selected. Main Outcome Measures: Ossification progress was determined by analysis of the maximum flexion of the affected joint measured with a goniometer, and by analysis of radiographic images. Ossification was classified according to the classification proposed by Brooker et al. Results: 10 patients were followed for 23.3 months, and 5 of them had both sides affected. 14 of the 15 studied joints did not worsen clinically, nor did the HO progress radiographically. None of the patients had side effects from radiotherapy. Conclusions: We conclude that patients treated with early radiotherapy do not present significant HO worsening and that radiotherapy is a safe and easy-to-use method.