Case Selection
Indication for intervention included (i) vertebral fracture secondary to advanced cancer or its treatment (ii) with clinically significant pain that affected quality of life and function(iii) that was refractory to optimized pharmacological treatment or where radiotherapy was contra-indicated due to previous radiation or extent of disease. Decision to intervene was reached following discussion at the multidisciplinary tumor board involving clinical oncology, surgery, radiation oncology, orthopedic surgery, and IR.