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  4. Effects of Radiation Therapy on Established Neurogenic Heterotopic Ossification

Effects of Radiation Therapy on Established Neurogenic Heterotopic Ossification

Annals of Rehabilitation Medicine, 2016 · DOI: https://doi.org/10.5535/arm.2016.40.6.1135 · Published: December 1, 2016

OncologyRehabilitationMusculoskeletal Medicine

Simple Explanation

Heterotopic ossification (HO) is the formation of mature bone in soft tissues, often seen after injuries like spinal cord injuries or brain injuries. This can limit rehabilitation, especially when accompanied by joint pain. Radiation therapy (RT) has been explored as a treatment for HO. This study reports on three patients with established neurogenic HO (HO resulting from brain injury) who were treated with RT. The study found that RT was associated with decreased pain, increased range of motion, and decreased levels of certain markers in the blood that indicate bone formation activity.

Study Duration
4–6 month follow-up
Participants
Three patients with HO after brain injury
Evidence Level
Case Series

Key Findings

  • 1
    Radiation therapy resulted in decreased pain and increased range of motion in patients with established neurogenic heterotopic ossification.
  • 2
    Post-treatment X-rays showed no further growth of the heterotopic ossification after radiation therapy.
  • 3
    Clinical and laboratory improvements were maintained for 4 to 6 months after radiation therapy.

Research Summary

This case series reports on the effects of radiation therapy (RT) in three patients with established neurogenic heterotopic ossification (HO) following brain injury. The study found that RT led to decreased pain, increased range of motion, and decreased serum alkaline phosphatase (ALP) and bone-specific ALP levels in all three patients. The authors suggest that RT is a safe and effective method to decrease pain and activity of neurogenic HO, with effects lasting for 4–6 months.

Practical Implications

Therapeutic Option

Radiation therapy can be considered as a therapeutic option for managing established neurogenic heterotopic ossification, particularly when other treatments have failed.

Pain Management

Radiation therapy may provide effective pain relief for patients suffering from heterotopic ossification-related pain.

Improved Function

Radiation therapy can potentially improve the range of motion and overall function of affected joints in patients with heterotopic ossification.

Study Limitations

  • 1
    Small sample size (three patients)
  • 2
    Lack of a control group
  • 3
    Short follow-up period (4–6 months)

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