Vertebral Augmentation and Radiotherapy of Collapse Spinal Metastatic Cancer

The study quantifies the reduction of pain and changes in quality of life associated with
vertebral augmentation. This study is conducted in patients with metastatic cancer or
multiple myeloma involving the spine. This study addresses the value of vertebral
augmentation in combination with radiotherapy in the setting of cancer to the spine. The
patient's pain, overall quality of life, and fracture development/avoidance will be compared
to patients treated only with radiotherapy in the past.

Inclusion Criteria:

- Diagnosis of metastatic disease to the vertebra or multiple myeloma

- Negative pregnancy test within 2 weeks prior to registration

- Life expectancy of >= 3 months and Karnofsky performance status (KPS) score >= 40

- Pain scale score >=5

- Pain at involved vertebral body not adequately controlled

- Osteolysis of vertebral bodies

- Must agree to practice adequate means of birth control

- Must sign informed consent prior to study entry

- Must be able to understand the English language

- Absence of any serious cognitive or psychiatric problems potentially hampering
compliance with the study and follow-up schedule.

Exclusion Criteria:

- Spinal Cord Compression