Paget Disease (cont.)
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Surgery for Paget's Disease
Indications for surgery for Paget's disease include bony deformity, pathologic fractures, and neurologic dysfunction due to spinal stenosis, degenerative joint disease, or malignant transformation to sarcoma.
While many cases of deformity and fractures can be treated nonoperatively, some people benefit from surgery to realign the bone and allow for healing in a more natural position.
Patients with neurologic dysfunction due to involvement of the spine may benefit from spinal decompression. This involves removing portions of the bone surrounding the spinal cord and nerve roots to alleviate compression of these structures.
Cases of severe degenerative joint disease, most commonly the hip and knee, may be treated with joint replacement surgery to relieve pain and improve function and mobility.
In the rare cases of malignant transformation to sarcoma, removal of the affected bones may be required.
Patients with involvement of the joints often benefit from a physical therapy and muscle strengthening program.
Mythili Seetharaman, MD
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