VERTEBROPLASTY – NEW OPERATIVE PROCEDURE FOR OSTEOPOROTIC VERTEBRAL FRACTURES
Abstract
Background. Vertebroplasty is a new minimally invasive operative method used for treatment of osteoporotic vertebral fractures. The aim of vertebroplasty is to diminish pain and to gain the mechanical stability of fractured vertebra.
Methods and results. From June to November 2001 vertebroplasty was performed on eleven vertebrae in seven patients. The mean age of patients at the operation was 49 years (24 to 63 years). The mean time interval from injury to operation was 13 days (1 to 30 days). Preoperatively the mean level of pain according to visual analogue scale was 6 (4 to 9), 24 hours after operation the mean pain level was 0 (0 do 1) and three months after the operation 0 (od 0 do 1). In one patient minor leak of bone cement occured into the spinal canal during the procedure. No consequent nevrologic deficit was noted.
Conclusions. In all our patients vertebroplasty was followed by total resolution of pain inside the first 24 hours. In the hands of experienced spinal surgeon vertebroplasty proved to be a safe method which enables the patient to proceed with an active lifestyle despite osteoporotic fractures of vertebrae.
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References
Galibert P, Deramond H, Rosat P, Le Gars D. Note préliminaire sur le traitement des angiomes vertébraux par vertébroplastie percutanée. Neurochirurgie 1987; 33: 166–8.
Weill A, Chiras C, Simon J, Rose M, Sola-Martinez T, Enkaoua E. Spinal metastases: Indications for and results of percutaneous injection of acrylic surgical cement. Radiology 1996; 199: 241–7.
Jensen ME, Evans AJ, Mathis JM, Kallmes DF, Cloft HJ, Dion JE. Percutaneous polymethylmethacrylate vertebroplasty in the treatment of osteoporotic vertebral body compression fractures: technical aspects. Am J Neuroradiol 1997; 18: 1897–904.
Cortet B, Cotten A, Boutry N, Flipo RM, Duquesnoy B, Chastanet P. Percutaneous vertebroplasty in the treatment of osteoporotic vertebral compression fractures: an open prospective study. J Rheumatol 1999; 10: 2222–8.
Grados F, Depriester C, Cayrolle G, Hardy N, Deramond H, Fardellone P. Long term observations of vertebral osteoporotic fractures treated by percutaneous vertebroplasty. Rheumathology 2000; 39: 1410–4.
Melton LJI. Epidemiology of fractures. In: Riggs BL, Melton LJI eds. Osteoporosis: etiology, diagnosis, and management. 2nd ed. Philadelphia: LippincottRaven, 1995: 225–47.
Kocijančič A. Presnovne bolezni ledvic. In: Kocijančič A, Mrevlje F eds. Interna medicina. Ljubljana: Tiskarna Mladinska knjiga, 1998: 723–9.
Haegerstam GAT. Pathophysiology of bone pain. A review. Acta Orthop Scand 2001; 72: 308–17.
Scott J, Huskinsson EC. Graphic representation of pain. Pain 1976; 2: 175– 84.
Gangi A, Kastler BA, Dietemann JL. Percutaneous vertebroplasty guided by a combination of CT and fluoroscopy. Am J Neuroradiol 1994; 15: 83–6.
Bostrom MP, Lane JM. Future directions: augmentation of osteoporotic vertebral bodies. Spine 1997; 22: Suppl: 38–42.
Chiras J, Deramond H. Complications des vertébroplasties. In: Saillants G, Laville C eds. Echecs et complication de la chirurgie du rachis. Chirurgie de reprise. Paris: Sauramps Medical, 1995: 149–53.
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