Percutaneous vertebroplasty

Spinal pain treatment advances

Authors

  • Roberto Crosa Universidad de la República, Facultad de Medicina, Hospital de Clínicas, Cátedra de Neurocirugía, Instituto de Neurología, Neurocirugía, Residente
  • Ofelia Marabotto Centro de intervencionismo vascular (CEDIVA), Médico Radiólogo. Neurointervencionista

Keywords:

PERCUTANEOUS VERTEBROPLASTY

Abstract

Background: Percutaneous vertebroplasty has been succesfully used in treating vertebral compression fractures for the last 20 years. Recently, this technique has been incorporated in our country.
Methods: So far, nine vertebroplasties were performed by our team; eight were done at one level: five procedures due to osteoporotic lumbar fractures, one upper dorsal fracture and two metastasis. The remaining procedure was done in two consecutive levels due to an osteoporotic dorso-lumbar fracture.
The paper reviews our recent experience in treating vertebral compression fractures.
Conclusions: Symptoms relief has been reached in all patients with vertebral compression fractures due to osteoporosis or metastasis.
Percutaneous vertebroplasty is a safe, effective and low-cost procedure for treating vertebral compression fractures due to diverse causes.

References

1) Galibert P, Deramond H, Rosat P, Le Gars D. Preliminary note on treatment of vertebral angioma by percutaneous acrylic vertebroplasty. Neurochirurgie 1987; 33(2): 166-8.
2) Deramond H, Darrason R, Galibert P. Percutaneous vertebroplasty with acrylic cement in the treatment of aggresive spinal angiomas. Rachis 1989; 1: 143-53.
3) Chiras J, Deramond H. Complications des vertebroplasties. In: Saillant G, Laville C, eds. Echecs et complications de la chirurgie du rachis: chirurgie de reprise. Paris: Sauramps Medical, 1995: 49-53.
4) Chiras J, Depriester C, Weill A, Sola-Martinez MT, Deramond H. Percutaneous vertebroplasty: techniques and indications. J Neuroradiol 1997; 24(1): 45-59.
5) Deramond H, Depriester C, Toussaint P, Galibert P. Percutaneous vertebroplasty: Semin Musculoskelet Radiol 1997; 1(2): 285-95.
6) Cotten A, Boutry N, Cortet B, Assaker R, Demondion X, Leblond D, et al. Percutaneous vertebroplasty: state of the art. Radiographics 1998; 18(2): 311-20.
7) Barr MS, Barr JD. Invited commentary. Vertebroplasty: state of the art. Radiographics 1998; 18(2): 320-2.
8) Barr JD, Barr MS, Lemley TJ, McCann RM. Percutaneous vertebroplasty for pain relief and spinal stabilization. Spine 2000; 25(8): 923-8.
9) Deramond H, Derpriester C, Galibert P, Le Gars D. Percutaneous vertebroplasty with polymethylmetacrylate: technique, indications and results. Radiol Clin North Am 1998; 36(3): 533-46.
10) Evans AJ, Jensen ME, Kip KE, DeNardo AJ, Lawer GJ, Negin GA, et al. Vertebral compression fractures: Pain reduction and improvement in functional mobility after percutaneous polymethylmetacrylate vertebroplasty. Retrospective report of 245 cases. Radiology 2003; 226(2): 366-72.
11) Kallmes DF, Jensen ME. Percutaneous Vertebroplasty. Radiology 2003; 229(1): 27-36.
12) Deramond H, Galibert P, Debussche-Depriester C. Vertebroplasty. Neuroradiology 1991; 33 (Suppl): S177-8.
13) Debussche-Depriester C, Deramond H, Fardellone P. Percutaneous vertebroplasty with acrylic cement in the treatment of osteoporotic vertebral crush fracture syndrome. Neuroradiology 1991; 33 (Suppl): S149-52.
14) Jensen Me, Evans Aj, Mathis JM, Kallmes DF, Cloft HJ, Dion JE. Percutaneous polymethyl-methacrylate vertebroplasty in the treatment of osteoporotic vertebral body compression fractures: technical aspects. Am J Neuroradiol 1997; 18(10): 1897-904.
15) Kaemmerlen P, Thiesse P, Jonas P, Berard CL, Duquesnel J, Bascoulergue Y, et al. Percutaneous injection of orthopedic cement in metastatic vertebral lesions. N Engl J Med 1989; 321: 121.
16) Cotten A, Dewatre F, Corten B, Assaker R, Leblond D, Duquesnoy B, et al. Percutaneous vertebroplasty for osteolitic metastases and mieloma: effects of the percentage of lesion filling and the leakage of methyl methacrylate at clinical follow-up. Radiology 1996; 200(2): 525-30.
17) Contreras O, Huete I. Vertebroplastia percutánea: nueva alternativa en el tratamiento del dolor de origen vertebral. Rev Chil Radiol 2003; 9(2): 45-50.
18) Dousset V, Mousselard H, de Monck d’user L, Bouvet R, Bernard P, Vital JM, et al. Asymptomatic cervical hemangioma treated by percutaneous vertebroplasty. Neuroradiology 1996; 38(4): 392-4.
19) Do HM, Jensen ME, Marx WF, Kallmes DF. Percutaneous vertebroplasty in vertebral osteonecrosis (Kümmell’s spondylitis). Neurosurg Focus 1999; 7(1): article 2. Disponible en: http://74.125.113.104/search?q=cache:xk8L-s24fukJ:www.aans.org/education/journal/neurosurgical/july99/7-1-2.asp+Do+M,+Percutaneous+vertebroplasty+in+vertebral+osteonecrosis&hl=es&ct=clnk&cd=3&gl=uy
20) Gangi A, Kastler Ba, Dietemann JL. Percutaneous vertebroplasty guided by a combination of CT and fluoroscopy. Am J Neuroradiol 1994; 15(1): 83-6.
21) Padovani B, Kasriel O, Brunner P, Peretti-Viton P. Pulmonary embolism caused by acrylic cement: a rare complication of percutaneous vertebroplasty. Am J Neuroradiol 1999; 20(3): 375-7.

Published

2006-09-30

How to Cite

1.
Crosa R, Marabotto O. Percutaneous vertebroplasty: Spinal pain treatment advances. Rev. Méd. Urug. [Internet]. 2006 Sep. 30 [cited 2024 Nov. 24];22(3):210-9. Available from: https://revista.rmu.org.uy/index.php/rmu/article/view/695