|
KMID : 0371620010160010055
|
|
Journal of Wonkwang Medical Science
2001 Volume.16 No. 1 p.55 ~ p.62
|
|
|
Percutaneous Vertebroplasty in Treatment of Osteoporotic Vertebral Body Fractures
|
|
Park Jong-Tae
|
|
|
Abstract
|
|
|
Background : Percutaneous vertebroplasty has recently been introduced as an interesting therapeutic alternative for the treatment of thoracolumbar vertebral body fractures in elderly persons with osteoporosis. The authors present the early results of this method.
Methods : From October 1999 to July 2001, percutaneous transpedicular technique was used in 20 patients (5 men and 15 women) whose mean age was 66.5 years (range 51-75) with painful vertebral compression fractures. The interval between fracture and vertebroplasty ranged 1 day to 6 months. The procedure included percutaneous puncture of the injured vertebra via transpedicular approach under fluoroscopic guidance, followed by injection of polymethylmetacrylate (PMMA) into the vertebral body through a disposable 11-guage Jamshidi needle.
Results : The common cause of fracture was slip and fall, and the most frequent injured level was the twelfth thoracic spine. The procedure was technically successful bilaterally in 25 fractured segments (14 thoracic and 11 lumbar spines) with an average injection amount of 7.5ml PMMA in each level. Ninety percents of patients reported significant pain relief immediately after treatment. Seven leaks of PMMA were detected with postoperative CT scan in spinal epidural space and extravertebral soft tissue without clinical symptoms.
Conclusion : Vertebroplasty appears to be a valuable tool in the treatment of painful osteoporotic vertebral fractures, providing acute pain relief and early mobilization in appropriate patients. However, it needs to have more extensive prospective clinical study to confirm its definitive role in the management of this condition.
|
|
|
KEYWORD
|
|
|
Osteoporosis, Vertebroplasty, Polymethylmetacrylate(PMMA), Compression fracture, Pain
|
|
|
FullTexts / Linksout information
|
|
|
|
|
|
Listed journal information
|
|
|
|