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Semin Musculoskelet Radiol 2002; 06(3): 263-268
DOI: 10.1055/s-2002-36724
Copyright © 2002 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001, USA. Tel.: +1(212) 584-4662

Vertebroplasty in Osteoporosis

Hervé Deramond1 , John M. Mathis2
  • Service de Radiologie A, Centre Hospitalier Universitaire d'Amiens, Amiens, France
  • 2Department of Radiology, Lewis-Gale Medical Center, Salem, Virginia
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Publication History

Publication Date:
23 January 2003 (online)

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ABSTRACT

Percutaneous vertebroplasty (PV) is a safe and effective treatment for relieving pain in patients complaining of severe back pain induced by osteoporotic compression fractures. The success rate exceeds 90% and the complication rate is lower than 1%. Most of the complications are transient and should be avoided using good technique. The classic indication for PV is severe, persistent, and incapacitating focal back pain not responding to standard medical therapy and related to one or more collapsed vertebral bodies of 4 to 12 weeks duration. PV should be used earlier in patients at risk of immobilization complications and requiring narcotics. PV should be always considered as a good alternative treatment compared with medical therapy in patients with pain and osteoporotic compression fractures.

KEYWORD

Spine - osteoporosis - interventional radiology - vertebroplasty

REFERENCES

  • 1 Silverman S L. The clinical consequences of vertebral compression fracture.  Bone . 1992;  13(Suppl) S27-S31
    CrossrefPubMedGoogle Scholar
  • 2 Melton III J L. Epidemiology of spinal osteoporosis.  Spine . 1997;  22(Suppl) S2-S11
    CrossrefPubMedGoogle Scholar
  • 3 Cooper C, Atkinson E J, Jacobsen S T, O'Fallon W M, Melton III J L. Population-based study of survival after osteoporotic fractures.  Am J Epidemiol . 1993;  137 1001-1005
    CrossrefPubMedGoogle Scholar
  • 4 Rapado A. General management of vertebral fractures.  Bone . 1996;  18(Suppl) 191S-196S
    CrossrefPubMedGoogle Scholar
  • 5 Galibert P, Deramond H, Rosat P, Le Gars D. Preliminary note on the treatment of vertebral angioma by percutaneous acrylic vertebroplasty.  Neurochirurgie . 1987;  33 166-168
    PubMedGoogle Scholar
  • 6 Lapras C, Mottolese C, Deruty R. Percutaneous injection of methyl metacrylate in the treatment of severe vertebral osteoporosis and osteolysis.  Ann Chir . 1989;  43 371-376
    PubMedGoogle Scholar
  • 7 Debussche-Depriester, Deramond H, Fardellone P. Percutaneous vertebroplasty with acrylic cement in the treatment of osteoporotic vertebral crush fracture syndrome.  Neuroradiology . 1991;  33(Suppl) 149-152
    CrossrefPubMedGoogle Scholar
  • 8 Jensen M E, Evans A J, Mathis J M. Percutaneous polymethylmethacrylate vertebroplasty in the treatment of osteoporotic vertebral body compression fractures: technical aspects.  AJNR Am J Neuroradiol . 1997;  18 897-1904
    PubMedGoogle Scholar
  • 9 Mathis J M, Barr J D, Belkoff S M. Percutaneous vertebroplasty: a developing standard of care for vertebral compression fractures.  AJNR Am J Neuroradiol . 2001;  22 373-381
    PubMedGoogle Scholar
  • 10 Stallmeyer M JB, Zoarski G H. Patient evaluation and selection. In: Mathis JM, Deramond H, Belkoff SM, eds. Percutaneous 2002 41-: 60
    Google Scholar
  • 11 Kaufmann T J, Jensen M E, Schweickert P A, Marx W F, Kallmes D F. Age of fracture and clinical outcomes of percutaneous vertebroplasty.  AJNR Am J Neuroradiol . 2001;  22 1860-1863
    PubMedGoogle Scholar
  • 12 Do H M. Magnetic resonance imaging in the evaluation of patients for percutaneous vertebroplasty.  Top Magn Reson Imaging . 2000;  11 235-244
    CrossrefPubMedGoogle Scholar
  • 13 Maynard A S, Jensen M E, Schweickert P A. Value of bone scan imaging in predicting pain relief from percutaneous vertebroplasty in osteoporotic vertebral fractures.  AJNR Am J Neuroradiol . 2000;  21 1807-1812
    PubMedGoogle Scholar
  • 14 Mathis J M, Petri M, Naff N. Percutaneous vertebroplasty treatment of steroid-induced osteoporotic compression fractures.  Arthritis Rheum . 1998;  41 171-175
    CrossrefPubMedGoogle Scholar
  • 15 Deramond H, Depriester C, Toussaint P, Galibert P. Percutaneous vertebroplasty.  Semin Muskuloskelet Radiol . 1997;  1 285-295
    Article in Thieme ConnectPubMedGoogle Scholar
  • 16 Deramond H, Depriester C L, Galibert P, Le Gars D. Percutaneous vertebroplasty with polymethylmethacrylate. Technique, indications and results.  Radiol Clin North Am . 1998;  36 533-546
    CrossrefPubMedGoogle Scholar
  • 17 Chiras J, Depriester C, Weill A, Sola-Martinez M Y, Deramond H. Percutaneous vertebroplasty: technique and indications.  J Neuroradiol . 1997;  24 45-59
    PubMedGoogle Scholar
  • 18 Mathis J M. Procedural techniques and materials: tumors and osteoporotic fractures. In: Mathis JM, Deramond H, Belkoff SM, eds. Percutaneous Vertebroplasty New York: Springer-Verlag 2002: 81-107
    Google Scholar
  • 19 Vasconcelos C, Gailloud P, Beauchamp N J, Heck D V, Murphy K J. Is percutaneous vertebroplasty without pretreatment venography safe?.  <~>Evaluation of 205 consecutives procedures. AJNR Am J Neuroradiol . 2002;  23 913-917
    PubMedGoogle Scholar
  • 20 Kim A K, Jensen M E, Dion J E. Unilateral transpedicular percutaneous vertebroplasty: initial experience.  Radiology . 2002;  222 737-741
    CrossrefPubMedGoogle Scholar
  • 21 Orlando Ortiz  A, Deramond H.. Spine anatomy. In: Mathis JM, Deramond H, Belkoff SM, eds. Percutaneous Vertebroplasty. New York: Springer-Verlag 2002: 7-23
    Google Scholar
  • 22 Cortet B, Cotten A, Boutry N. Percutaneous vertebroplasty in the treatment of osteoporotic vertebral compression fractures: an open prospective study.  J Rheumatol . 1999;  26 2222-2228
    Google Scholar
  • 23 Grados F, Depriester C, Cayrolle G. Long-term observations of vertebral osteoporotic fractures treated by percutaneous vertebroplasty.  Rheumatology . 2000;  39 1410-1414
    CrossrefPubMedGoogle Scholar
  • 24 Heini P F, Walchli B, Berlemann U. Percutaneous vertebroplasty with PMMA: operative technique and early results. A prospective study for the treatment of osteoporotic compression fractures.  Eur Spine J . 2000;  9 445-450
    CrossrefPubMedGoogle Scholar
  • 25 Dudeney S, Lieberman I. Percutaneous vertebroplasty in the treatment of osteoporotic vertebral compression fractures: an open prospective study.  J Rheumatol . 2000;  27 2526
    PubMedGoogle Scholar
  • 26 Zoarski G H, Snow P, Olan W J. Percutaneous vertebroplasty for osteoporotic compression fractures: quantitative prospective evaluation of long term outcomes.  J Vasc Interv Radiol . 2002;  13 139-48
    CrossrefPubMedGoogle Scholar
  • 27 Deramond H, Dion J E, Chiras J. Complications. In: Mathis JM, Deramond H, Belkoff SM, eds. Percutaneous Vertebroplasty New York: Springer-Verlag 2002: 165-173
    Google Scholar
  • 28 Cyteval C, Sarrabere M P, Roux J O. Acute osteoporotic vertebral collapse: open study on percutaneous injection of acrylic surgical cement in 20 patients.  AJR Am J Roentgenol . 1999;  173 1685-1690
    CrossrefPubMedGoogle Scholar
  • 29 Padovani B, Kasriel O, Brunner P, Peretti-Viton P. Pulmonary embolism caused by acrylic cement: a rare complication of percutaneous vertebroplasty.  AJNR Am J Neuroradiol . 1999;  20 375-377
    PubMedGoogle Scholar
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