J Korean Radiol Soc.  2003 May;48(5):433-439. 10.3348/jkrs.2003.48.5.433.

Percutaneous Vertebroplasty for the Treatment of Osteoporotic Vertebral Compression Fractures

• Park JY
• Kim SC
• Lee JY
• Cha SH

• KMID: 1833683
• DOI: http://doi.org/10.3348/jkrs.2003.48.5.433

Abstract

PURPOSE: To assess the usefulness of percutaneous vertebroplasty for the treatment of painful osteoporotic vertebral compression fractures.
MATERIALS AND METHODS
Eighty five patients [70 women and 15 men aged 51-88 (mean, 70) years with 148 vertebral compression fractures underwent percutaneous vertebroplasty. The causes of fracture were slip, lifting, fall, traffic accident, walking, and other unknown causes; the duration of pain varied from three days to two years. All patients underwent MRI or CT to assess the recent condition of the fracture, and vertebroplasty was performed under DSA fluoroscopic guidance. Routine clinical follow-up examination involved visual analogue pain-scale testing one and two days after vertebroplasty; the results obtained were compared with those of preoperative assessment. The outcome of vertebroplasty was assessed in terms of its efficacy and resulting complications, if any.
RESULTS
The procedures were technically successful in all patients. In 73, back pain was relieved within 24 hours; in nine, within 48 hours and in one, within seven days. In two patients, pain relief was insignificant, and one of these died.
CONCLUSION
Percutaneous vertebroplasty was a useful procedure for treating painful osteoporotic compression fractures.

Keyword

Spine, interventional procedures; Spine, fractures; Osteoporosis

MeSH Terms

Accidents, Traffic
Back Pain
Female
Follow-Up Studies
Fractures, Compression*
Humans
Lifting
Magnetic Resonance Imaging
Male
Osteoporosis
Vertebroplasty*
Walking