Vertebroplasty in Osteoporosis

Hervé Deramond; John M. Mathis

doi:10.1055/s-2002-36724

Seminars in Musculoskeletal Radiology, Inhaltsverzeichnis

Semin Musculoskelet Radiol 2002; 06(3): 263-268
DOI: 10.1055/s-2002-36724

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

Abstract

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

Volltext

Referenzen

REFERENCES

1 Silverman S L. The clinical consequences of vertebral compression fracture. Bone . 1992; 13(Suppl) S27-S31
2 Melton III J L. Epidemiology of spinal osteoporosis. Spine . 1997; 22(Suppl) S2-S11
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
4 Rapado A. General management of vertebral fractures. Bone . 1996; 18(Suppl) 191S-196S
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
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
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
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
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
10 Stallmeyer M JB, Zoarski G H. Patient evaluation and selection. In: Mathis JM, Deramond H, Belkoff SM, eds. Percutaneous 2002 41-: 60
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
12 Do H M. Magnetic resonance imaging in the evaluation of patients for percutaneous vertebroplasty. Top Magn Reson Imaging . 2000; 11 235-244
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
14 Mathis J M, Petri M, Naff N. Percutaneous vertebroplasty treatment of steroid-induced osteoporotic compression fractures. Arthritis Rheum . 1998; 41 171-175
15 Deramond H, Depriester C, Toussaint P, Galibert P. Percutaneous vertebroplasty. Semin Muskuloskelet Radiol . 1997; 1 285-295
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
17 Chiras J, Depriester C, Weill A, Sola-Martinez M Y, Deramond H. Percutaneous vertebroplasty: technique and indications. J Neuroradiol . 1997; 24 45-59
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
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
20 Kim A K, Jensen M E, Dion J E. Unilateral transpedicular percutaneous vertebroplasty: initial experience. Radiology . 2002; 222 737-741
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
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
23 Grados F, Depriester C, Cayrolle G. Long-term observations of vertebral osteoporotic fractures treated by percutaneous vertebroplasty. Rheumatology . 2000; 39 1410-1414
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
25 Dudeney S, Lieberman I. Percutaneous vertebroplasty in the treatment of osteoporotic vertebral compression fractures: an open prospective study. J Rheumatol . 2000; 27 2526
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
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
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
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