(221) Percutaneous Vertebroplasty: Minimally Invasive Procedure for Vertebral Fracture

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Objective: Vertebral fracture is a common health problem. Percutaneous Vertebroplasty (PVP) is a minimally invasive procedure done to provide pain relief and stabilization. This study examined the results of a case series of persons with vertebral fractures. Method: Eighteen cases (16 women, 2 men; 53–89 year old: mean age 74.68 years) with mid and low back pain were evaluated and vertebral fractures were confirmed with MR Imaging. Seventeen patients had osteoporotic and one patient had metastatic fracture. PVPs using polymethylmethacrylate were performed under fluoroscopic guidance by transpedicular approach between April 1999 to October 2000 at an outpatient surgery center. A semi-structured evaluation of response to PVP was conducted immediately, at 3 days and after 3 weeks. Results: PVP were done for 27 vertebral levels (17 Thoracic and 10 Lumber). Prior to procedure pain levels on numeric scale (0–10) ranged from 5 to 10 with a mean of 9.15. On short term follow up at 3rd post-procedure day, four patients has less then 50% pain relief while 14 patients reported 50% to 100% relief with mean of 78%. On long term follow up 15 patients reported 50% to 100% pain relief with mean of 72.66%. No complications were reported during intra as well as post-operative period. Conclusion: PVP is a minimally invasive procedure for the treatment of vertebral fracture with promising results. It provides significant pain relief with the potential for improving functional outcome.

Ce résumé expose les affirmations des auteurs. BNTIC ne l’interprète pas comme une validation indépendante des résultats.