Ces radiol. 2007, 61(2):180-183

Percutaneous vertebroplasty in treatment of acute fractures of thoracic and lumbar spineOriginal article

Pavel Ryška, Václav Málek, Ludovít Klzo, Kurt Kaltofen, Tomáš Česák, Antonín Michl, Ondřej Renc, Jaroslav Adamkov
Radiologická a NCH klinika LF UK a FN, Hradec Králové

Aim: The aim of the study is to evaluate the therapeutic role of vertebroplasty in patients with acute vertebral compression fractures.

Method: From January 2004 to April 2006, twenty vertebroplasties were performed at our institution in patients with acute thoracolumbal spinal trauma. All patients presented with stable compressive fractures type A1.1 and A1.2 according to Magerle classification. The average age of the fracture was 4.5 days (range 2-7 days from the date of trauma). The average age of patients was 67.5 years (57-82 years); in males 73 years (range 62-82 years), in females 65.3 years (range 57-72 years). The procedure was performed under fluoroscopic control in an interventional suite. Immediately after the procedure (4-24 hours) patients were mobilized; therefore, transient corsetotherapy was used during next 2-4 weeks. Pain using visual analog scale (VAS) score (1-10), complications, and hospitalization period were recorded. Patients were controlled 3 days, 3 months, and 6 months after vertebroplasty.

Results: Local asymptomatic complications were found in 20 % of cases. No symptomatic or systemic complication was encountered. In vertebroplasty treated group, the average VAS was 8.6 before procedure, 3.2 at three months, and 2.5 at six months after procedure. The average hospitalization period was 7.25 days.

Conclusion: The number of percutaneous procedures increases in the group of non-osteoporotic vertebral fractures. Analgesic and stabilization effect enables faster patient's mobilization, shortening of both hospitalization and time needed to utilize ortotic devices.

Keywords: acute vertebral fracture, pain treatment, PMMA cement, vertebroplasty

Accepted: April 15, 2007; Published: June 1, 2007  Show citation

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Ryška P, Málek V, Klzo L, Kaltofen K, Česák T, Michl A, et al.. Percutaneous vertebroplasty in treatment of acute fractures of thoracic and lumbar spine. Ces radiol. 2007;61(2):180-183.
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    References

    1. Galibert P, Deramond H, Rosat P. Preliminary note on the treatment of vertebral angioma by percutaneous acrylic vertebroplasty. Neurochirurgie 1987; 33: 166-168.
    2. Armsen N, Boszczyk B. Vertebro - kyphoplasty, history, development, results. European Journal of Trauma 2005; 5: 433-441. Go to original source...
    3. Janík V, Daniel J, Pádr R. Perkutánní vertebroplastika s využitím 3D rotační seriografie. Čes Radiol 2005; 59: 171-177.
    4. Ryška P, Málek V, Klzo L, et al. Perkutánní vertebroplastiky. Čas Lék čes 2005; 144: 620-623.
    5. Cyteval C, Sarrabere MP, Roux JO, et al. Acute osteoporotic vertebral collapse: open study on percutaneous injection of acrylic surgical cement in 20 patients. AJR Am J Roentgenol 1999; 173: 1685-1690. Go to original source... Go to PubMed...
    6. Diamond TH, Clark WA. Percutaneous vertebroplasty: a novel treatment for acute vertebral fractures. Med J Aust 2001; 174: 398-400. Go to original source... Go to PubMed...
    7. Diamond TH, Champion B, Clark WA. Management of acute osteoporotic vertebral fractures: a nonrandomized trial comparing percutaneous vertebroplasty with conservative therapy. Am J Med 2003; 114: 257-265. Go to original source... Go to PubMed...
    8. Yu SW, Lee PC, Ma CH, et al. Vertebroplasty for the treatment of osteoporotic compression spinal fracture: comparison of remedial action at different stages of injury. J Trauma 2004; 56: 629-632. Go to original source... Go to PubMed...
    9. Hauck S, Beisse R, Bühren V. Vertebroplasty and kyphoplasty in spinal trauma. European Journal of Trauma 2005; 5: 453-463. Go to original source...
    10. Huet H, Cabal P, Gadan R, et al. Burstfractures and cementoplasty. J Neuroradiol 2005; 32: 33-41. Go to original source... Go to PubMed...
    11. Ryška P, Málek V, Klzo L., et al. Předběžné zkušenosti s perkutánními vertebroplastikami u osteoporotických fraktur. Čes a slov Neurol Neurochir 2006; 1: 52-56.
    12. Yu SW, Lee PC, Ma CH, et al. Vertebroplasty for the treatment of osteoporotic compression spinal fracture: comparison of remedial action at different stages of injury. J Trauma 2004; 56: 629-632. Go to original source... Go to PubMed...
    13. Watts NB, Harris ST, Genant HK. Treatment of painful osteoporotic vertebral fractures with percutaneous vertebroplasty or kyphoplasty. Osteoporos Int 2001; 12: 429-437. Go to original source... Go to PubMed...
    14. Amar AP, Larsen DW, Esnaashari N, et al. Percutaneous transpedicular polymethylmethacrylate vertebroplasty for the treatment of spinal compression fractures. Neurosurgery 2001; 49: 1105-1114. Go to original source...
    15. Wendsche P, Kočiš J, Višňa P. Diferencovaný postup při stabilizaci zlomenin hrudní a bederní páteře. Acta spondylologica 2002; 1: 54-68.

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