Percutaneous polymethylmethacrylate vertebroplasty in the treatment of osteoporotic vertebral body compression fractures: Technical aspects

Mary E. Jensen, Avery J. Evans, John M. Mathis, David F. Kallmes, Harry J. Cloft, Jacques E. Dion

Research output: Contribution to journalArticlepeer-review

911 Scopus citations

Abstract

PURPOSE: To describe a technique for percutaneous vertebroplasty of osteoporotic vertebral body compression fractures and to report early results of its use. METHODS: The technique was used over a 3-year period in 29 patients with 47 painful vertebral fractures. The technique involves percutaneous puncture of the involved vertebra(e) via a transpedicular approach followed by injection of polymethylmethacrylate (PMMA) into the vertebral body. RESULTS: The procedure was technically successful in all patients, with an average injection amount of 7.1 mL PMMA per vertebral body. Two patients sustained single, nondisplaced rib fractures during the procedure; otherwise, no clinically significant complications were noted. Twenty-six patients (90%) reported significant pain relief immediately after treatment. CONCLUSION: Vertebroplasty is a valuable tool in the treatment of painful osteoporotic vertebral fractures, providing acute pain relief and early mobilization in appropriate patients.

Original languageEnglish (US)
Pages (from-to)1897-1904
Number of pages8
JournalAmerican Journal of Neuroradiology
Volume18
Issue number10
StatePublished - Nov 1 1997

Keywords

  • Interventional materials
  • Spine, fractures

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Clinical Neurology

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