Vertebroplasty in the mid- and upper thoracic spine

David F Kallmes, Patricia A. Schweickert, William F. Marx, Mary E. Jensen

Research output: Contribution to journalArticle

74 Citations (Scopus)

Abstract

BACKGROUND AND PURPOSE: Vertebroplasty performed in the mid-and upper thoracic spine presents technical challenges that differ from those in the lower thoracic and lumbar region. We herein report results of percutaneous vertebroplasty for treatment of painful, osteoporotic compression fractures in the mid- and upper thoracic spine. METHODS: Retrospective chart review identified vertebroplasty treatments performed for painful osteoporotic compression fractures at T4-T8. The following were catalogued: percentage of vertebral body compression, needle size, surgical approach, clinical outcome, volume of cement injected, and complications. RESULTS: Sixty-three vertebral bodies were treated in 41 patients. Mean percentage of compression was 44%. Bipediculate injections were used in 12 (19%) of 63 treatment levels, and unipediculate injections were used in 51 (81%) of treatments (75 injections performed). Eleven-gauge needles were used for 55 (73%) of the 75 injections, and 13-gauge needles were used for 20 (27%). Clinical follow-up was available for 76% of the patients. Mean pre- and postoperative pain intensity was 9.7 ± 1.0 and 1.7 ± 1.9, respectively (P < .0001). Mean pre- and postoperative medication scores were 3.4 ± 0.7 and 1.7 ± 1.7, respectively (P = .075). Fracture involving the pedicle used for needle access was noted in one (1.3%) of 75 injections; this pedicle had been traversed using a 13-gauge needle. Staphylococcus epidermidis infection occurred in one case. No cases of pneumothorax were noted. CONCLUSION: Transpedicular vertebroplasty is readily and safely performed using 11- gauge needles in the mid- and upper thoracic regions, yielding excellent pain relief and low complication rates.

Original languageEnglish (US)
Pages (from-to)1117-1120
Number of pages4
JournalAmerican Journal of Neuroradiology
Volume23
Issue number7
StatePublished - Aug 2002
Externally publishedYes

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Vertebroplasty
Needles
Spine
Thorax
Injections
Compression Fractures
Osteoporotic Fractures
Lumbosacral Region
Staphylococcus epidermidis
Pneumothorax
Therapeutics
Postoperative Pain
Pain
Infection

ASJC Scopus subject areas

  • Clinical Neurology
  • Radiology Nuclear Medicine and imaging
  • Radiological and Ultrasound Technology

Cite this

Kallmes, D. F., Schweickert, P. A., Marx, W. F., & Jensen, M. E. (2002). Vertebroplasty in the mid- and upper thoracic spine. American Journal of Neuroradiology, 23(7), 1117-1120.

Vertebroplasty in the mid- and upper thoracic spine. / Kallmes, David F; Schweickert, Patricia A.; Marx, William F.; Jensen, Mary E.

In: American Journal of Neuroradiology, Vol. 23, No. 7, 08.2002, p. 1117-1120.

Research output: Contribution to journalArticle

Kallmes, DF, Schweickert, PA, Marx, WF & Jensen, ME 2002, 'Vertebroplasty in the mid- and upper thoracic spine', American Journal of Neuroradiology, vol. 23, no. 7, pp. 1117-1120.
Kallmes DF, Schweickert PA, Marx WF, Jensen ME. Vertebroplasty in the mid- and upper thoracic spine. American Journal of Neuroradiology. 2002 Aug;23(7):1117-1120.
Kallmes, David F ; Schweickert, Patricia A. ; Marx, William F. ; Jensen, Mary E. / Vertebroplasty in the mid- and upper thoracic spine. In: American Journal of Neuroradiology. 2002 ; Vol. 23, No. 7. pp. 1117-1120.
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