Initial experience of percutaneous vertebroplasty using single-plane C-arm fluoroscopy for guidance.
| Autor: | Koyama M; Department of Radiology, St. Marianna University School of Medicine, Kawasaki, Kanagawa, Japan., Takizawa K, Kobayashi K, Sasaka K, Hoshikawa Y, Nakaji S, Okamoto K, Kanai N, Okamoto E, Nakajima Y, Sasao Y |
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| Jazyk: | angličtina |
| Zdroj: | Radiation medicine [Radiat Med] 2005 Jun; Vol. 23 (4), pp. 256-60. |
| Abstrakt: | Purpose: The purpose of this study was to evaluate the feasibility and safety of percutaneous vertebroplasty (PVP) using single-plane C-arm fluoroscopy. Materials and Methods: Lesions in the present study all comprised compression fractures with intact pedicles. A polymethylmethacrylate (PMMA) mixture was injected by the transpedicular approach under C-arm fluoroscopy using a lateral projection. Before and after PVP, the pain score was determined using visual analog scale methods. Results: Between June 2002 and May 2004, we performed 31 PVPs in 17 patients during 22 treatment sessions. Underlying pathology comprised neoplasm-related compression fracture (n=9) and fractures attributed to osteoporosis (n=8). Mean pain score was 8.0 (range, 4.5-10) immediately before PVP, and 1.9 (range, 0-7) at 24 h after PVP. Mean time needed to perform PVP was 59 min. Mean time to approach a pedicle was 36 min (range, 20 min for 1 pedicle to 110 min for 3 pedicles). No complications requiring surgical intervention or exacerbating conditions beyond pre-treatment levels were noted. Conclusion: PVP using single-plane C-arm fluoroscopy for guidance is feasible, safe, and quick. |
| Databáze: | MEDLINE |
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