Prospective Evaluation of Pain Relief in 100 Patients Undergoing Percutaneous Vertebroplasty: Results and Follow-up
| Autor: | John A. Lippert, J. Kevin McGraw, Ronald F. Budzik, Thomas M. Davis, Parag M. Rami, Kirk D. Minkus |
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| Rok vydání: | 2002 |
| Předmět: |
Adult
Male Sternal fracture medicine.medical_specialty Percutaneous Visual analogue scale medicine.medical_treatment Lumbar vertebrae Thoracic Vertebrae Percutaneous vertebroplasty Lumbar Back pain medicine Humans Polymethyl Methacrylate Radiology Nuclear Medicine and imaging Prospective Studies Aged Pain Measurement Aged 80 and over Lumbar Vertebrae business.industry Angiography Bone Cements Middle Aged medicine.disease Surgery Treatment Outcome medicine.anatomical_structure Back Pain Anesthesia Thoracic vertebrae Spinal Fractures Female medicine.symptom Cardiology and Cardiovascular Medicine business Follow-Up Studies |
| Zdroj: | Journal of Vascular and Interventional Radiology. 13:883-886 |
| ISSN: | 1051-0443 |
| DOI: | 10.1016/s1051-0443(07)61770-9 |
| Popis: | PURPOSE To determine the efficacy and durability of percutaneous vertebroplasty for the treatment of back pain associated with vertebral body compression fractures. MATERIALS AND METHODS One hundred patients (79 women, 21 men; mean age, 73.7 y) underwent 156 percutaneous injections of polymethylmethacrylate (PMMA) into a vertebra (68 thoracic and 88 lumbar) under fluoroscopic guidance over a 35-month period. Before the procedure and at follow-up, patients were asked to quantify their pain on a visual analog scale (VAS) and complete a follow-up questionnaire of our own design. RESULTS The procedure was technically successful in all patients. There were two complications. One patient sustained a sternal fracture and one experienced a transient radiculopathy. Ninety-seven patients (97%) reported significant pain relief 24 hours after treatment. Mean follow-up duration was 21.5 months (6–44 mo) in 99 patients. Ninety-two patients (93%) reported significant improvement in back pain previously associated with their compression fractures as well as improved ambulatory ability. Before vertebroplasty, the VAS score for the 99 patients was 8.91 ± 1.12 compared to a score of 2.02 ± 1.95 at follow-up. The mean difference in VAS scores was significant ( P CONCLUSION Percutaneous vertebroplasty of symptomatic vertebral body compression fractures is a minimally invasive procedure that provides immediate and sustained pain relief in patients with refractory pain. |
| Databáze: | OpenAIRE |
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