CT-guided percutaneous vertebroplasty: personal experience in the treatment of osteoporotic fractures and dorsolumbar metastases

Autor: E. Aitini, L. Ventura, L. Renzi Brivio, G. Barai, U. Rozzanigo, R. Caudana
Rok vydání: 2006
Předmět:
Adult
Male
medicine.medical_specialty
Radiography
medicine.medical_treatment
Osteolysis
Radiography
Interventional
Percutaneous vertebroplasty
Postoperative Complications
Fractures
Compression
medicine
Image Processing
Computer-Assisted
Fluoroscopy
Humans
Radiology
Nuclear Medicine and imaging
Range of Motion
Articular
Neuroradiology
Aged
Pain Measurement
Retrospective Studies
Aged
80 and over
Analgesics
Vertebroplasty
Lumbar Vertebrae
Spinal Neoplasms
medicine.diagnostic_test
business.industry
Vertebral compression fracture
technology
industry
and agriculture
Bone Cements
Interventional radiology
General Medicine
Middle Aged
medicine.disease
Pulmonary embolism
Treatment Outcome
Pneumothorax
Osteoporosis
Spinal Fractures
Female
Radiology
business
Pulmonary Embolism
Tomography
X-Ray Computed
Follow-Up Studies
Zdroj: La Radiologia medica. 113(1)
ISSN: 0033-8362
Popis: This study was performed to evaluate the results and complications of percutaneous vertebroplasty (PVP) performed under CT guidance. We treated 106 patients (182 PVP): 67 for osteoporotic vertebral compression fracture, and 39 for osteolytic metastases. The first 78 patients were treated using computed tomography (CT) combined with conventional fluoroscopy as an imaging guide (135 PVP). In 28 patients, the procedure was performed with multislice CT fluoroscopy (47 PVP). Partial or complete pain relief was obtained in 98% of patients within 24 h from the treatment; significant results were also obtained with regard to improvement in functional mobility and reduction of analgesic use. CT allowed the detection of cement leakage in 43.9%. Severe complications were one case of pneumothorax and two cases of symptomatic cement leakage. Mild complications included two cases of cement pulmonary embolism. During the follow-up, eight osteoporotic patients presented a new vertebral fracture, and new vertebral metastases appeared in two oncological patients. Our personal experience confirms the efficacy of PVP treatment for both osteoporotic and oncological patients. The use of CT guidance reduces the risk of complications in comparison with conventional fluoroscopy alone, as well as facilitates the detection of small cement leakages.
Databáze: OpenAIRE
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