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Related Experiment Videos

Percutaneous Vertebroplasty.

H. Deramond1, C. Depriester, P. Toussaint

  • 1Department of Radiology and Neurosurgery, University Hospital, Amiens, France.

Seminars in Musculoskeletal Radiology
|January 1, 1997
PubMed
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Percutaneous vertebroplasty (PVP) using polymethylmethacrylate (PMMA) cement offers pain relief for spinal conditions. This minimally invasive procedure is indicated for vertebral angiomas, osteoporotic fractures, and tumors, with generally low complication rates.

Area of Science:

  • Orthopedics
  • Neurosurgery
  • Radiology

Background:

  • Percutaneous vertebroplasty (PVP) involves injecting polymethylmethacrylate (PMMA) into weakened vertebral bodies.
  • The procedure aims to provide pain relief and stabilize destructive spinal lesions.

Purpose of the Study:

  • To outline the indications and outcomes of PVP with PMMA for specific spinal pathologies.
  • To detail the management of complications associated with PVP.

Main Methods:

  • Review of indications for PVP in vertebral angiomas, osteoporotic vertebral crush syndromes, and malignant vertebral tumors.
  • Analysis of complication rates and their management, particularly in patients with vertebral metastases.

Main Results:

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  • PVP is indicated for aggressive vertebral angiomas, osteoporotic vertebral crush syndromes resistant to medical treatment, and severe pain from malignant vertebral tumors.
  • Complications are more frequent in patients with vertebral metastases but usually resolve with medical treatment. Radiculalgias occur in less than 1% of patients with osteoporotic vertebral crush syndromes or vertebral angiomas.

    • Conclusions:

    • PVP with PMMA is an effective treatment for specific spinal conditions, offering significant pain relief.
    • The procedure has a favorable safety profile, with manageable complications, especially in non-metastatic cases.