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[Percutaneous vertebroplasty (pv): indications, contraindications, and technique]
R T Hoffmann1, T F Jakobs, A Wallnöfer
1Institut für Klinische Radiologie, Klinikum der Universität München-Grosshadern, Munich. ralf-thorsten.hoffmann@ikra.med.uni-muenchen.de
Der Radiologe
|October 1, 2003
Summary
Percutaneous vertebroplasty (PV) offers prompt pain relief and rapid rehabilitation for vertebral compression fractures. This minimally invasive procedure is safe and effective when performed by experienced practitioners.
Area of Science:
- Interventional Radiology
- Orthopedic Surgery
- Neurosurgery
Background:
- Percutaneous vertebroplasty (PV) is an increasingly common interventional procedure worldwide.
- It addresses pain and mechanical instability in partially collapsed vertebral bodies.
Purpose of the Study:
- To outline the indications, patient preparation, and technical aspects of PV.
- To discuss potential complications associated with the procedure.
Main Methods:
- PV involves injecting bone cement into a vertebral body under imaging guidance.
- The technique aims to alleviate pain and stabilize weakened spinal segments.
Main Results:
- PV provides significant analgesic effects for spinal compression fractures from osteoporosis, myeloma, metastases, and hemangiomas.
- It also fortifies weakened vertebral segments, improving mechanical stability.
- Contraindications include bleeding disorders, radicular pain, and myelon compression.
Conclusions:
- PV leads to rapid pain relief and rehabilitation.
- When performed by experienced hands with correct technique, PV is a safe and effective treatment for osteoporotic and malignant vertebral compression fractures.