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Treatment considerations for vertebroplasty in men
Alan Hammond1, Lee H Riley, Philippe Gailloud
1Division of Interventional Neuroradiology, The Johns Hopkins Medical Institutions, Baltimore, MD, USA.
AJNR. American Journal of Neuroradiology
|April 20, 2004
Summary
Vertebroplasty in men may reveal unexpected cancers. Routine vertebral biopsy during the procedure is recommended for men without clear osteoporosis causes to detect potential neoplasms.
Area of Science:
- Orthopedic Surgery
- Radiology
- Oncology
Background:
- Vertebroplasty is a common image-guided treatment for compression fractures.
- This study focuses on management considerations specific to the male population undergoing vertebroplasty.
Purpose of the Study:
- To identify distinct management considerations for men undergoing vertebroplasty.
- To evaluate the incidence of underlying conditions in men presenting with vertebral compression fractures.
Main Methods:
- Retrospective review of hospital medical records and radiographic studies.
- Analysis of 24 male patients treated with vertebroplasty between February 1999 and November 2000.
Main Results:
- Five patients had idiopathic or secondary osteoporosis; two were diagnosed with malignancies via biopsy.
- Thirteen patients (54%) had secondary osteoporosis, including steroid dependence (10) and hypogonadism (3).
- Five patients (21%) had fractures due to trauma, and one presented with known metastases.
Conclusions:
- Primary osteoporosis is uncommon in men.
- Vertebral biopsy during vertebroplasty is crucial for men lacking a clear cause for osteoporosis, metastatic disease, or trauma history, to detect unexpected neoplasms.