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Interventional techniques in managing persistent pain after vertebral augmentation procedures: a retrospective

Bassem A Georgy¹

¹Interventional Neuroradiology and Pain Management, Valley Radiology Consultants, University of California, San Diego, CA 92130, USA. bgeorgy@earthlink.net

|September 19, 2007

Summary

A small percentage of patients experience persistent pain after vertebral or sacral augmentation. These patients may require subsequent spinal injections, such as epidural steroid injections, for pain management.

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Area of Science:

Interventional Radiology
Pain Management
Spinal Procedures

Background:

Persistent pain affects at least 10% of patients post-vertebral or sacral augmentation.
Understanding the incidence of post-procedure pain is crucial for patient outcomes.

Purpose of the Study:

To evaluate the incidence and types of spinal injections needed for residual pain after vertebroplasty, kyphoplasty, and sacroplasty.
To analyze spinal injection prevalence in patients with benign and malignant compression fractures.

Main Methods:

Retrospective case review of cement augmentation procedures.
Analysis of spinal injections administered within one year post-procedure in an outpatient interventional radiology setting.

Main Results:

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Out of 144 patients undergoing cement augmentation, 34 (23.6%) required spinal injections for residual pain within a year.
Epidural steroid injections were most common (24 patients), followed by intercostal nerve blocks (6 patients).

Conclusions:

A small proportion of patients undergoing percutaneous cement augmentation may require additional spinal injections.
These injections are used to manage residual or persistent pain following vertebral or sacral augmentation procedures.