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Nine-Grid Area Division Method: A New Ideal Bone Puncture Region for Percutaneous Vertebroplasty in Lumbar Spine
Published on: August 9, 2024
Percutaneous vertebroplasty: the follow-up
S Barbero1, I Casorzo, M Durando
1Università degli Studi di Torino, Dipartimento Discipline Medico-Chirurgiche, Sezione di Radiodiagnostica, Cattedra di Radiologia, Via Genova 3, 10026 Torino, Italy.
La Radiologia Medica
|March 14, 2008
Summary
Percutaneous vertebroplasty effectively treats vertebral fractures in osteoporotic and neoplastic patients. This safe procedure allows for early complication detection through clinical and imaging follow-up.
Area of Science:
- Interventional Radiology
- Orthopedic Surgery
- Neurosurgery
Background:
- Vertebral fractures pose significant health challenges, particularly in osteoporotic and neoplastic patients.
- Percutaneous vertebroplasty has emerged as a minimally invasive treatment option.
Purpose of the Study:
- To report on the experience of treating vertebral fractures using percutaneous vertebroplasty.
- To propose a clinical and imaging follow-up protocol for identifying early and late complications, including pulmonary embolism of bone cement.
Main Methods:
- 101 patients (64 osteoporotic, 37 neoplastic) underwent treatment of 173 vertebrae.
- Procedures utilized computed tomography and fluoroscopic guidance.
- Pain was assessed using a visual analogue scale, with imaging performed at specified intervals post-procedure.
Main Results:
- Therapeutic success rates were 88% for osteoporotic and 84% for neoplastic fractures.
- Pulmonary cement emboli were detected in four asymptomatic patients.
Conclusions:
- Percutaneous vertebroplasty is a safe and effective treatment for vertebral fractures.
- Comprehensive clinical and imaging follow-up is crucial for monitoring patients and detecting complications early.
