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Updated: Jun 17, 2026

Nine-Grid Area Division Method: A New Ideal Bone Puncture Region for Percutaneous Vertebroplasty in Lumbar Spine

Nine-Grid Area Division Method: A New Ideal Bone Puncture Region for Percutaneous Vertebroplasty in Lumbar Spine

Published on: August 9, 2024

Percutaneous vertebroplasty and procedural pain.

A Venmans¹, C A Klazen, P N Lohle

¹Department of Radiology, St. Elisabeth Ziekenhuis, Tilburg, the Netherlands. alexandervenmans@hotmail.com

AJNR. American Journal of Neuroradiology

|January 8, 2010

Summary

Local infiltration anesthesia was insufficient for pain relief in many patients undergoing percutaneous vertebroplasty (PV). Surgeons often underestimated patient pain levels during the procedure.

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Three-Dimensional Printing Guide Template Assisted Percutaneous Vertebroplasty (PVP)

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Published on: October 17, 2019

Area of Science:

Pain Management
Anesthesiology
Orthopedic Surgery

Background:

Percutaneous vertebroplasty (PV) pain management lacks consensus.
Evaluating local infiltration anesthesia as sole pain relief is crucial.

Purpose of the Study:

To assess the efficacy of local infiltration anesthesia for pain control during PV.
To compare patient-reported pain with surgeon's pain estimations.

Main Methods:

44 patients with symptomatic OVCFs received lidocaine infiltration.
Pain was assessed using a Visual Analog Scale (VAS) post-procedure.
Patients identified the most painful procedural moment; surgeons estimated VAS scores.

Main Results:

Mean VAS score was 5.7; 39% found lidocaine insufficient.
Needle placement was the most painful moment for 66% of patients.
Surgeons underestimated patient pain (mean expected VAS 3.3 vs. actual mean 5.7).

Conclusions:

Local infiltration anesthesia alone is insufficient for substantial pain reduction in many PV patients.
Surgeons frequently misjudge the severity of patient pain during PV.