Vertebroplasty and epiduroscopy as seen by interventional radiologist

Area of Science:

• Minimally-invasive spinal interventions
• Interventional pain management

Background:

• Osteoporotic vertebral fractures and spinal metastases require effective treatments.
• Failed back surgery syndrome (FBSS) presents a significant clinical challenge.
• Minimally-invasive techniques offer alternatives to traditional surgical approaches.

Purpose of the Study:

• To introduce and review two minimally-invasive spinal techniques: vertebroplasty and epiduroscopy.
• To discuss the indications, methods, and outcomes for each procedure.
• To highlight the potential benefits for specific patient populations.

Main Methods:

• Vertebroplasty: performed under fluoroscopic/CT guidance with analgesic sedation.
• Epiduroscopy: a novel endoscopic technique for spinal interventions.

Main Results:

• Vertebroplasty achieves successful pain relief in approximately 90% of indicated cases.
• Epiduroscopy demonstrates positive effects in one-third to one-half of indicated FBSS patients.

Conclusions:

• Vertebroplasty is a highly effective treatment for osteoporotic vertebral fractures and palliative care.
• Epiduroscopy presents a promising option for managing complex FBSS cases.
• Both techniques represent valuable advancements in minimally-invasive spinal care.