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[Percutaneous vertebral surgery. Technics and indications]

J Chiras1, C Depriester, A Weill

  • 1Service de Neuroradiologie Charcot, Hôpital de La Salpêtrière, Paris.

Journal of Neuroradiology = Journal De Neuroradiologie
|June 1, 1997
PubMed
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Percutaneous vertebroplasty strengthens vertebral bodies with acrylic cement to reduce pain from conditions like osteoporosis and tumors. While generally safe, complications can occur, varying by disease severity.

Area of Science:

  • Interventional Radiology
  • Orthopedic Surgery
  • Neurosurgery

Background:

  • Percutaneous vertebroplasty is an interventional radiology technique for reinforcing pathological vertebral bodies with acrylic cement.
  • This procedure aims to alleviate pain and stabilize the spine in patients with conditions such as vertebral metastases, spine angiomas, and osteoporosis.

Purpose of the Study:

  • To detail the indications, techniques, and complication profiles of percutaneous vertebroplasty.
  • To evaluate the efficacy and safety of vertebroplasty across different spinal pathologies.

Main Methods:

  • The study reviews the procedural aspects of percutaneous vertebroplasty, including anesthetic choices (neuroleptanalgesia) and surgical approaches (anterolateral for cervical, transpedicular or posterolateral for thoracic/lumbar vertebrae).

Related Experiment Videos

  • It examines technical incidents such as venous cement filling and extravasation, and analyzes local complications including neurological deficits and radicular pain.

    • Main Results:

    • Common technical incidents include venous cement filling and extravasation, though pulmonary embolism is not reported.
    • Local complications like neurological deficit or infection are rare (<0.5%), with radicular pain occurring in 3.7% of cases.
    • Complication rates vary by indication: 1.3% for osteoporosis, 2.5% for spine angiomas, and 10% for metastatic disease.

    Conclusions:

    • Percutaneous vertebroplasty is an effective treatment for pain and instability in vertebral lesions, particularly osteoporosis, spine angiomas, and metastases.
    • The procedure offers pain relief and vertebral consolidation, serving as a valuable adjunct or alternative to other treatments, especially in high-risk patients.