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Vertebroplasty by Y. Albeer, MD

Vertebroplasty benefits
Rapid & Significant pain relief
Lower risk to patients
Less post operative recovery time & fewer complications
Local anesthesia
Outpatient based procedure

Facts about vertebral compression fractures
Approx. 700,000 vertebral compression fracture occure in the US each year
Usually in women over the age of 60 years

Direct medical cost $13.5 billion in 1995


1/3 of compression fractures develop significant pain that responds incompletely to conservative therapy

Compression fracture of T8 vertebral body, the verebroplasty needles in place.

 

Causes of compression fractures
Osteoporosis, most common cause
Metastatic disease, Multiple Myeloma
Hemangioma, Osteonecrosis, less frequant causes

Treatment options for vertebral compression fractures
Conservative includes bed rest, analgesics (pain medications), braces
Surgical option, usually for malignant disease
Vertebroplasty

Vertebroplasty procedure
Radiologically guided minimally invasive procedure
Consist of injecting surgical bone cement in the fractured vertebra under X-ray control 

Vertebroplasty Objectives
Provide instant pain relieve
Prevent further vertebral body collapse

Vertebroplasty results
80-90% of osteoporotic fractures get dramatic/complete pain relief 
70% of neoplastic fractures get marked/complete pain relief

References;

 Deramond, Percutaneous Vertebroplasty With Polymethylmethacrylate: Technique, Indications, and Results, Musculoskeletal Radiology, 5/98

F. Grados, C. Depriester, G. Cayrolle, N. Hardy, H. Dermond and P.Fardellone Long-term Observations Of Vertebral Osteoporotic Fractures Treated By Percutaneous Vertebroplasty.Rheumatology 2000; 39: 1410-1414


Vertebroplasty
A New, Interventional Radiology Treatment For the
Pain of Spinal Fractures Caused by Osteoporosis

Approximately 700,000 vertebral, or spinal bone, fractures occur each year — usually in women over the age of 60. Researchers estimate that at least 25 percent of women and a somewhat smaller percentage of men over the age of 50 will suffer one or more spinal fractures. Younger people also suffer these fractures, particularly those whose bones have become fragile due to the long-term use of steroids or other drugs to treat a variety of diseases such as lupus, asthma and rheumatoid arthritis. Of particular concern are spinal fractures caused by a progressive weakening of the bone -- a condition called osteoporosis. The pain and loss of movement that often accompany bone fractures of the spine are perhaps the most feared and debilitating side effects of osteoporosis. For many people with osteoporosis, a spinal fracture means severely limited activity, constant pain and a serious reduction in the quality of their lives.

Fractures of the vertebrae have traditionally been much more difficult to manage than broken bones in the hip, wrist or elsewhere. These broken bones can often be successfully treated with surgery. But because surgery on the spine is extremely difficult and risky, it has typically not been used to treat vertebral fractures associated with osteoporosis except as a last resort. Until recently, reduced activity and pain medications, many of which cause problematic side effects, or invasive (and often unsuccessful) back surgery were virtually the only treatments available. Today, however, there is a safe, non-surgical interventional radiology treatment called vertebroplasty (ver-TEE-bro-plasty) that has been shown to be extremely effective in reducing or eliminating the pain caused by spinal fractures.

The following information was prepared by the Society of Cardiovascular & Interventional Radiology (SIR) to provide general information about vertebroplasty, how it is performed, and which patients may benefit from the procedure. The site also contains general information about osteoporosis, and information about new research on the horizon that may improve treatment.

This article was reprinted from The Society of Interventional Radiology www.sirweb.org


 Visit this web site for more information about vertebroplasty http://vertebroplasty.com/




Last updated April 5, 2004

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Web-master e mail albeery@trinity-health.org




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