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  Česky / Czech version Čes. a slov. Neurol. Neurochir., 69/102, 2006, No. 1, p. 52–56.
 
Percutaneous Vertebroplasty in Osteoporotic Fractures: Preliminary Results 
Ryška P.1, Málek V.2, Klzo L.1, Kaltofen K.2, Adamkov J.2, Raupach J.1, Česák T.2, Řehák S.2, Jebavá A.3 

1Radiologická klinika FN Hradec Králové, 2Neurochirurgická klinika FN Hradec Králové, 3Osteocentrum FN Hradec Králové
 


Summary:

       Percutaneous vertebroplasty is a curative method based on the insertion of a vertebroplasty needle and application of bone polymethylmethacrylate (PMMA) cement into the damaged vertebra. Within September 2003 – April 2005, 80 percutaneous vertebroplasties in 58 patients (46 women, 12 men), aged 50–78 years, were performed in our department. Significant pain decrease lasting for a period of 12 months was achieved in 72 % of the patients treated. Symptomatic complications were minimal (1.8 %), one patient developed radiculopathy (small bone cement leakage into the spinal canal), which disappeared after corticosteroid therapy by 24 hours. Asymptomatic complications occurred in 10 patients (15.8 %), totally 22 vertebrae (27.5 %). In 6 (4.8 %) vertebrae, polymethylmethacrylate mixture migration into paravertebral veins, twice (1.8 %) into paravertebral muscles, twice (2.5 %) epidurally, six-times (4.8 %) into an intervertebral disc, and six-times (4.8 %) into paravertebral space were observed.

        Key words: percutaneous vertebroplasty, osteoporosis, compressive vertebral fracture, polymethylmethacrylate bone cement
       

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