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 |
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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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