Comparing Percutaneous Vertebroplasty and Conservative Therapy for Treating Osteoporotic Compression Fractures in the Thoracic and Lumbar Spine

2016 ◽  
Vol 98 (12) ◽  
pp. 1041-1051 ◽  
Author(s):  
Ryan Mattie ◽  
Katri Laimi ◽  
Sloane Yu ◽  
Mikhail Saltychev
Keyword(s):  
Lumbar Spine ◽  
Conservative Therapy ◽  
Percutaneous Vertebroplasty ◽  
Compression Fractures ◽  
Thoracic And Lumbar Spine ◽  
Osteoporotic Compression Fractures

Classification of symptomatic osteoporotic compression fractures of the thoracic and lumbar spine

2006 ◽  
Vol 13 (1) ◽  
pp. 31-38 ◽  
Author(s):  
Chieh-Tsai Wu ◽  
Sai-Cheung Lee ◽  
Shih-Tseng Lee ◽  
Jyi-Feng Chen
Keyword(s):  
Lumbar Spine ◽  
Compression Fractures ◽  
Thoracic And Lumbar Spine ◽  
Osteoporotic Compression Fractures

scholarly journals Percutaneous Vertebroplasty versus Conservative Treatment for One Level Thoracolumbar Osteoporotic Compression Fracture: Results of an Over 2-Year Follow-up

2016 ◽  
Vol 5;19 (5;19) ◽  
pp. E743-E750
Author(s):  
Je Hoon Jeong
Keyword(s):  
Lumbar Spine ◽  
Conservative Treatment ◽  
Percutaneous Vertebroplasty ◽  
Compression Fracture ◽  
Compression Fractures ◽  
Vas Score ◽  
Group 2 ◽  
Osteoporotic Compression Fractures ◽  
Group 1

We retrospectively compared the clinical and radiological results of percutaneous vertebroplasty with those of conservative treatment in the management of thoracolumbar osteoporotic compression fractures. Sixty-five patients who could be followed up for more than 2 years with thoracic and lumbar spine osteoporotic compression fractures, between January 2005 and October 2010, were reviewed. The patients were divided into 2 groups according to the type of management: group 1, non-operated group treated conservatively; group 2, operated group that underwent percutaneous vertebroplasty. We assessed the clinical and radiological changes at postoperative and follow-up periods in both groups. The male-to-female ratio and mean age of the patients were 11:54 and 73.04 years (range, 50 – 90 years), respectively. The location and number of treated vertebrae were as follows: T4 = 1, T6 = 1, T7 = 3, T8 = 1, T9 = 2, T10 = 1, T11 = 8, T12 = 11, L1 = 17, L2 = 10, L3 = 6, L4 = 3, and L5 = 1. The mean T-score was -3.37. The overall VAS score and the VAS score until 6 months post-injury were statistically more improved in group 2 than in group 1 (P < 0.05 and P < 0.005, respectively). Overall, the compression ratio was statistically more improved in group 2 than in group 1 (P < 0.05). Early pain control and restoration of the compressed vertebral body are the beneficial and real effects of percutaneous vertebroplasty in patients with thoracolumbar osteoporotic compression fractures. Key words: Osteoporosis, compression fracture, vertebroplasty, osteoplasty, comparative study, thoracic spine, lumbar spine, polymethylmethacrylate (PMMA)

scholarly journals Ascending Tonic Clonic Seizure Syndrome after Percutaneous Vertebroplasty

2015 ◽  
Vol 2015 ◽  
pp. 1-4
Author(s):  
Guido Zarattini ◽  
Adam Farrier ◽  
Federico Sibona
Keyword(s):  
Percutaneous Vertebroplasty ◽  
Rare Complication ◽  
Cement Leakage ◽  
Clonic Seizure ◽  
Tonic Clonic Seizure ◽  
Leg Pain ◽  
Compression Fractures ◽  
First Case ◽  
Seizure Syndrome ◽  
Osteoporotic Compression Fractures

Background Context. Cement leakage is not a rare complication of vertebroplasty, but ascending tonic clonic seizure syndrome is exceptionally rare. We herein report the first case to our knowledge of this complication related to vertebroplasty.Purpose. We herein report the first case of ascending tonic clonic seizure syndrome following epidural cement leakage after percutaneous vertebroplasty in a patient with multiple osteoporotic compression fractures.Study Design. Case report.Methods. A 64-year-old woman with T8, T10, L2, and L4 osteoporotic compression fractures underwent percutaneous vertebroplasty using polymethylmethacrylate. 40 minutes after the procedure the patient started suffering back and leg pain, having repetitive myoclonic jerks lasting 15 seconds of the lower extremities, spasm of the back, dyspnea, sinus tachycardia, hypoxemia, and metabolic acidosis.Results. The patient recovered completely due to a combination of early effective resuscitation and considered definitive management.Conclusions. Percutaneous vertebroplasty with polymethylmethacrylate is relatively safe but has few dangerous complications, which should be prevented by a meticulous technique and excellent image quality.

Percutaneous Vertebroplasty for Osteoporotic Compression Fractures: Long-Term Evaluation of the Technical and Clinical Outcomes

2011 ◽  
Vol 196 (6) ◽  
pp. 1415-1418 ◽  
Author(s):  
Noboru Tanigawa ◽  
Shuji Kariya ◽  
Atsushi Komemushi ◽  
Miyuki Nakatani ◽  
Rie Yagi ◽  
...  
Keyword(s):  
Clinical Outcomes ◽  
Percutaneous Vertebroplasty ◽  
Compression Fractures ◽  
Term Evaluation ◽  
Osteoporotic Compression Fractures

Compression fractures of the thoracic and lumbar spine in children

1985 ◽  
Vol 66 (6) ◽  
pp. 407-410
Author(s):  
A. A. Rumyantseva ◽  
F. X. Bashirova
Keyword(s):  
Lumbar Spine ◽  
Spinal Fractures ◽  
Physiological Characteristics ◽  
Compression Fractures ◽  
Age Related ◽  
Thoracic And Lumbar Spine ◽  
Fractures In Childhood

The age-related evolution of the spine in combination with the physiological characteristics of a growing organism determines the specificity of the clinical and radiological picture and the treatment of uncomplicated spinal fractures in childhood.

Percutaneous vertebroplasty for the treatment of burst fractures

2004 ◽  
Vol 1 (2) ◽  
pp. 228-231 ◽  
Author(s):  
Jyi-Feng Chen ◽  
Chieh-Tsai Wu ◽  
Shih-Tseng Lee
Keyword(s):  
Surgical Procedures ◽  
Percutaneous Vertebroplasty ◽  
Spinal Fractures ◽  
Content Type ◽  
Compression Fractures ◽  
Work Related ◽  
Burst Fractures ◽  
Osteoporotic Compression Fractures ◽  
Fine Print

✓ Percutaneous vertebroplasty is a useful procedure for patients with vertebral osteoporotic compression fractures; however, there has been no mention in the literature of the use of percutaneous vertebroplasty for the treatment of traumatic spinal fractures. The authors report the case of a 33-year-old man who harbored L-1, L-2, and L-5 burst fractures sustained in a work-related accident. The patient was successfully treated by percutaneous vertebroplasty with polymethylmethacrylate. The authors propose this procedure as a useful intervention in selected patients with lumbar burst fractures. The complications associated with major surgical procedures are absent.

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