Percutaneous vertebroplasty guided by a combination of CT and fluoroscopy.
We describe the technique of percutaneous vertebroplasty using methyl methacrylate. We injected under the guidance of CT and fluoroscopy a group of 10 patients with back pain caused by a variety of vertebral lesions including severe osteoporosis (n = 4), hemangiomas (n = 5) and metastasis (n = 1). Over varying periods of follow-up (ranging from 4 to 17 months) none of the injected vertebral bodies demonstrated compression. All patients had relief of back pain; none had complications related to the technique. We emphasize that the efficacy of this technique in preventing vertebral collapse could not be evaluated in this small sample; a well-controlled study would be required to determine the proper indications and efficacy of this treatment.
Gangi
A
A
Department of Radiology B, University Hospital of Strasbourg, France.
Kastler
B A
BA
Dietemann
J L
JL
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D005471:Fluoroscopy; D006391:Hemangioma / Q000000981:diagnostic imaging / Q000628:therapy; D006801:Humans; D007267:Injections; D008297:Male; D020366:Methylmethacrylate; D008768:Methylmethacrylates / Q000008:administration & dosage*; D008875:Middle Aged; D010024:Osteoporosis / Q000628:therapy; D011677:Punctures; D015641:Radiography, Interventional; D013122:Spinal Diseases / Q000000981:diagnostic imaging / Q000628:therapy*; D013125:Spinal Neoplasms / Q000628:therapy; D013131:Spine / Q000000981:diagnostic imaging*; D014057:Tomography, X-Ray Computed
D008768:Methylmethacrylates; D020366:Methylmethacrylate