Percutaneous pediculoplasty: polymethylmethacrylate injection into lytic vertebral pedicle lesions.
Two patients with painful lytic lesions of the vertebral pedicle were treated with percutaneous pediculoplasty. This technique, similar to vertebroplasty but with increased procedural risks because of the immediate vicinity of neural structures, was performed under high-quality biplane fluoroscopic guidance. For lesions involving both the pedicle and the vertebral body, a double-needle unipedicular technique is advocated.
Gailloud
Philippe
P
Interventional Neuroradiology Section, the Johns Hopkins Medical Institutions, 600 North Wolfe Street, Baltimore, MD 21287, USA. phg@jhmi.edu
Beauchamp
Norman J
NJ
Martin
Jean-Baptiste
JB
Murphy
Kieran J
KJ
D000293:Adolescent; D000368:Aged; D000369:Aged, 80 and over; D001464:Barium / Q000627:therapeutic use; D001843:Bone Cements / Q000627:therapeutic use; D003131:Combined Modality Therapy; D005471:Fluoroscopy; D006391:Hemangioma / Q000175:diagnosis; D006801:Humans; D007278:Injections, Spinal; D008159:Lumbar Vertebrae / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery*; D008279:Magnetic Resonance Imaging; D008297:Male; D009101:Multiple Myeloma / Q000175:diagnosis; D019904:Polymethyl Methacrylate / Q000627:therapeutic use; D013904:Thoracic Vertebrae / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery*; D014057:Tomography, X-Ray Computed
D001843:Bone Cements; D001464:Barium; D019904:Polymethyl Methacrylate