Percutaneous vertebroplasty in metastatic disease: transpedicular access and treatment of lysed pedicles--initial experience.
For the treatment of lytic disease involving the pedicles of vertebrae in patients with metastatic disease, the authors performed percutaneous vertebroplasty by using an access route via the lysed pedicle. Fifty-one pedicles were treated in 32 consecutive patients. In all cases, a radiologically satisfactory filling of both the affected pedicle and the vertebral body was achieved. Clinically effective pain relief was obtained in 24 (75%) of 32 patients, and no clinical complications were observed.
Martin
Jean-Baptiste
JB
Department of Radiology, Geneva University Hospital, Rue Micheli-du-Crest 24, CH-1211 Geneva 14, Switzerland. jean-baptiste.martin@dim.hcuge.ch
Wetzel
Stephan G
SG
Seium
Yodit
Y
Dietrich
Pierre-Yves
PY
Somon
Thierry
T
Gailloud
Philippe
P
Payer
Mickael
M
Kelekis
Alexis
A
Ruefenacht
Daniel A
DA
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001843:Bone Cements / Q000627:therapeutic use*; D005260:Female; D006801:Humans; D007267:Injections / Q000379:methods; D008159:Lumbar Vertebrae / Q000000981:diagnostic imaging; D008297:Male; D008875:Middle Aged; D019904:Polymethyl Methacrylate / Q000008:administration & dosage*; D015641:Radiography, Interventional; D012189:Retrospective Studies; D013125:Spinal Neoplasms / Q000150:complications* / Q000000981:diagnostic imaging / Q000556:secondary*; D013169:Spondylolysis / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*; D013904:Thoracic Vertebrae / Q000000981:diagnostic imaging
D001843:Bone Cements; D019904:Polymethyl Methacrylate