Osteoporotic vertebral collapse: percutaneous vertebroplasty and local kyphosis correction.
Forty-six cases of osteoporotic vertebral collapse (27 thoracic, 19 lumbar) were treated by means of percutaneous vertebroplasty in a hyperlordosis position. Institutional review board approval and informed consent were obtained. Kyphosis reducibility was preprocedurally estimated from the angular difference between neutral and hyperlordosis positions. Effective reduction was the angular difference in neutral positions before and after vertebroplasty. Reduction (< or =14 degrees ; mean, 6.43 degrees) was obtained in cases with estimated reducibility greater than 5 degrees (31 cases, 67%), which is a 34% (6.5 degrees of 19.1 degrees ) mean reduction. A significantly greater level of kyphosis reduction was observed in cases with intravertebral clefts (20 cases, 43%) at hyperlordosis than in those without (7.2 degrees vs 4.9 degrees ; P < .01). Vertebroplasty may reduce kyphosis due to localized collapsed vertebrae; intravertebral mobility and cleft suggest this possibility.
Department of Diagnostic Imaging, Hôpital Raymond Poincaré, 104 Blvd Raymond Poincaré, 92380 Garches, France. robert.carlier@rpc.ap-hop-paris.fr
Robert Y
RY
Carlier
Haleh
H
Gordji
Dominique M
DM
Mompoint
Nicolas
N
Vernhet
Antoine
A
Feydy
Christian
C
Vallée
D000368:Aged; D000369:Aged, 80 and over; D001843:Bone Cements / Q000627:therapeutic use; D003287:Contrast Media; D005260:Female; D005471:Fluoroscopy; D005500:Follow-Up Studies; D006801:Humans; D007091:Image Processing, Computer-Assisted; D007738:Kyphosis / Q000473:pathology / Q000601:surgery*; D008159:Lumbar Vertebrae / Q000601:surgery*; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D010024:Osteoporosis / Q000601:surgery*; D010147:Pain Measurement; D019904:Polymethyl Methacrylate / Q000627:therapeutic use; D011856:Radiographic Image Enhancement; D015641:Radiography, Interventional; D016103:Spinal Fractures / Q000601:surgery*; D013904:Thoracic Vertebrae / Q000601:surgery*; D036542:Tomography, Spiral Computed
D001843:Bone Cements; D003287:Contrast Media; D019904:Polymethyl Methacrylate