Percutaneous vertebroplasty and facet joint block.
It is surprising that about 24% of patients with benign osteoporotic vertebral fracture die within a year from respiratory infection and urinary tract infection because of coughing and voiding difficulties, depending on the sites of compression fractures. We reviewed 500 patients on whom percutaneous vertebroplasty (PVP) was performed, at 612 levels in terms of patient selection, operation technique, medication, and clinical outcomes during the follow-up course for 2 yr study period. To confirm the most painful level among the multiple fracture sites, physical examination after facet joint block under the fluoroscope was the most reliable method. The mean total lumbar spine fracture threshold of bone mineral density was 0.81+/-0.05 g/cm2. The mean changes of numeric rating scale scores, Oswestry Disability Index except sex life, and Karnofsky performance status were -72.00, -83.50 and +60.62% in the osteoporosis group and -51.89, -45.02, and 69.03% in the tumor group. Complications related to the procedure were lateral spinal cord damage, transient paresthesia and transient hypotension. PVP with facet joint block is a profitable method for the vertebral compression fracture because of low risk and short duration of procedure with a high chance to result in pain relief and early mobilization.
Kim
Tae-Kyun
TK
Department of Anesthesia and Pain Medicine, College of Medicine, Pusan National University, Busan, Korea.
Kim
Kyung-Hoon
KH
Kim
Cheul-Hong
CH
Shin
Sang-Wook
SW
Kwon
Jae-Young
JY
Kim
Hae-Kyu
HK
Baik
Seong-Wan
SW
D000368:Aged; D001843:Bone Cements / Q000627:therapeutic use; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007278:Injections, Spinal; D008297:Male; D008875:Middle Aged; D019060:Minimally Invasive Surgical Procedures; D009407:Nerve Block; D019637:Orthopedic Procedures; D010146:Pain / Q000503:physiopathology / Q000601:surgery; D013117:Spinal Cord Compression / Q000503:physiopathology / Q000601:surgery*; D016103:Spinal Fractures / Q000503:physiopathology / Q000601:surgery*; D021801:Zygapophyseal Joint
D001843:Bone Cements