Vertebroplasty at L5 with a transiliac transpedicular approach in a patient with osteogenesis imperfecta: technical note.
The present report describes the use of a modified transpedicular vertebroplasty approach via the iliac bone for treatment of a painful osteoporotic L5 vertebral body fracture in a 66-year-old woman with osteogenesis imperfecta. As a result of altered osseous morphology of the pelvic girdle and lumbosacral junction secondary to the patient's condition, vertebroplasty at L5 was successfully performed by entering the needle into the adjacent superomedial aspect of iliac bone before passing through the pedicle and then into the vertebral body. This modified vertebroplasty approach provides an interesting alternative for fractures involving the frequently less accessible lowermost lumbar vertebral body.
Khoury
Viviane
V
Department of Diagnostic Radiology, McGill University Health Center, Montreal General Hospital, 1650 Cedar Avenue, Montreal, Quebec H3G 1A4, Canada. viviane.khoury@hotmail.com <viviane.khoury@hotmail.com>
Hamze
Bassam
B
Larédo
Jean-Denis
JD
D000368:Aged; D001843:Bone Cements; D005260:Female; D005471:Fluoroscopy; D006801:Humans; D007085:Ilium; D008159:Lumbar Vertebrae / Q000601:surgery*; D010013:Osteogenesis Imperfecta / Q000000981:diagnostic imaging / Q000601:surgery*; D010147:Pain Measurement; D019904:Polymethyl Methacrylate / Q000008:administration & dosage; D016103:Spinal Fractures / Q000000981:diagnostic imaging / Q000601:surgery*; D014057:Tomography, X-Ray Computed; D054854:Vertebroplasty / Q000379:methods*
D001843:Bone Cements; D019904:Polymethyl Methacrylate