title: Percutaneous vertebroplasty in adult degenerative scoliosis for spine support: study for pain evaluation and mobility improvement.
abstract: We evaluate the efficacy-safety of percutaneous vertebroplasty (PV) as primary treatment in adult degenerative scoliosis. During the last 4 years, PV was performed in 18 adult patients (68 vertebral bodies) with back pain due to degenerative scoliotic spine. Under anaesthesia and fluoroscopy, direct access to most deformed vertebral bodies was obtained by 13G needles, and PMMA for vertebroplasty was injected. Scoliosis' inner arch was supported. Clinical evaluation included immediate and delayed studies of patient's general condition and neurological status. An NVS scale helped assessing pain relief, life quality, and mobility improvement. Comparing patients' scores prior to (mean value 8.06 ± 1.3 NVS units), the morning after (mean value 3.11 ± 1.2 NVS units), at 12 (mean value 1.67 ± 1.5 NVS units), and 24 months after vertebroplasty (mean value 1.67 ± 1.5 NVS units) treatment, patients presented a mean decrease of 6.39 ± 1.6 NVS units on terms of life quality improvement and pain relief (P = 0.000). Overall mobility improved in 18/18 (100%) patients. No complications were observed. During follow-up period (mean value 17.66 months), all patients underwent a mean of 1.3 sessions for facet joint and nerve root infiltrations. Percutaneous vertebroplasty in the inner arch seems to be an effective technique for supporting adult degenerative scoliotic spine.
authors.affiliation: 2nd Radiology Department, University General Hospital "ATTIKON," 1 Rimini Street, 12462 Athens, Greece.
authors.forename: Dimitrios K
authors.initials: DK
authors.lastname: Filippiadis
authors.forename: Panagiotis
authors.initials: P
authors.lastname: Papagelopoulos
authors.forename: Maria
authors.initials: M
authors.lastname: Kitsou
authors.forename: Nikolaos
authors.initials: N
authors.lastname: Oikonomopoulos
authors.forename: Elias
authors.initials: E
authors.lastname: Brountzos
authors.forename: Nikolaos
authors.initials: N
authors.lastname: Kelekis
authors.forename: Alexis
authors.initials: A
authors.lastname: Kelekis
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001416:Back Pain / Q000473:pathology / Q000601:surgery*; D001843:Bone Cements; D060826:Cementoplasty; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D059408:Pain Management / Q000379:methods*; D019904:Polymethyl Methacrylate / Q000008:administration & dosage*; D012600:Scoliosis / Q000473:pathology / Q000601:surgery*
chemical_list: D001843:Bone Cements; D019904:Polymethyl Methacrylate