title: Percutaneous vertebroplasty in painful refractory vertebral hemangiomas.
abstract: BACKGROUND
  Painful vertebral hemangiomas are often inadequately managed medically. We evaluated the outcome of percutaneous vertebroplasty (PVP) in the treatment of painful vertebral hemangiomas refractory to medical management.
  
  
  METHODS
  14 patients (four thoracic and ten lumbar vertebra) with painful vertebral hemangiomas presenting with severe back pain for more than 6 months not responding to medical therapy were treated by vertebroplasty. Cross sectional imaging of the spine with magnetic resonance was done. Blood investigations were done to exclude coagulopathy excluded. PVP was performed under local anesthesia.
  
  
  RESULTS
  The pain intensity numeric rating scale (PI-NRS-11) of these patients was in the range of 7-10 (Severe Pain). After vertebroplasty 8 patients were completely free of pain (PI NRS Score 0) while 6 were significantly relieved (PI-NRS Score 1-3). No complications were observed. Two patients with associated radicular pain had good pain relief following PVP. No recurrence was found during 36 months of postoperative followup.
  
  
  CONCLUSIONS
  PVP is a safe and effective procedure in patients with painful vertebral hemangiomas refractory to medical management.
authors.affiliation: Department of Neurology, Seven Hills Hospital, Visakhapatnam, Andhra Pradesh, India.
authors.forename: Rv
authors.initials: R
authors.lastname: Narayana
authors.affiliation: Department of Neurology, Seven Hills Hospital, Visakhapatnam, Andhra Pradesh, India.
authors.forename: Rajesh
authors.initials: R
authors.lastname: Pati
authors.affiliation: Department of Interventional Neuroradiology, Seven Hills Hospital, Visakhapatnam, Andhra Pradesh, India.
authors.forename: Sibasankar
authors.initials: S
authors.lastname: Dalai
keywords: Hemangioma; percutaneous vertebroplasty; polymethyl methacrylate
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