title: Percutaneous vertebroplasty performed with an 18-gauge needle for treatment of metastatic severe compression fracture of the cervical vertebral body.
abstract: Percutaneous vertebroplasty (PVP) is considered technically difficult in patients with severe vertebral body compression, especially in the cervical spine. In this study, PVP was successfully performed with the use of an 18-gauge angiographic needle in four patients with severe cervical compression fractures from metastatic disease. There were no complications, and relief of pain was immediate in all patients. This technique may be an alternative treatment for intractable pain secondary to severe cervical compression fractures.
authors.affiliation: Department of Interventional Radiology, First Affiliated Hospital of Soochow University, 188 Shizi St., 215006 Suzhou, China.
authors.forename: Long
authors.initials: L
authors.lastname: Chen
authors.affiliation: Division of Neurosurgery, Department of Surgery, Taipei Cathay General Hospital, Taipei, Taiwan; School of Medicine, Fu-Jen Catholic University, New Taipei City, Taiwan.
authors.forename: I-Chang
authors.initials: IC
authors.lastname: Su
authors.affiliation: Department of Interventional Radiology, First Affiliated Hospital of Soochow University, 188 Shizi St., 215006 Suzhou, China. Electronic address: cfnisz@163.com.
authors.forename: Cai-Fang
authors.initials: CF
authors.lastname: Ni
authors.affiliation: Department of Radiology, Changhai Hospital, Shanghai, China.
authors.forename: Zhen-Tang
authors.initials: ZT
authors.lastname: Wang
mesh_terms: D000368:Aged; D001416:Back Pain / Q000175:diagnosis / Q000209:etiology / Q000628:therapy; D001843:Bone Cements / Q000627:therapeutic use*; D002574:Cervical Vertebrae / Q000000981:diagnostic imaging / Q000293:injuries* / Q000473:pathology; D004867:Equipment Design; D005260:Female; D050815:Fractures, Compression / Q000175:diagnosis / Q000209:etiology / Q000628:therapy*; D006801:Humans; D007278:Injections, Spinal; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D009339:Needles; D010147:Pain Measurement; D010148:Intractable Pain / Q000175:diagnosis / Q000209:etiology / Q000628:therapy; D019904:Polymethyl Methacrylate / Q000008:administration & dosage*; D015641:Radiography, Interventional; D012189:Retrospective Studies; D012720:Severity of Illness Index; D016103:Spinal Fractures / Q000175:diagnosis / Q000209:etiology / Q000628:therapy*; D013125:Spinal Neoplasms / Q000150:complications* / Q000556:secondary*; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D054854:Vertebroplasty / Q000295:instrumentation* / Q000379:methods
chemical_list: D001843:Bone Cements; D019904:Polymethyl Methacrylate