title: Update of vertebral cementoplasty in porotic patients.
abstract: Vertebroplasty (VP) is a percutaneous mini-invasive technique developed in the late 1980s as antalgic and stabilizing treatment in patients affected by symptomatic vertebral fracture due to porotic disease, traumatic injury and primary or secondary vertebral spine tumors. The technique consists of a simple metameric injection of an inert cement (poly-methyl-methacrylate, PMMA), through a needle by trans-peduncular, parapeduncular or trans-somatic approach obtaining a vertebral augmentation and stabilization effect associated with pain relief. The technique is simple and fast, and should be performed under fluoroscopy or CT guidance in order to obtain a good result with low complication rate. The aim of this paper is to illustrate the utility of VP, the indications-contraindications criteria, how to technically perform the technique using imaging guidance, and the results and complications of this treatment in patients affected by symptomatic vertebral compression fracture.
authors.affiliation: Neuroradiology Service, Cardarelli Hospital, Naples, Italy gianluigiguarnieri@hotmail.it.
authors.forename: Gianluigi
authors.initials: G
authors.lastname: Guarnieri
authors.affiliation: Radiology Department, Tor Vergata University, Rome, Italy.
authors.forename: Salvatore
authors.initials: S
authors.lastname: Masala
authors.affiliation: Neuroradiology Service, Cardarelli Hospital, Naples, Italy.
authors.forename: Mario
authors.initials: M
authors.lastname: Muto
mesh_terms: D060826:Cementoplasty / Q000379:methods*; D005471:Fluoroscopy; D050815:Fractures, Compression / Q000000981:diagnostic imaging* / Q000628:therapy*; D006801:Humans; D008279:Magnetic Resonance Imaging; D058866:Osteoporotic Fractures / Q000000981:diagnostic imaging* / Q000628:therapy*; D010147:Pain Measurement; D019904:Polymethyl Methacrylate / Q000627:therapeutic use; D015641:Radiography, Interventional; D016103:Spinal Fractures / Q000000981:diagnostic imaging* / Q000628:therapy*; D014057:Tomography, X-Ray Computed
chemical_list: D019904:Polymethyl Methacrylate
keywords: Vertebroplasty; cement leakage; cementoplasty; mini-invasive percutaneous technique; poly-methyl-methacrylate; vertebral compression fracture