COMPLICATIONS OF PERCUTANEOUS VERTEBROPLASTY FOR PATHOLOGICVERTEBRAL FRACTURE ASSOCIATEDWITH OSTEOPOROSIS
https://doi.org/10.14531/ss2011.2.12-18
Abstract
Objective. To analyze complications of vertebroplasty for pathologic vertebral fractures associated with osteoporosis.
Material and Methods. Vertebroplasty was performed in 19 women with a mean age of 56.0 ± 6.5 years. The intervention was carried out under fluoroscopic control.
Results. The rate of clinically relevant complications was 13.6 %, and total rate of complications was 31.8 %. Complications included transient increase in pain syndrome and fever; acute coronary syndrome; and cement extravasation.
Conclusion. Transient increase in pain syndrome and fever are clinically relevant complications and show favorable dynamics at expectant treatment. Acute coronary syndrome is a rare but most severe complication. Cement extravasation is frequent and clinically irrelevant complication. Their prevention requires preoperative computed tomography evaluation of patients, careful adherence to intervention technique, injection of small volumes of high-viscosity cement, and predominant use of unilateral approaches.
References
1. Дуров О.В., Шевелев И.Н., Тиссен Т.П. Вертебропластика при лечении заболеваний позвоночника // Вопр. нейрохирургии им. Н.Н. Бурденко. 2004. № 2. С. 21–26.
2. Риггз Б.Л., Мелтон Л.Дж. Остеопороз. Этиология, диагностика, лечение. М.; СПб., 2000.
3. Barr J.D., Barr M.S., Lemley T.J., et al. Percutaneous vertebroplasty for pain relief and spinal stabilization// Spine. 2000. Vol. 25. P. 923–928.
4. Cortet B., Cotten A., Boutry N., et al. Percutaneous vertebroplasty in the treatment of osteoporotic vertebral compression fractures: an open prospective study // J. Rheumatol. 1999. Vol. 26. P. 2222–2228.
5. Dean J.R., Ison K.T., Gishen P. The strengthening effect of percutaneous vertebroplasty // Clin. Radiol. 2000. Vol. 55. P. 471–476.
6. Jensen M.E., Evans A.J., Mathis J.M., et al. Percutaneous polymethylmethacrylate vertebroplasty in the treatment of osteoporotic vertebral body compression fractures: technical aspects // AJNR. Am. J. Neuroradiol. 1997. Vol. 18. P. 1897–1904.
7. Mathis J.M., Barr J.D., Belkoff S.M., et al. Percutaneous vertebroplasty: a developing standard of care for vertebral compression fractures // AJNR. Am. J. Neuroradiol. 2001. Vol. 22. P. 373–381.
8. Mehbod A.J., Aunodle S.A., Le Huec J.C. Vertebroplasty for osteoporotic spine fracture: prevention and treatment // Eur. Spine J. 2003. Vol. 12. P. S155–S162.
Review
For citations:
Astapenkov D.S. COMPLICATIONS OF PERCUTANEOUS VERTEBROPLASTY FOR PATHOLOGICVERTEBRAL FRACTURE ASSOCIATEDWITH OSTEOPOROSIS. Russian Journal of Spine Surgery (Khirurgiya Pozvonochnika). 2011;(2):012-018. (In Russ.) https://doi.org/10.14531/ss2011.2.12-18
Email this article 