[Percutaneous vertebroplasty (pv): indications, contraindications, and technique]. 2003

R T Hoffmann, and T F Jakobs, and A Wallnöfer, and M F Reiser, and T K Helmberger
Institut für Klinische Radiologie, Klinikum der Universität München-Grosshadern, Munich. ralf-thorsten.hoffmann@ikra.med.uni-muenchen.de

OBJECTIVE Percutaneous vertebroplasty (pv) is a worldwide increasingly performed interventional therapeutic procedure. This article addresses indications, patient preparation, technical requirements and approach as well as possible complications of percutaneous vertebroplasty. METHODS Percutaneous vertebroplasty is a technique consisting in an injection of bone cement into a vertebral body under imaging guidance. This procedure is performed to relief pain and support the mechanical stability in partially collapsed vertebral bodies. RESULTS In the management of spinal compression fractures secondary to osteoporosis, myeloma, osteolytic metastases and aggressive hemangiomas, percutaneous vertebroplasty yields analgesic effect, and provides additional fortification in weakened segments of the vertebral column. Contraindications include major bleeding disorders, radicular pain and pain caused by compression of the myelon. CONCLUSIONS Percutaneous vertebroplasty results in prompt pain relief and rapid rehabilitation. In experienced hands, using correct technique, pv is a safe and effective procedure for treating pain, caused either by osteoporotic or malignant vertebral compression fractures.

UI MeSH Term Description Entries
D008159 Lumbar Vertebrae VERTEBRAE in the region of the lower BACK below the THORACIC VERTEBRAE and above the SACRAL VERTEBRAE. Vertebrae, Lumbar
D008297 Male Males
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D010014 Osteolysis Dissolution of bone that particularly involves the removal or loss of calcium. Osteolyses
D010020 Osteonecrosis Death of a bone or part of a bone, either atraumatic or posttraumatic. Aseptic Necrosis of Bone,Avascular Necrosis of Bone,Kienbock Disease,Necrosis, Aseptic, of Bone,Necrosis, Avascular, of Bone,Bone Necrosis,Kienbock's Disease,Kienboeck Disease,Kienboeck's Disease,Bone Aseptic Necrosis,Bone Avascular Necrosis,Bone Necroses,Kienboecks Disease,Necroses, Bone,Necrosis, Bone,Osteonecroses
D010024 Osteoporosis Reduction of bone mass without alteration in the composition of bone, leading to fractures. Primary osteoporosis can be of two major types: postmenopausal osteoporosis (OSTEOPOROSIS, POSTMENOPAUSAL) and age-related or senile osteoporosis. Age-Related Osteoporosis,Bone Loss, Age-Related,Osteoporosis, Age-Related,Osteoporosis, Post-Traumatic,Osteoporosis, Senile,Senile Osteoporosis,Osteoporosis, Involutional,Age Related Osteoporosis,Age-Related Bone Loss,Age-Related Bone Losses,Age-Related Osteoporoses,Bone Loss, Age Related,Bone Losses, Age-Related,Osteoporoses,Osteoporoses, Age-Related,Osteoporoses, Senile,Osteoporosis, Age Related,Osteoporosis, Post Traumatic,Post-Traumatic Osteoporoses,Post-Traumatic Osteoporosis,Senile Osteoporoses
D010146 Pain An unpleasant sensation induced by noxious stimuli which are detected by NERVE ENDINGS of NOCICEPTIVE NEURONS. Suffering, Physical,Ache,Pain, Burning,Pain, Crushing,Pain, Migratory,Pain, Radiating,Pain, Splitting,Aches,Burning Pain,Burning Pains,Crushing Pain,Crushing Pains,Migratory Pain,Migratory Pains,Pains, Burning,Pains, Crushing,Pains, Migratory,Pains, Radiating,Pains, Splitting,Physical Suffering,Physical Sufferings,Radiating Pain,Radiating Pains,Splitting Pain,Splitting Pains,Sufferings, Physical
D010954 Plasmacytoma Any discrete, presumably solitary, mass of neoplastic PLASMA CELLS either in BONE MARROW or various extramedullary sites. Plasma Cell Tumor,Plasmocytoma,Plasma Cell Tumors,Plasmacytomas,Plasmocytomas,Tumor, Plasma Cell,Tumors, Plasma Cell
D001843 Bone Cements Adhesives used to fix prosthetic devices to bones and to cement bone to bone in difficult fractures. Synthetic resins are commonly used as cements. A mixture of monocalcium phosphate, monohydrate, alpha-tricalcium phosphate, and calcium carbonate with a sodium phosphate solution is also a useful bone paste. Bone Cement,Bone Glues,Bone Pastes,Bone Glue,Bone Paste,Cement, Bone,Cements, Bone,Glue, Bone,Glues, Bone,Paste, Bone,Pastes, Bone
D005260 Female Females

Related Publications

R T Hoffmann, and T F Jakobs, and A Wallnöfer, and M F Reiser, and T K Helmberger
January 2003, The British journal of radiology,
R T Hoffmann, and T F Jakobs, and A Wallnöfer, and M F Reiser, and T K Helmberger
May 2005, Acta radiologica (Stockholm, Sweden : 1987),
R T Hoffmann, and T F Jakobs, and A Wallnöfer, and M F Reiser, and T K Helmberger
January 2003, Radiographics : a review publication of the Radiological Society of North America, Inc,
R T Hoffmann, and T F Jakobs, and A Wallnöfer, and M F Reiser, and T K Helmberger
May 1998, Radiologic clinics of North America,
R T Hoffmann, and T F Jakobs, and A Wallnöfer, and M F Reiser, and T K Helmberger
June 2010, Archives of orthopaedic and trauma surgery,
R T Hoffmann, and T F Jakobs, and A Wallnöfer, and M F Reiser, and T K Helmberger
January 2016, Asian journal of andrology,
R T Hoffmann, and T F Jakobs, and A Wallnöfer, and M F Reiser, and T K Helmberger
April 2006, Deutsche medizinische Wochenschrift (1946),
R T Hoffmann, and T F Jakobs, and A Wallnöfer, and M F Reiser, and T K Helmberger
January 1990, Prevenzione & assistenza dentale,
R T Hoffmann, and T F Jakobs, and A Wallnöfer, and M F Reiser, and T K Helmberger
January 2005, La Radiologia medica,
R T Hoffmann, and T F Jakobs, and A Wallnöfer, and M F Reiser, and T K Helmberger
November 2002, Orvosi hetilap,
Copied contents to your clipboard!