2013, Number 3
Vertebroplasty in Vertebral Destructive Processes
Calvo RL, Martínez JE, Calvo ZBE
Language: Spanish
References: 9
Page: 206-211
PDF size: 205.05 Kb.
ABSTRACT
Background: Vertebral destruction syndrome is a term, which encompasses infectious and metabolic diseases, primary tumor, metastasis and Paget's disease. It is caused mainly by vertebral fractures, which lead to mechanical disturbances of the column and occasionally neurologic injury.Objectives: To show that vertebroplasty is safe and can be used in patients with vertebral destruction since improves their quality of life.
Patients and methods: A prospective, longitudinal and clinical research was done in patients diagnosed with vertebral destruction syndrome at Regional Hospital Presidente Juárez, ISSSTE, in Oaxaca city. Forty-two vertebroplasties were done to 20 patients, 14 of them with osteoporosis, five with myeloma and one with bone necrosis diagnosed by biopsy.
Results: The visual analog pain scale revealed that in all patients vertebroplasty reduced 81% the pain caused by osteoporotic compression fractures and by multiple myeloma. The most affected vertebrae were T12, L1 and L2 that account for 76.1% of the series. There were two cement leakages without either neurological or vascular complications. Conclusions: Osteoradionecrosis should be included in vertebral destruction syndrome. Vertebroplasty improves the quality of life of patients by integrating them into family, social and work life.
REFERENCES