medigraphic.com

2002, Number 3

<< Back Next >>

Anales de Radiología México 2002; 1 (3)

Percutaneous vertebroplasty: Selection criteria

Ferreyro IR, Rojas JR, Escobar GML, García OR, Mireles EM, Salgado LP, Sánchez CJ

Language: Spanish
References: 52
Page: 499-508
PDF size: 582.34 Kb.


ABSTRACT

From August 1999 through February, 2002, 55 percutaneous vertebroplasty procedures were performed in 35 patients. 31 of these were due to osteoporosis, while 3 patients presented vertebral vascular anomalies and 1 patient with multiple myeloma.
Osteoporosis is the main risk factor for vertebral colapse and its probability increases along with the greater expectancy of life. In the elderly, there is a diminished weight bearing capacity of the vertebral body due to loss of trabeculae and a slow process of remodeling that leads to deformity and heigth loss of vertebral bodies. When a sudden fracture with colapse o Bony displacement takes place or it is due to avascular necrosis, there usually are severe clinical manifestations.
When conservative treatment fails to reduce pain and restore mobility, percutaneous vertebroplasty becomes the treatment of choice.
The selection of patients that may benefit with this procedure and the identification of the the painful vertebral bodies requieres the appropiate use of the different imaging modalities such as Bone Scan with SPECT, Magnetic Resonance Imaging, and Computed Tomography in order to avoid unnecessary risk and costs.


REFERENCES

  1. Mosekilde L. Age-related changes in vertebral trabecular bone architecture- Assessed by a new method. Bone 1988; 9: 247-250.

  2. Laval-Jeantent M, Mark AS. The structure and mineralization of the vertebral bone. Claude Manelfe. Imaging of the spine and spinal cord. Raven Press, Ltd., New York 243-254.

  3. Aaron JE, Makins NB, Sagreiya K. The microanatomy of trabecular bone loss in normal aging men and women. Clin Orthop Relat Res 1987; 215: 260-271.

  4. Grote HJ, Amling M, Vogel M, Hahn M, Pösl M, Delling G. Intervertebral variation in trabecular microarchitecture troughout the normal spine in relation to age. Bone 1995; 3: 301-308.

  5. Antonacci MD, Hanson DS, Leblanc A, Heggeness MH. Regional variations in vertebral bone density and trabecular architecture are influenced by osteoarthritic change and osteoporosis. Spine 1997; 20: 2393-2401.

  6. Jelsma RK, Kirsch PT, Rice JF, Jelsma LF. The radiographic description of thoracolumbar fractures.Surg Neurol 1982; 4: 230-236.

  7. Minne HW, Leidig G, Wuster C, y col. A newly developed spine deformity index (SDI) to quantitate vertebral crush fractures in patients with osteoporosis. Bone Miner1988; 4: 335-349.

  8. Oda K, Shibayama Y, Abe M, Onomura T. Morphogenesis of vertebral deformities in involutional osteoporosis. Spine 1998; 9: 1050-1056.

  9. Ismail AA, Cooper C, Felsenberg D y col. Number and type of vertebral deformities: Epidemiological characteristics and relation to back pain and height loss. European vertebral osteoporosis study group. Osteoporos Int 1999; 3: 206-213.

  10. Ziegler R, Scheidt-Nave C, Leidig-Bruckner G. What is a vertebral fracture?. Bone 1996; 18: 169S-177S.

  11. Do HM, Jensen ME, Marx WF, Kallmes DF. Percutaneous vertebroplasty in vertebral osteonecrosis (Kümmell’s spondylitis). Neurosurgical focus 1999; 7 (1):Article 2.

  12. Murillo-Uribe A, Delezé-Hinojosa M, Aguirre E y col. Osteoporosis en la mujer postmenopáusica mexicana. Magnitud del problema. Estudio multicéntrico. Ginecol Obst Mex 1999; 67: 227-233.

  13. Villegas H, Mayon J, Gonzalez G y col. Estudio de la osteoporosis y osteopenia por medio de radiología, densitometría, morfometría y microscopía de barrido en la tercera vertebra lumbar en una muestra de hombres y mujeres en la ciudad de México. Ginecol Obst Mex 1998; 66: 187-201.

  14. Cook DJ, Guyatt GH, Adachi JD, y col. Quality of life issues in women with vertebral fractures due to osteoporosis. Arthritis and Rheumatism 1993; 6: 750-756.

  15. Gold DT. The clinical impact of vertebral fractures: Quality of life in women with osteoporosis. Bone1996; 18: 185S-189S.

  16. Convery FR, Gunn DR, Hughes JD, Martin WE. The relative safety of polymethylmethacrylate. J Bone Joint Surg 1975; 57: 57-64.

  17. Tohmeh AG, Mathis JM, Fenton DC, Levine AM, Belkoff SM. Biomechanical efficacy of unipedicular vs. bipedicular vertebroplasty for the management of osteoporotic compression fractures. Spine 1999; 17: 1772-1776.

  18. Jensen ME, Evans AJ, Mathis JM, Kallmes DF, Cloft HJ, Dion JE. Percutaneous polymethylmethacrylate vertebroplasty in the treatment of osteoporotic vertebral body compression fractures: Technical aspects. AJNR 1997; 18: 1987-1904.

  19. Jensen ME, Dion JE. Percutaneous vertebroplasty in the treatment of osteoporotic compression fractures. Neuroimag Clin North Am 2000; 3: 547-568.

  20. Padovani B, Kasriel O, Brunner P, Peretti-Viton P. Pulmonary embolism caused by acrylic cement: A rare complication of percutaneous vertebroplasty. AJNR 1999; 20: 375-377.

  21. Silverman SL. The clinical consequences of vertebral compression fractures. Bone 1992; 13: 27S-31S.

  22. Nevitt MC, Ettinger B, Black DM. y col. The association of radiographically detected vertebral fractures with back pain and function: A prospective study. Annals Int Med1998; 10: 793-800.

  23. Mercadante S. Malignant bone pain: Pathophysiology and treatment. Pain 1997; 1-2:1-18.

  24. Tamayo OJ, Arzak PP, Peón VH, Mota BR, Fuentes F. Vertebral fractures associated with osteoporosis: patient management. Am J Med.1997; 103: 44S-50S.

  25. Cyteval C, Sarrabere MP, Roux JO y col. Acute osteoporotic vertebral collapse: open study on percutaneous injection of acrylic surgical cement in 20 patients. AJR 1999; 6: 1685-1690.

  26. Bostrom MP, Lane JM, Future directions: Augmentation of osteoporotic vertebral bodies. Spine 1997; 22:38S-42S.

  27. Wilson DR, Myers ER, Mathis JM y col. Effects of augmentation on the mechanics of vertebral wedge fractures. Spine 2000; 2: 158-165.

  28. Cotten A, Dewatre F, Cortet B, y col. Percutaneous vertebroplasty for osteolytic metastases and myeloma: Effects of the percentage of lesion filling and the leakage of methyl methacrylate at clinical follow up. Radiology 1996; 200: 525-530.

  29. Deramond H, Wright NT, Belkoff SM. Temperature elevation caused by bone cement polymerization during vertebroplasty. Bone 1999; 25: 17S-21S.

  30. San Millan Ruiz D, Burkhardt K, Jean B y col. Pathology findings with acrylic implants. Bone 1999; 25: 85S-90S.

  31. Cotten A, Deramond H, Cortet B, y col. Preoperative percutaneous injection of methyl methacrylate and N-Butyl cyanoacrylate in vertebral hemangiomas. AJNR 1996; 17: 137-142.

  32. Chiras J, Deprestier C, Weill A, Sola-Martinez MT, Deramond H. Percutaneous vertebral surgery. Technics and indications. J Neuroradiol 1977; 1: 45-59.

  33. Murphy KJ, Deramond H. Percutaneous vertebroplasty in benign and malignant disease. Neuroimag Clin North Am. 2000; 3: 535-545.

  34. Deramond H, Deprestier C, Galibert P, LeGars D. Percutaneous vertebroplasty with polymethylmethacrylate: Technique, indications and results. Radiol Clin North Am 1998; 3: 533-546.

  35. Cotten A, Boutry N, Cortet B, y col. Percutaneous vertebroplasty: State of the art. Radiographics 1998; 18: 311-320.

  36. Mathis JM, Petri M, Naff N. Percutaneous vertebroplasty treatment of steroid-induced osteoporotic compression fractures. Arthritis and Rheumatism 1998; 1: 171-175.

  37. Weill A, Chiras J, Simon JM, Rose M, Sola-Martinez T, Enkaoua E. Spinal metastases: Indications for and results of percutaneous injection of acrylic surgical cement. Radiology 1996; 199: 241-247.

  38. Cameron HU, Jacob R, Macnab I, Pilliard RM. Use of polymethylmethacrylate to enhance screw fixation in bone. J Bone Joint Surg Am 1975; 5: 655-656.

  39. Motzkin NE, Chao EY, An KN, Wikenheiser MA, Lewallen DG. Pull-out strength of screws from polymethylmethacrylate cement. J Bone Joint Surg Br 1994; 2: 320-323.

  40. Flahiff CM, Gober GA, Nicholas RW, Pullout strength of fixation screws from polymethylmethacrylate bone cement. Biomaterials 1995; 7:533-536.

  41. O’Brien JP, Sims JT, Evans AJ. Vertebroplasty in patients with severe vertebral compression fractures: A technical report. AJNR 2000; 21: 1555-1558.

  42. De Castro I, Pait TG, Elias AJ. Osteoporosis and Osteoarthritis: Diagnosis, management and vertebroplasty. Contemp Neurosurg 2001; 8: 1-8.

  43. Mazanec DJ. Evaluating back pain in older patients. Cleve Clin J Med 1999; 2: 89-91,95-99.

  44. Matin P. The appearence of bone scan fractures, including immediate and long term studies. J Nucl Med 1979; 20: 1227.

  45. Rosenthall L., Lisbona R. Skeletal Imaging. Appleton Century Crofts. Norwalk, Connecticut 1985; 163-188.

  46. Muroff LR. The use of bone scanning in benign disorders. Seligson D. CRC Handbook Series in Clinical Laboratory Science. Cleveland, Ohio. CRC Press Inc. 1977; 456-460.

  47. arikaya A. Holder L. The role of single photon emission computed tomography in bone imaging. Sem Nucl Med 2001; 31: 3.

  48. Maynard AS, Jensen ME, Schweickert PA, Marx WF, Short JG, Kallmes DF. Value of bone scan imaging in predicting pain relief from percutaneous vertebroplasty in osteoporotic vertebral fractures. AJNR 2000; 21: 1807-1812.

  49. Baur A, Huber A, Ertl-Wagner B, et-al. Diagnostic value of increased diffusion weighting of a Steady-State free precession sequence for differentiating acute benign osteoporotic fractures from pathologic vertebral compression fracture. AJNR 2001; 22: 366-372.

  50. Yamato M, Nishimura G, Kuramochi E, Saiki N, Fujioka M. MR appearence at different ages of osteoporotic compression fractures of the vertebrae. Radiat Med 1998; 5: 329-334.

  51. Grados F, Deprestier C, Cayrolle G, Deramond H, Fardellone P. Long –term observations of vertebral osteoporotic fractures treated by percutaneous vertebroplasty. Rheumatology (Oxford) 2000; 12: 1410-1414.

  52. Cortet B, Cotten A, Boutry N, y col. Percutaneous vertebroplasty in the treatment of osteoporotic vertebral compression fractures: An open prospective study. J. Rheumatol 1999; 26: 2222-2228




2020     |     www.medigraphic.com