Multiple-level vertebral body compression fractures treated with percutaneous vertebroplasty
- VernacularTitle:多椎体压缩骨折的经皮穿刺椎体成形术治疗
- Author:
Zhongliang DENG
- Publication Type:Journal Article
- Keywords:
Fracture;
Spine;
Minimally invasive;
Percutaneous vertebroplasty;
Osteoporosis
- From:
Journal of Chongqing Medical University
1986;0(03):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To evaluate the effectiveness and procedure of C-arm fluoroscopy-guide percutaneous vertebroplasty(PVP) for the treatment of multiple level vertebral body compression fractures.Methods:Seven cases(5women and 2 men) suffering from multiple level vertebral body compression fractures( range 3-9 levels), underwent 3 to 6 levels' PVP guided by a single plane C-arm fluoroscopy in prone position or lateral recumbent position.The age of cases was from 60 to 79.Visual analgesic scale(VAS), analgesic use and mobility were measured in each patient at pre-PVP, 2 days post-PVP and 4 months post-PVP.Results:PVP procedures were successful in prone position of 2 cases and in lateral recumbent position of 5 cases.The time consumed by PVP in each patient was from 2.0 to 4.5 hours. Unipedicular approach was used in 16 fractured vertebrae and bipedicular approach in 9 fractured ones.The volume of polymethylmethacrylate(PMMA) injected into each vertebral body was from 0.5 ml to 4.0 ml.In all 7 cases, the procedure increased mobility and decreased analgesic use ( T=0,P
