The Korean Journal of Pain  2007;20(2):213-218

doi:10.3344/kjp.2007.20.2.213

Percutaneous Pediculoplasty and Balloon Kyphoplasty in a Vertebral Metastatic Cancer Patient: A case report.

Ji Yon JO 1 ; Jeong Hoon SUH ; Hwa Yong SHIN ; Yong Min CHOI ; Moon Sun BANG ; Sang Chul LEE ; Yong Chul KIM

Affiliations

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Keywords

balloon kyphoplasty; percutaneous pediculoplasty; vertebral metastasis

Country

Republic of Korea

Language

Korean

Abstract

Percutaneous vertebroplasty and balloon kyphoplasty have been accepted as effective treatment modalities for vertebral compression fractures in patients with vertebral metastasis. However, when these procedures are conducted in patients with lytic lesions of the vertebral pedicle, polymethylmethacrylate leakage through the lytic lesions that occurs during percutaneous pediculoplasty can increase the procedural risks due to the immediate vicinity of neural structures. In spite of this risk, there are not many available reports on safer methods of pediculoplasty. Here we report a case of vertebral metastasis in which the pedicle infiltration of cancer was successfully treated by pediculoplasty using a bone filler device that contained thick bone cement during a balloon kyphoplasty procedure.