Percutaneous vertebroplasty in symptomatic hemangioma versus osteoporotic compression fracture

Abstract

Background:Percutaneous vertebroplasty (PVP) is more commonly used for osteoporotic compression fractures (OCFs) and osteolytic vertebral body tumors. This study aimed to study the differences between OCFs and vertebral hemangiomas (VHs) treated with PVP.Materials and Methods:Between September 2007 and January 2010, we prospectively treated 28 consecutive patients of OCFs (43 recently symptomatic OCFs) and 24 cases of VHs (26 VHs). We used visual analogue scale (VAS) pain and Oswestry Disability Index (ODI) to evaluate the patients. The followup period in group 1 and 2 were 25.1 months (range 12 - 31 months) and 21.3 months (range 14 - 28 months), respectively. Comparison of means was carried out with the Chi Square Tests, t-test, and N Par-Test for multiple comparisons, whenever appropriate. The level of statistical significance was set at P < 0.05.Results:Following PVP the VAS score decreased to 4.57 and 4.17 in group 1 and 2, respectively. The ODI scores were 32.5% and 30%, respectively. This decrease in ODI scores lasted throughout the followup period.Conclusions:Although the preoperative scores were significantly different between group 1 and 2, there was no significant difference between two groups following the PVP.

Intérêt d’une prise en charge multimodale des hémangiomes vertébraux symptomatiques : à propos de 27 cas et revue de la littérature

“…Sur les 15 séries, 7 étudiaient spécifiquement une seule modalité de traitement : 5 concernaient la cimentoplastie percutanée [9][10][11][12][13] et 2 la sclérothérapie percutanée [14,15]. Ces techniques ont un effet antalgique et de stabilisation.…”

Percutaneous Vertebral Body Augmentation: An Updated Review

“…The prone positioning itself has an important role in height restoration. VP also has a safe and beneficial effect on pain and functional status in the patients with spinal tumors or tumor induced VB fractures [ 51 – 53 ].…”