Percutaneous vertebroplasty: long-term clinical and radiological outcome

Pérez-Higueras, Antonio; Álvarez, Luis; Re, Rossi; Quiñones, D.; Al-Assir, I.

doi:10.1007/s00234-002-0856-1

Cited by 182 publications

(21 citation statements)

References 12 publications

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“…In the present study, symptom improvements were shown with the reduced VAS value by 5 marks on a short-term basis. Likewise, satisfactory reductions in clinical symptoms were reported through the long-term studies including 1 year or more of follow-up on a group of 25 patients conducted by Grados et al [7], and 5 years or more of follow-up on a group of 13 patients conducted by Pérez-Higueras et al [8]. We also confirmed the effectiveness of the procedure with reduced and then maintained VAS value by 5 marks or more in 46% of the total cases.…”

Section: Discussionmentioning

confidence: 92%

“…PMMA is a comparatively stable cement and has been widely used. According to the 5-year radiologic results reported by Perez-Higueras et al [8], there were no cases of dislodgment, cracks or vertebral collapse in the 13 cases of injected cement. Tsai et al [14] reported a rare case of anterior dislodgment accompanied with neurologic symptoms in the bone cement injected after surgery that required additional surgery.…”

Section: Discussionmentioning

confidence: 95%

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Long-term Follow-up of Percutaneous Vertebroplasty in Osteoporotic Compression Fracture: Minimum of 5 Years Follow-up

Kim

Yoo

2012

Asian Spine J

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Study DesignThis was designed as a retrospective study.PurposeWe assessed the radiographic and clinical outcome of patients who underwent percutaneous vertebroplasty (PVP) in osteoporotic compression fractures with a minimum of 5 years follow-up.Overview of LiteraturePercutaneous vertebroplasty is effective surgical method for treating osteoporotic compression fracture.MethodsBetween January 2000 and August 2005, 159 patients were treated with PVP for osteoporotic compression fracture at our department; 43 patients died during follow-up, and 69 patients (121 vertebras) were available for follow-up for over 5 years. We analyzed the clinical and radiologic outcome including cement feature.ResultsThe mean follow-up period was 5.7 years. Clinical outcome by mean visual analogue scale (VAS) score revealed a decreased 4.9 points perioperatively. A decreased score was maintained over 5 years in 46% of patients. A new adjacent vertebral fracture was documented by 33 vertebral bodies in 22 patients. During the follow-up period, 43 patients (38%) in 112 patients died. Anterior body heig ht in the last follow-up was improved about 0.3 mm compared with the preprocedural value, but was not statistically significant. Also, the focal kyphotic angle was reduced from 12.3° at the preprocedural state to 11.7° at the postprocedural state, but was not statistically significant (p > 0.05).ConclusionsPVP for osteoporotic compression fracture is an efficient procedure for pain relief by long term follow-up. The cement injected vertebrae showed stable radiologic progression without significant changes in vertebral height or kyphotic angle.

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Section: Discussionmentioning

confidence: 92%

Section: Discussionmentioning

confidence: 95%

Long-term Follow-up of Percutaneous Vertebroplasty in Osteoporotic Compression Fracture: Minimum of 5 Years Follow-up

Kim

Yoo

2012

Asian Spine J

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“…Short-term pain relief has been demonstrated in osteoporotic and tumor fractures treated with vertebroplaty and kyphoplasty [47,48] . Long-term outcomes have not been so well established, although some reports state that the beneficial effects of vertebroplasty remain after a followup period of several years [49,50] .…”

Section: Clinical Success Of Vertebroplasty and Kyphoplastymentioning

confidence: 98%

Comparative review of vertebroplasty and kyphoplasty

Santiago¹,

Chinchilla²,

Álvarez³

et al. 2014

WJR

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The aim of this review is to compare the effectiveness of percutaneous vertebroplasty and kyphoplasty to treat pain and improve functional outcome from vertebral fractures secondary to osteoporosis and tumor conditions. In 2009, two open randomized controlled trials published in the New England Journal of Medicine questioned the value of vertebroplasty in treating vertebral compression fractures. Nevertheless, the practice of physicians treating these conditions has barely changed. The objective of this review is to try to clarify the most important issues, based on our own experience and the reported evidence about both techniques, and to guide towards the most appropriate choice of treatment of vertebral fractures, although many questions still remain unanswered.

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“…23,24 It is also a safe procedure with rare complications. 25 According to Hierholzer et al, 26 most patients who undergo osteoplasty experience immediate and dramatic pain relief following the procedure.…”

Section: Discussionmentioning

confidence: 99%

Increased sagittal vertical axis is associated with less effective control of acute pain following vertebroplasty

et al. 2016

Bone & Joint Research

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ObjectivesAlthough vertebroplasty is very effective for relieving acute pain from an osteoporotic vertebral compression fracture, not all patients who undergo vertebroplasty receive the same degree of benefit from the procedure. In order to identify the ideal candidate for vertebroplasty, pre-operative prognostic demographic or clinico-radiological factors need to be identified. The objective of this study was to identify the pre-operative prognostic factors related to the effect of vertebroplasty on acute pain control using a cohort of surgically and non-surgically managed patients.Patients and MethodsPatients with single-level acute osteoporotic vertebral compression fracture at thoracolumbar junction (T10 to L2) were followed. If the patients were not satisfied with acute pain reduction after a three-week conservative treatment, vertebroplasty was recommended. Pain assessment was carried out at the time of diagnosis, as well as three, four, six, and 12 weeks after the diagnosis. The effect of vertebroplasty, compared with conservative treatment, on back pain (visual analogue score, VAS) was analysed with the use of analysis-of-covariance models that adjusted for pre-operative VAS scores.ResultsA total of 342 patients finished the 12-week follow-up, and 120 patients underwent vertebroplasty (35.1%). The effect of vertebroplasty over conservative treatment was significant regardless of age, body mass index, medical comorbidity, previous fracture, pain duration, bone mineral density, degree of vertebral body compression, and canal encroachment. However, the effect of vertebroplasty was not significant at all time points in patients with increased sagittal vertical axis.ConclusionsFor single-level acute osteoporotic vertebral compression fractures, the effect of vertebroplasty was less favourable in patients with increased sagittal vertical axis (> 5 cm) possible due to aggravation of kyphotic stress from walking imbalance.Cite this article: Y-C. Kim, D. H. Bok, H-G. Chang, S. W. Kim, M. S. Park, J. K. Oh, J. Kim, T-H. Kim. Increased sagittal vertical axis is associated with less effective control of acute pain following vertebroplasty. Bone Joint Res 2016;5:544–551. DOI: 10.1302/2046-3758.511.BJR-2016-0135.R1.

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Percutaneous vertebroplasty: long-term clinical and radiological outcome

Cited by 182 publications

References 12 publications

Long-term Follow-up of Percutaneous Vertebroplasty in Osteoporotic Compression Fracture: Minimum of 5 Years Follow-up

Long-term Follow-up of Percutaneous Vertebroplasty in Osteoporotic Compression Fracture: Minimum of 5 Years Follow-up

Comparative review of vertebroplasty and kyphoplasty

Increased sagittal vertical axis is associated with less effective control of acute pain following vertebroplasty

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