Vertébroplastie : évaluation clinique et radiologique à plus de dix ans

Facet joint injections as a means of reducing the need for vertebroplasty in insufficiency fractures of the spine

“…Those with vertebral fractures shown by MRI [4] at the site of the pain and technically suitable for treatment by vertebroplasty were included in our analysis. We then excluded patients when there was no oedema seen in the fracture using FSTIR MR sequences, where the complexity of the fracture or anaesthetic risks would prevent treatment by vertebroplasty and where the MR examination demonstrated fractures of the pedicles or articular processes of the facet joints.…”

“…Vertebral fractures resulting from minimal trauma are most commonly the result of osteoporosis, but maybe the consequence of osteoporosis induced by myeloma, myeloma deposits [1], metastatic malignant deposits in bone [2], haemangioma [3,4] and other rare disorders of bone including osteogenesis imperfecta [5]. Patients referred with a history of osteoporotic vertebral fracture may be considered for percutaneous treatment after they have undergone a period of conservative management [6].…”

Combined local treatments for vertebral metastases with limited epidural extension

“…At the end of the procedure, the 13G introducer cannulas were removed from the vertebral body and a CT was acquired to evaluate the quality of vertebroplasty using the Saliou score and to look for presence of cement leakage. The Saliou score is an 18-scale score which measures the distribution of cement in the vertebral body [8]. According to Delpla et al [9], vertebral consolidation is considered satisfactory when Saliou score is over 9.…”