Effectiveness of percutaneous vertebroplasty in cases of vertebral metastases - 20/10/15
, M.F. Inecikli b , E. Kacar c , R. Buyukkaya d , G. Ozkaya e , O. Aydın f , C. Erdogan a , B. Hakyemez a
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Abstract |
Purpose and objectives |
To assess the effectiveness of percutaneous vertebroplasty (PV) in patients with vertebral collapse due to metastases.
Materials and methods |
PV procedures performed on 95 vertebras in 52 patients with primary malignancy were retrospectively evaluated. Vertebral metastases, primary malignancies of the patients, pain before and after PV on a visual analogue scale (VAS), amount of polymethylmethacrylate (PMMA) cement applied to the vertebral body during PV, PMMA cement leakage and vertebral approaches were evaluated.
Results |
VAS scores of 43 patients (in total 79 vertebras) were evaluated. Median VAS scores of patients declined from 8 (4–10) before PV to 3 (0–7) within one day after the procedure, to 2 (0–9) one week after the procedure and eventually to 2 (0–9) 3months after the procedure (p<0.001). PMMA amount applied to the vertebral body during PV varied between 1.5–9mL (average±SD 4.91±1.61). There was no significant statistical correlation between PMMA amounts and VAS scores within one day after, 1week after and 3months after the PV procedure (p>0.05).
Conclusion |
PV is a simple, effective, reliable, easy to perform and minimally invasive procedure in patients with painful vertebral metastases.
Le texte complet de cet article est disponible en PDF.Keywords : Percutaneous vertebroplasty (PV), Vertebral metastases, Visual analogue scale (VAS), Polymethylmethacrylate (PMMA)
Plan
Vol 96 - N° 11
P. 1161-1168 - novembre 2015 Retour au numéro
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