Authors : Mojtaba Miri , Hossein Ghanaati , Kavous Firouznia , Hasan Hashemi , Hamid Ara , Amir Hossein Jalali and Madjid Shakiba
Abstract: Our purpose in this study was to determine the results of CT fluoroscopy guided Percutaneous Vertebroplasty (PVP) in pain reduction from vertebral compression fractures and its complications. During a 3 year period, 59 patients (39 female, 20 male) with persistent low back pain and back pain underwent percutaneous injection of cement into the vertebrae under fluoroscopic guidance. Among our patients, 30 cases (50.8%) had thoracic pathology, 26 (44.1%) lumbar pathology and 3 (5.1%) both thoracic and lumbar involvement. Severity of low back pain and back pain was assessed by using visual analog scale (VAS) before and after one and 6 months intervals thereafter. The mean age of our cases was 63.5±11.3 years (range: 25-97). Thirty two procedures (54.3%) were performed for osteoporotic compression fracture, 13 (22%) for hemangioma, 9 (15.3%) for traumatic fracture and 5 (8.5%) for metastasis. Mean volume of cement injected was 5.3±1.6 mL (3-10 mL) in osteoporotic vertebrae, 4.7±1.4 mL (2-7 mL) in hemangiomas, 6.2±2.4 mL (3-10 mL) in traumatic fractures and 4.4±0.9 mL (4-6 mL) in vertebrae affected by metastasis (p = 0.17). Reduction in pain immediately after the procedure was seen in 71.9% (23 from 32 cases) for osteoporosis 77.8% (14 from 18 cases) for tumoral lesions and 55.6% (5 from 9 cases) for traumatic fractures (p = 0.48). Mean pain reduction after 6 months was significantly higher than mean reduction after one month (55.9±24.9% versus 45.7±24.8%; p<0.0001). CT fluoroscopy guided PVP is a safe and efficacious procedure resulting in pain reduction among patients with vertebral compression fractures.
Mojtaba Miri , Hossein Ghanaati , Kavous Firouznia , Hasan Hashemi , Hamid Ara , Amir Hossein Jalali and Madjid Shakiba , 2009. CT Fluoroscopy Guided Vertebroplasty for Treatment of Painful Vertebral Compression Fractures. Research Journal of Biological Sciences, 4: 1-6.