Technetium-99m-methyl diphosphonate bone scintigraphy may be helpful in preoperative planning for vertebroplasty in multiple myeloma: two cases.

Favorable vertebroplasty outcomes reflect accurate preoperative identification of vertebral fracture targets, operator proficiency, and assiduous fracture aftercare. Conventional teaching is that nuclear bone scintigraphy is not helpful in the management of osteolytic myeloma bone disease. Nuclear bone scintigraphy in two patients with multiple myeloma and vertebral fracture pain convincingly identified the fracturing vertebral level and provided confidence that synchronous vertebral fractures were not missed, whereas neither had been appreciated by either radiography or magnetic resonance imaging. Copyright 2010 SIR. Published by Elsevier Inc. All rights reserved.