Nicolas Amoretti1, Palominos Diego2, Pellegrin Amélie2, Olivier Andreani2, Pauline Foti2, Heidy Schmid-Antomarchi3, Jean-Claude Scimeca3, Pascal Boileau4. 1. Diagnostic and Interventional Radiology Unit, Nice University Hospital, 30 Voie Romaine, 06000 Nice, France. Electronic address: amoretti.n@chu-nice.fr. 2. Diagnostic and Interventional Radiology Unit, Nice University Hospital, 30 Voie Romaine, 06000 Nice, France. 3. Institut de Biologie Valrose, Université cote d'azur, Tour Pasteur, UFR Médecine, 28 Ave de Valombrose, 06107 Nice Cedex 2, France. 4. Orthopaedic Surgery Unit, Nice University Hospital, 30 Voie Romaine, 06000 Nice, France.
Abstract
PURPOSE: to evaluate the technical feasibility and safety of CT and fluoroscopy guided percutaneous vertebroplasty in the treatment of tumoral vertebral fractures with posterior wall involvement. MATERIALS AND METHODS: Institutional review board approval and informed consent were obtained for this study. Sixty-three consecutive adult patients (35 women, 28 men; mean age+/- standard deviation: 69 years+/- 14) with tumoral spinal fractures that compromised the posterior wall were treated by means of percutaneous vertebroplasty with CT and fluoroscopy guidance. Only local anesthesia was used during these procedures. Postoperative outcome was assessed using the Kostuik index. RESULTS: Sixty-three vertebroplasties were performed on thirty-four thoracic (54%), twenty-six lumbar (41%), and three (5%) cervical vertebrae. The etiologies of the fractures were metastasis in twenty-eight (44%), myeloma in twenty-five (40%) and hemangioma in ten (16%). Almost all fractures (94%) were consolidated after vertebroplasty (score of Kostuik <3) (p < 0.001). No major complications were reported in our series of cases. CONCLUSION: This study suggests that tumoral spinal fractures with posterior vertebral wall involvement can be successfully and safely treated by CT- and fluoroscopy-guided percutaneous vertebroplasty.
PURPOSE: to evaluate the technical feasibility and safety of CT and fluoroscopy guided percutaneous vertebroplasty in the treatment of tumoral vertebral fractures with posterior wall involvement. MATERIALS AND METHODS: Institutional review board approval and informed consent were obtained for this study. Sixty-three consecutive adult patients (35 women, 28 men; mean age+/- standard deviation: 69 years+/- 14) with tumoral spinal fractures that compromised the posterior wall were treated by means of percutaneous vertebroplasty with CT and fluoroscopy guidance. Only local anesthesia was used during these procedures. Postoperative outcome was assessed using the Kostuik index. RESULTS: Sixty-three vertebroplasties were performed on thirty-four thoracic (54%), twenty-six lumbar (41%), and three (5%) cervical vertebrae. The etiologies of the fractures were metastasis in twenty-eight (44%), myeloma in twenty-five (40%) and hemangioma in ten (16%). Almost all fractures (94%) were consolidated after vertebroplasty (score of Kostuik <3) (p < 0.001). No major complications were reported in our series of cases. CONCLUSION: This study suggests that tumoral spinal fractures with posterior vertebral wall involvement can be successfully and safely treated by CT- and fluoroscopy-guided percutaneous vertebroplasty.
Authors: Bi Cong Yan; Yan Feng Fan; Qing Hua Tian; Tao Wang; Zhi Long Huang; Hong Mei Song; Ying Li; Lei Jiao; Chun Gen Wu Journal: Korean J Radiol Date: 2022-07-25 Impact factor: 7.109