Percutaneous vertebroplasty in tumoral osteolysis

Percutaneous vertebroplasty is a minimally invasive, radiologically guided procedure in which bone cement is injected into structurally weakened or destructed vertebrae in order to achieve additional biomechanical stability. In addition to treating osteoporotic vertebral fractures, this technique ga...

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Bibliographic Details
Published in:European radiology 2007-08, Vol.17 (8), p.2166-2175
Main Authors: Jakobs, T F, Trumm, C, Reiser, M, Hoffmann, R T
Format: Article
Language:English
Subjects:
Analgesics
Antibiotics
Asepsis
Asymptomatic
Back pain
Bed rest
Biomechanics
Bone Cements
Bone implants
Bone surgery
Cement
Fractures
Hemangioma
Humans
Immobilization
Metastases
Metastasis
Minimally Invasive Surgical Procedures
Multiple myeloma
Narcotics
Osteolysis
Osteolysis - diagnostic imaging
Osteolysis - pathology
Osteolysis - surgery
Osteoporosis
Patient Selection
Patients
Postoperative Complications
Radiation
Radiation effects
Radiation therapy
Radiography, Interventional
Spinal cord
Spinal Neoplasms - diagnostic imaging
Spinal Neoplasms - pathology
Spinal Neoplasms - surgery
Spine
Treatment Outcome
Vertebrae
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Description
Summary:Percutaneous vertebroplasty is a minimally invasive, radiologically guided procedure in which bone cement is injected into structurally weakened or destructed vertebrae in order to achieve additional biomechanical stability. In addition to treating osteoporotic vertebral fractures, this technique gains popularity to relieve pain by stabilizing vertebrae compromised by, for example, metastases, aggressive hemangiomas or multiple myeloma that are at risk of pathologic fracture. Since conservative treatment with narcotic analgesics, bed rest, biphosphonates and back bracing for several weeks is often ineffective and the analgesic effect of radiation therapy is delayed, percutaneous vertebroplasty may play a beneficial role in the management of metastases to the spine.
ISSN:0938-7994
1432-1084
DOI:10.1007/s00330-007-0581-6