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Órgano Oficial de difusión científica de la Asociación Mexicana de Cirujanos de Columna A. C.

2025, Number 1

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Cir Columna 2025; 3 (1)

Treatment of osteoporotic multifracture with seated facet block: a case report as an alternative in the context of respiratory contraindications

Callejas PE, Sauri BJC, Carral RLE, Pérez RJ, Romero RJAI, Betancourt QC

Language: Spanish
References: 11
Page: 58-61
PDF size: 274.67 Kb.


ABSTRACT

Objective: to describe the use of seated facet block as a therapeutic alternative in a patient with osteoporotic vertebral fractures and respiratory contraindications to standard treatment. Methods: case report following the CARE statement guidelines, including a technical note on the seated facet block variant. We present the case of a 69-year-old female patient with multiple vertebral fractures and severe cardiopulmonary comorbidities. Due to the high risks associated with vertebroplasty and kyphoplasty, a seated facet block was performed under fluoroscopy, administering a mixture of medications to the affected facet joints. Results: the patient showed significant improvement in pain, reporting a reduction to 1/10 on the visual analog scale (VAS) without respiratory complications during or after the procedure. Conclusions: the seated facet block proved to be a safe and effective option for pain management in patients with osteoporotic vertebral fractures and contraindications to standard treatment. This approach may be considered a viable alternative in similar clinical contexts.


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