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Revista de Especialidades Médico-Quirúrgicas

Instituto de Seguridad y Servicios Sociales de los Trabajadores del Estado
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2013, Number 3

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Rev Esp Med Quir 2013; 18 (3)

Vertebroplasty in Vertebral Destructive Processes

Calvo RL, Martínez JE, Calvo ZBE
Full text How to cite this article

Language: Spanish
References: 9
Page: 206-211
PDF size: 205.05 Kb.


Key words:

destruction, vertebral, vertebroplasty, myeloma, osteoporosis.

ABSTRACT

Background: Vertebral destruction syndrome is a term, which encompasses infectious and metabolic diseases, primary tumor, metastasis and Paget's disease. It is caused mainly by vertebral fractures, which lead to mechanical disturbances of the column and occasionally neurologic injury.
Objectives: To show that vertebroplasty is safe and can be used in patients with vertebral destruction since improves their quality of life.
Patients and methods: A prospective, longitudinal and clinical research was done in patients diagnosed with vertebral destruction syndrome at Regional Hospital Presidente Juárez, ISSSTE, in Oaxaca city. Forty-two vertebroplasties were done to 20 patients, 14 of them with osteoporosis, five with myeloma and one with bone necrosis diagnosed by biopsy.
Results: The visual analog pain scale revealed that in all patients vertebroplasty reduced 81% the pain caused by osteoporotic compression fractures and by multiple myeloma. The most affected vertebrae were T12, L1 and L2 that account for 76.1% of the series. There were two cement leakages without either neurological or vascular complications. Conclusions: Osteoradionecrosis should be included in vertebral destruction syndrome. Vertebroplasty improves the quality of life of patients by integrating them into family, social and work life.


REFERENCES

  1. Alpízar A, Elías E, Rosales LM, Miramontes V, Reyes A. Síndrome de destrucción vertebral. Sistemas de evaluación en su diagnóstico. Cirugía y Cirujanos 2008;76:205-211.

  2. Spivak JM, Johnson MG. Percutaneous treatment of vertebral body pathology. J Am Acad Orthop Surg 2005;13:6-17.

  3. Esses SI, McGuire R, Jenkins J, Finkelstein J, et al. The treatment of symptomatic osteoporotic spinal compression fractures. J Am Acad Orthop Surg 2011;19:176-182.

  4. de Negri P, Tirri T, Paternoster G, Modano P. Treatment of painful osteoporotic or traumatic vertebral compression fractures by percutaneous vertebral augmentation procedures: A nonrandomized comparison between vertebroplasty and kyphoplasty. Clin J Pain 2007;23:425-430.

  5. Kamaliana S, Bordiaa R, Ortiza AO. Post-vertebral augmentation back pain: evaluation and management. AJNR 2012;33:370-375.

  6. Truumees E, Hilibran A, Vaccaro AR. Percutaneous vertebral augmentation. Spine J 2004;4:218-229.

  7. White AP, Kwon BK, Lindskog DM, Friedlaender GE, et al. Metastatic disease of the spine. Am Acad Orthop Surg 2006;14:587-598.

  8. Harrington KD. The use of methylmethacrylate for vertebralbody replacement and anterior stabilization of pathological fracture-dislocations of the spine due to metastatic malignant disease. J Bone Joint Surg Am 1981;63:36-46.

  9. Weber CH, Krötz M, Hoffmann RT, Euler E, et al. CTguided vertebroplasty and kyphoplasty: comparing technical success rate and complications in 101 cases. Rofo 2006;178:610-617.




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Rev Esp Med Quir. 2013;18