European Radiology

, Volume 27, Issue 4, pp 1512–1516 | Cite as

Percutaneous vertebroplasty under local anaesthesia: feasibility regarding patients’ experience

  • Eric Bonnard
  • Pauline Foti
  • Adrian Kastler
  • Nicolas Amoretti
Musculoskeletal
First Online:
Received:
Revised:
Accepted:

Abstract

Objective

Evaluate patients’ intraoperative experience of percutaneous vertebroplasty (PV) performed without general anaesthesia in order to assess the feasibility of local anaesthesia and simple analgesic medication as pain control protocol.

Methods

Ninety-five patients who underwent single-site PV were consecutively included in the study between 2011 and 2013. Each procedure was achieved under local anaesthesia and perfusion of paracetamol, tramadol and dolasetron, with combined CT and fluoroscopy guidance. Numeric pain scale (NPS) was collected before, during and after intervention. After intervention, patients were asked to evaluate their experience as “very bad”, “bad”, “fair”, “good” or “very good”, independently of the pain.

Results

Indications for vertebroplasty were osteopenic fractures (78 %), aggressive angiomas (13 %) and somatic tumours (9 %). In 76 % of cases, patients’ experience was described as “very good” (44 %) or “good” (32 %), whereas 19 % described it as “fair” and 5 % as “very bad”. Mean operative NPS was 5.5. After intervention, NPS was significantly lower with a decrease of 4.5 points. No differences were found according to the localization, type of lesion, age or sex either in terms of experience or NPS.

Conclusion

Percutaneous vertebroplasty is feasible under local anaesthesia alone, with a very good or good experience in 76 % of the patients.

Key Points

• Vertebroplasty is a first-line therapy for consolidation and pain control of vertebral lesions.

• This procedure is commonly performed under general anaesthesia or conscious sedation.

• We perform vertebroplasty under local anaesthesia and simple analgesic protocol with acceptable experience.

• Percutaneous vertebroplasty can safely be proposed in a fragile population.

Keywords

Vertebroplasty Local anaesthesia Pain Experience CT and fluoroscopy 

Abbreviations

CT

computed tomography

NPS

numeric pain scale

PV

percutaneous vertebroplasty

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Notes

Acknowledgements

The scientific guarantor of this publication is Nicolas Amoretti, MD. The authors of this manuscript declare no relationships with any companies whose products or services may be related to the subject matter of the article. The authors state that this work has not received any funding. Pauline Foti, MD, kindly provided statistical advice for this manuscript. Institutional review board approval was not required because the procedure described in this prospective observational study is part of routine practice. Written informed consent was obtained from all subjects (patients) in this study. Methodology: prospective, observational, performed at one institution.

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Copyright information

© European Society of Radiology 2016

Authors and Affiliations

  1. 1.Diagnostic and Interventional Radiology UnitNice University HospitalNiceFrance
  2. 2.Neuroradiology and MRI Unit, CLUNIGrenoble University HospitalGrenobleFrance

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