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European Spine Journal

, Volume 9, Issue 5, pp 445–450 | Cite as

Percutaneous transpedicular vertebroplasty with PMMA: operative technique and early results

A prospective study for the treatment of osteoporotic compression fractures
  • P. F. Heini
  • B. Wälchli
  • U. Berlemann
Original article

Abstract

Vertebroplasty-percutaneous cement augmentation of osteoporotic vertebrae is an efficient procedure for the treatment of painful vertebral fractures. From a prospectively monitored series of 70 patients with 193 augmented vertebrae for osteoporotic and metastatic lesions, we analysed a group of 17 patients suffering from back pain due to osteoporotic fractures. The reinforcement of 45 vertebral bodies in these patients led to a significant and lasting pain reduction (P < 0.01). The presented technique is useful, as, in one session, at least four injections can be performed when required, allowing the prophylactic reinforcement of adjacent vertebrae as well. The use of a low-viscosity polymethyl methacrylate (PMMA) in combination with a non-ionic liquid contrast dye provides a reliable and safe procedure. Extraosseous cement leakage was seen in 20% of the interventions; however, none of them had clinical sequelae.

Key words Vertebroplasty PMMA Osteoporosis Augmentation 

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Copyright information

© Springer-Verlag Berlin Heidelberg 2000

Authors and Affiliations

  • P. F. Heini
    • 1
  • B. Wälchli
    • 1
  • U. Berlemann
    • 1
  1. 1.Department of Orthopaedic Surgery, Spine Service, Inselspital, University of Bern, Switzerland e-mail: paul.heini@insel.ch, Tel.: +41-31-6322111, Fax: +41-31-6323600CH

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