Abstract
Background
Percutaneous vertebroplasty (PVP) is more commonly used for osteoporotic compression fractures (OCFs) and osteolytic vertebral body tumors. This study aimed to study the differences between OCFs and vertebral hemangiomas (VHs) treated with PVP.
Materials and Methods
Between September 2007 and January 2010, we prospectively treated 28 consecutive patients of OCFs (43 recently symptomatic OCFs) and 24 cases of VHs (26 VHs). We used visual analogue scale (VAS) pain and Oswestry Disability Index (ODI) to evaluate the patients. The followup period in group 1 and 2 were 25.1 months (range 12 - 31 months) and 21.3 months (range 14 - 28 months), respectively. Comparison of means was carried out with the Chi Square Tests, t-test, and N Par-Test for multiple comparisons, whenever appropriate. The level of statistical significance was set at P < 0.05.
Results
Following PVP the VAS score decreased to 4.57 and 4.17 in group 1 and 2, respectively. The ODI scores were 32.5% and 30%, respectively. This decrease in ODI scores lasted throughout the followup period.
Conclusions
Although the preoperative scores were significantly different between group 1 and 2, there was no significant difference between two groups following the PVP
Similar content being viewed by others
References
Galibert P, Deramond H, Rosat P, Le Gars D. Preliminary note on the treatment of vertebral angioma by percutaneous acrylic vertebroplasty. Neurochirurgie 1987;33:166–8.
Röllinghoff M, Zarghooni K, Schlüter-Brust K, Sobottke R, Schlegel U, Eysel P, et al. Indications and contraindications for vertebroplasty and kyphoplasty. Arch Orthop Trauma Surg 2010;130:765–74.
Rao RD, Singrakhia MD. Painful osteoporotic vertebral fracture. Pathogenesis, evaluation, and roles of vertebroplasty and kyphoplasty in its management. J Bone Joint Surg Am 2003;85:2010–22.
Kawanishi M, Morimoto A, Okuda Y, Satoh D, Matsuda N, Itoh Y, et al. Percutaneous vertebroplasty for vertebral compression fracture; indication, technique, and review of the literature. Neurosurg Q 2005;15:172–7.
Huber FX, McArthur N, Tanner M, Gritzbach B, Schoierer O, Rothfischer W, et al. Kyphoplasty for patients with multiple myeloma is a safe surgical procedure: Results from a large patient cohort. Clin Lymphoma Myeloma 2009;9:375–80.
Tseng YY, Lo YL, Chen LH, Lai PL, Yang ST. Percutaneous polymethylmethacrylate vertebroplasty in the treatment of pain induced by metastatic spine tumor. Surg Neurol 2008;70 Suppl 1:S1:78–83.
Masala S, Pipitone V, Tomassini M, Massari F, Romagnoli A, Simonetti G. Percutaneous vertebroplasty in painful Schmorl nodes. Cardiovasc Intervent Radiol 2006;29:97–101.
Samelson EJ, Hannan MT. Epidemiology of osteoporosis. Curr Rheumatol Rep 2006;8:76–83.
Black DM, Thompson DE, Bauer DC, Ensrud K, Musliner T, Hochberg MC, et al. Fracture risk reduction with alendronate in women with osteoporosis: the Fracture Intervention Trial. FIT Research Group. J Clin Endocrinol Metab 2000;85:4118–24.
Blau LA, Hoehns JD. Analgesic efficacy of calcitonin for vertebral fracture pain. Ann Pharmacother 2003;37:564–70.
Prather H, Watson JO, Gilula LA. Nonoperative management of osteoporotic vertebral compression fractures. Injury 2007;38:S40–8.
Muijs SP, Nieuwenhuijse MJ, Van Erkel AR, Dijkstra PD. Percutaneous vertebroplasty for the treatment of osteoporotic vertebral compression fractures: Evaluation after 36 months. J Bone Joint Surg Br 2009;91:379–84.
Chi JH, Manley GT, Chou D. Pregnancy-related vertebral hemangioma. Case report, review of the literature and management algorithm. Neurosurg Focus 2005;19:E7.
Fechner RE, Mills SE. Vascular lesions. In Tumors of the bones and joints. Third Series Fascicle 8. Edited by Rosai J. Washington DC: Armed Forces Institute of Pathology; 1992. p. 129–44.
Pastushyn AI, Slin’ko EI, Mirzoyeva GM. Vertebral hemangiomas: diagnosis, management, natural history and clinicopathological correlates in 86 patients. Surg Neurol 1998;50:535–47.
Hadjipavlou A, Tosounidis T, Gaitanis I, Kakavelakis K, Katonis P. Balloon kyphoplasty as a single or as an adjunct procedure for the management of symptomatic vertebral haemangiomas. J Bone Joint Surg Br 2007;89:495–502.
Guarnieri G, Ambrosanio G, Vassallo P, Pezzullo MG, Galasso R, Lavanga A, et al. Vertebroplasty as treatment of aggressive and symptomatic vertebral hemangiomas: Up to 4 years of followup. Neuroradiology 2009;51:471–6.
Boschi V, Pogorelić Z, Gulan G, Perko Z, Grandić L, Radonić V. Management of cement vertebroplasty in the treatment of vertebral hemangioma. Scand J Surg 2011;100:120–4.
Kostuik JP, Weinstein JN. Differential diagnosis and surgical treatment of metastatic spine tumors. In: Frymoyer JW, Ducker TB, Hadler NM, Kostuik JP, Weinstein JN, Whitecloud TS, editors. The Adult Spine. New York: Raven Press; 1991. p. 861–88.
Wewers ME, Lowe NK. A critical review of visual analogue scales in the measurement of clinical phenomena. Res Nurs Health 1990;13:227–36.
Fairbank JC, Pynsent PB. The Oswestry Disability Index. Spine (Phila Pa 1976) 2000;25:2940–52.
Fairbank JC, Couper J, Davies JB. The oswestry low back pain questionnaire. Physiotherapy 1980;66:271–3.
Jensen ME, Evans AJ, Mathis JM, Kallmes DF, Cloft HJ, Dion JE. Percutaneous polymethylmethacrylate vertebroplasty in the treatment of osteoporotic vertebral body compression fractures: Technical aspects. Am J Neuroradiol 1997;18:1897–904.
Omidi-Kashani F, Ebrahimzadeh M, Peivandy M. Late onset sciatalgia as a rare complication of percutaneous vertebroplasty: A case report. Cases J 2009;2:7960.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Omidi-Kashani, F., Hasankhani, E.G., Akhlaghi, S. et al. Percutaneous vertebroplasty in symptomatic hemangioma versus osteoporotic compression fracture. IJOO 47, 234–237 (2013). https://doi.org/10.4103/0019-5413.111498
Published:
Issue Date:
DOI: https://doi.org/10.4103/0019-5413.111498