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Percutaneous Vertebroplasty and Balloon Kyphoplasty for the Treatment of Acute Painful Pathologic and Nonpathologic Fractures

  • Sandra Narayanan
  • Frank C. Tong
Part of the Contemporary Hematology book series (CH)

Introduction

Percutaneous vertebroplasty, a procedure first performed in France in 19841 and in the United States in 1994,2 is generally used for three primary indications: osteoporotic vertebral compression fractures, malignant vertebral tumors, and painful and/or aggressive vertebral hemangiomas.3 The goal in all three scenarios is pain relief with the potential for early mobility while providing structural support of the destructive spine lesion.

Persons with destructive malignant lesions of the spine such as multiple myeloma are ideal candidates for vertebroplasty, as progressive and disproportionate bone resorption is responsible for the principal morbidity of this devastating illness. Fifty-five to seventy percent of fractures in multiple myeloma occur in the spine, most commonly in the lower thoracic or lumbar vertebrae.4 A threefold increased fracture risk (mostly pathologic fractures) is noted in patients with monoclonal gammopathy of undetermined significance (MGUS)5; this...

Keywords

Vertebral Body Vertebral Compression Fracture Cement Leakage Percutaneous Vertebroplasty Vertebral Body Height 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Copyright information

© Springer Science+Business Media, LLC 2008

Authors and Affiliations

  • Sandra Narayanan
    • 1
  • Frank C. Tong
    • 1
  1. 1.Emory University HospitalAtlantaUSA

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