Vertebroplasty may be used for patients with vertebral compres¬sion fractures due to osteoporosis, metastatic tumors, or benign tumors such as vertebral heamangiomas. Patients with metastasis and myeloma usually experience severe pain and disability.
Vertebroplasty is performed to provide pain relief and to produce bone strengthening and vertebral stabilization when the lesion threatens the stability of the spine. Radiation therapy may be performed in conjunction with vertebroplasty. When the latter is performed for tumor lesions bone cement injection does not prevent tumor growths. Also radiation therapy does not interfere with the mechanical properties of bone cement and complements.
Vertebroplasty is performed to provide pain relief and to produce bone strengthening and vertebral stabilization when the lesion threatens the stability of the spine. Radiation therapy may be performed in conjunction with vertebroplasty. When the latter is performed for tumor lesions bone cement injection does not prevent tumor growths. Also radiation therapy does not interfere with the mechanical properties of bone cement and complements.
Vertebral hemangiomas are common benign lesions of the spine that are often asymptomatic and discovered incidentally during radiologic evaluation. Rarely, they may be painful, and there must be a close correlation between clinical findings and radiologic features to ensure that the patient's pain is due to the vertebral hemangioma. In such cases, vertebroplasty is performed to provide pain relief. The PMMA is injected for pain relief, bone strengthening, and direct embolization of the hemangiomatous body.
Vertebral fractures are the most common complica¬tion of osteoporosis. Age-related osteoporotic com¬pression fractures occur in more than 500,000 patients per year in the United States. About 15% of women in the United States older than 50 years of age will suffer one or more vertebra compression fractures related to osteoporosis. Patients most likely to benefit from vertebroplasty are those with a focal, intense, deep pain associated with evidence of a new or progressive compression fracture. Patients who seem to respond the best include those with a single level or a few levels for treatment, fractures that are present less than 2 months or a recent worsening of the fracture, and no significant sclerosis of the fractured vertebra. It should also be determined if the patient is able to toler¬ate lying prone for 1 to 2 hours.
Vertebral fractures are the most common complica¬tion of osteoporosis. Age-related osteoporotic com¬pression fractures occur in more than 500,000 patients per year in the United States. About 15% of women in the United States older than 50 years of age will suffer one or more vertebra compression fractures related to osteoporosis. Patients most likely to benefit from vertebroplasty are those with a focal, intense, deep pain associated with evidence of a new or progressive compression fracture. Patients who seem to respond the best include those with a single level or a few levels for treatment, fractures that are present less than 2 months or a recent worsening of the fracture, and no significant sclerosis of the fractured vertebra. It should also be determined if the patient is able to toler¬ate lying prone for 1 to 2 hours.
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