Multilevel percutaneous vertebroplasty in the management of osteoporotic fractures: clinical feature and results

https://doi.org/10.52322/jocmbmh.121.05

Abstract

Objectives: This study was done to evaluate the usefulness and safety of multilevel PV (more than two vertebrae) in management of osteoporotic fractures.

Material and Methods: This prospective study was carried out on consecutive 19 patients with osteoporotic fractures who had been operated for multilevel PV. Visual analogue scale (VAS) was used for pain intensity measurement and plain X-ray films were used to evaluate the bone cement leakage. The mean follow-up period was 227 days. Results: There were 17 females and 2 males and their ages ranged from 23 to 86 with mean age of 66.2 years. We had injected 75 vertebrae in those 19 patients (three levels in 8 patients, four levels in 5 patients, five levels in 5 patients, and six levels in 1 patient). Asymptomatic bone cement leakage has occurred in 11 patients (57.9%) in the present study. Significant improvement of pain was recorded immediate postoperative in 18 patients (94.7%).

Conclusion: Multilevel PV for the treatment of osteoporotic fractures is a safe and successful procedure that can significantly reduce pain and improve patient’s condition without a significant morbidity. It is considered a cost effective procedure allowing a rapid restoration of patient mobility.