Percutaneous Vertebroplasty in Metastatic Thoracolumbar Spine Disease Regarding Pain Relief

Document Type : Original Article

Author

The Department Neurosurgery, Faculty of Medicine, Cairo University

Abstract

Abstract
Background: Percutaneous vertebroplasty is a minimally invasive technique used for treatment of painful vertebral compression fracture.
Aim of Study: To evaluate the rule of vertebroplasty in treatment of spinal metastasis of thoracolumbar region regard-ing pain relief.
Patients and Methods: This is a retrospective study of 14 cases of metastatic spinal disease of thoracolumbar region operated upon by percutaneous vertebroplasty between Feb-ruary 2012 to April 2015. Pain intensity was scored on visual analog scale (VAS) pre-operatively and 6 months following surgery to assess improvement. Pre-operative Plain X-ray and MRI of the spine were obtained in all patients as well as serial post-operative X-ray.
Results: 12 patients (85.7%) of our study showed signif-icant pain improvement within 48 hours of the procedure, at 6 months follow-up 10 patients (71.4%) had persistent pain relief. Transient radiculopathy occurred in 1 patient due to cement leakage into the neural foramen.
Conclusion: Percutaneous vertebroblasty is a minimally invasive procedure that is effective in reducing pain in patients with metastatic spinal disease of thoracolumbar spine.

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