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Vertebroplasty and epiduroscopy as seen by interventional radiologist


Authors: Josef Vymazal;  Radko Kříž
Authors‘ workplace: Radiologické oddělení Nemocnice Na Homolce
Published in: Čas. Lék. čes. 2018; 157: 203-207
Category: Review Article

Overview

Two minimally-invasive techniques in the spinal region are introduced: vertebroplasty and epiduroscopy.

Vertebroplasty is mostly used in the treatment of osteoporotic vertebral body fractures, as well as in the palliative treatment of spinal metastases or symptomatic hemangiomas. It is usually performed under fluoroscopic, and often also CT control under analgesic sedation. If correctly indicated an analgesic effect occurs in roughly 90 % of patients.

Epiduroscopy is a new technique, which is promising especially in patients with failed back surgery syndrome; patients with clinically-symptomatic fibrous adhesions, generally after repeated surgery. If correctly indicated a positive effect occurs in roughly one third to one half of patients.

Keywords:

vertebroplasty, kyphoplasty, epiduroscopy, CT, MRI, minimally invasive technique, osteoporosis


Sources

1. Galibert P, Deramond H, Rosat P, Le Gars D. Preliminary note on the treatment of vertebral angioma by percutaneous acrylic vertebroplasty. Neurochirurgie 1987; 33(2): 166–168.

2. Hao J, Hu Z. Percutaneous cement vertebroplasty in the treatment of symptomatic vertebral hemangiomas. Pain Physician 2012; 15(1): 43–49.

3. Lapras C, Mottolese C, Deruty R et al. Percutaneous injection of methyl-metacrylate in osteoporosis and severe vertebral osteolysis (Galibert's technic). Ann Chir 1989; 43(5): 371–376.

4. Montagu A, Speirs A, Baldock J et al. A review of vertebroplasty for osteoporotic and malignant vertebral compression fractures. Age Ageing 2012; 41(4): 450–455.

5. Zhao W, Wang H, Hu JH et al. Palliative pain relief and safety of percutaneous radiofrequency ablation combined with cement injection for bone metastasis. Jpn J Clin Oncol 2018; 48(8): 753759.

6. Chan JH, Peh WC, Tsui EY et al. Acute vertebral body compression fractures: discrimination between benign and malignant causes using apparent diffusion coefficients. Br J Radiol 2002; 75(891): 207–214.

7. Han KR, Kim C, Eun JS, Chung YS. Extrapedicular approach of percutaneous vertebroplasty in the treatment of upper and mid-thoracic vertebral compression fracture. Acta Radiol 2005; 46(3): 280–287.

8. Tian J, Xiang L, Zhou D et al. The clinical efficacy of vertebroplasty on osteoporotic vertebral compression fracture: a meta-analysis. Int J Surg 2014; 12(12): 1249–1253.

9. Park JH, Kang KC, Shin DE et al. Preventive effects of conservative treatment with short-term teriparatide on the progression of vertebral body collapse after osteoporotic vertebral compression fracture. Osteoporos Int 2014; 25(2): 613–618.

10. Wang H, Sribastav SS, Ye F et al. Comparison of percutaneous vertebroplasty and balloon kyphoplasty for the treatment of single level vertebral compression fractures: a meta-analysis of the literature. Pain Physician 2015; 18(3): 209–222.

11. Kallewaard JW, Vanelderen P, Richardson J et al. Epiduroscopy for patients with lumbosacral radicular pain. Pain Pract 2014; 14(4): 365–377.

12. Baber Z, Erdek MA. Failed back surgery syndrome: current perspectives. J Pain Res 2016; 9: 979–987.

13. Masini M. Epidural injections: past, present and future. Acta Neurochir Suppl. 2011; 108: 39–40.

Labels
Addictology Allergology and clinical immunology Angiology Audiology Clinical biochemistry Dermatology & STDs Paediatric gastroenterology Paediatric surgery Paediatric cardiology Paediatric neurology Paediatric ENT Paediatric psychiatry Paediatric rheumatology Diabetology Pharmacy Vascular surgery Pain management
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