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AB0187 Percutaneous vertebroplasty in rheumatology
  1. MC García Gómez,
  2. C Galisteo,
  3. N Navarro,
  4. M Castellanos,
  5. C Alegre,
  6. M Rovira,
  7. J Serra,
  8. LL Mebarak
  1. Rheumatology, Hospital Malaties Reumàtiques, Barcelona, Spain

Abstract

Objectives The percutaneous vertebroplasty (PVP) consists in the percutaneous injection of a biomaterial, plimethylmethacrylate, inside of vertebral body, with the idea of consolidating the vertebral body and to relieve the pain. It is indicated in the treatment of the persistent pain of vertebral body injury, mainly the aggressive hemangioma, the tumoural processes (myeloma and metastasis) and also in the osteoporotic vertebral collapse. We present our experience in this technique.

Methods We show seven clinical cases, with radiology pictures, about PVP guided by TAC, under local anaesthesia and general sedation, which first indications were to relieve the pain. There are 5 women with an average age of 65 years (40–80) and osteoporotic collapse vertebral. one of them with an hemangioma located in D12 also, a man 72 years old with an hemangioma in L3 and a man 85 years old with a metastasis in L2 secondary to renal tumour.

Results In the seven cases we got to relieve the pain before, the consolidation of the vertebral body, the reduction of the hospitalisation period and saving to have analgesic drugs. In none of them we had complications, except for a case that we caused leakage of cement into adjacent disks, without secondary effects. In the case of the vertebral metastasis the posterior wall was fractured and pushed in the channel, but we didn´t cause leakage of cement into the channel.

Conclusion The PVP has been an effective technique in the treatment of the persistent pain in the osteoporotic vertebral collapse, vertebral hemangioma and tumoural process in our patients. It could be an alternative good treatment, and besides it allows an earlier mobilisation, as it prevents the apparition of deformities and possible secundaries complications about this. This is not an expensive procedure, with some possible risk derivated from the technique. Results for long-term follow-up are not yet known and we should make controlled studies to specify which patients could be benefited by technique.

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