Türk Nöroşirürji Dergisi 2003 , Vol 13 , Num 1
PERCUTANEOUS VERTEBROPLASTY IN TREATMENT OF PAINFUL COMPRESSION FRACTURES
A. Fahir ÖZER1, Erhan BULUTCU2, Tunç ÖKTENOĞLU1, Mehdi SASANİ1, Ömür ERÇELEN2, Nazan CANBULAT3, A. Çetin SARIOĞLU1
1VKV Amerikan Hastanesi Nöroşirürji, Departmanı, İstanbul
2VKV Amerikan Hastanesi Ağrı Departmanı, İstanbul
3VKV Amerikan Hastanesi Fizik Tedavi Departmanı, İstanbul
Purpose: Injection of polymetilmetacrilate into vertebra corpus with compression fracture under fluroscopy is known as percutaneous vertebroplasty that is performed to increase the strength of the vertebra. The purpose of this study is to determine the effect of percutaneous vertebroplasty on pain and mobility in patients with painful compression fractures.

Material and Methods: Forthy two patients with painful acute or subacute compression fractures which is confirmed by plain x-ray and MRI were included in this study. The procedure was performed under fluroscopic guidence with general anesthesia or sedoanalgesia in prone position. Transpedicular approach was used to reach vertebra corpus. 3-8 ml cement for lumbar and 2-5 ml cement for thoracic compression fracture were injected via unipedicular or bipedicular. The intensity of pain and mobility were measured before the procedure and at 24 hours, lst month and 3 rd months after the procedure.

Results: Pain and mobility were significantly improved after percutaneous vertebroplasty in 24 hours and this improvement was maintained for 3 months (p<0.0001).

Conclusion: Percutaneous vertebroplasty is an effective procedure to decrease the pain and increases the mobility in patients with osteoporosis or malignancy induced vertebra compression fractures. Anahtar Kelimeler : Compression fracture, pain, percutaneous vertebroplasty