Abstract
We wanted to verify the validity of the treatment of vertebroplasty and kyphoplasty to failure of the anterior column of the thoracic and lumbar spine.
Since 2002, 39 procedures of vertebroplasties and kypholasties were performed to 36 patients.
Most of the procedures were done because of painful ostoporotic fractures. 4 were because of metastasis, 2 hemangiomas of the vertebral body. 2 multiple myeloma. One Paget disease of bone.
In cases of multiple osteoporotic fractures, decision was made based on clinical Findings and bone scan.
Results were encouraging: 31 patients reported of improvement of pain. Analyzing Visual Analogue Score, alleviation was recorded immediately after surgery.
Few complications were registered: 2 patients underwent further surgery because of radiating pain. In two patients malpositioning of the Vertebral Body Reconstraction was seen. One patient had osteomyelitis of the vertebral body. 2 cement leakage were seen.
Vertebroplasty and kyphoplasty are good solutions for the treatment of failure of the anterior column in the thoracic and lumbar spine. Accurate patients election should be done in order to detect patients with spinal stenosis that will respond negatively to this treatment.
The abstracts were prepared by Ms Orah Naor. Correspondence should be addressed to Israel Orthopaedic Association at PO Box 7845, Haifa 31074, Israel.
