• citations in SCIndeks: 0
  • citations in CrossRef:0
  • citations in Google Scholar:[]
  • visits in previous 30 days:0
  • full-text downloads in 30 days:0


article: 5 from 15  
Back back to result list
2018, vol. 75, iss. 10, pp. 1049-1053
Treatment of subacute osteoporotic vertebral compression fractures with percutaneous vertebroplasty: A case report
aUniversity Clinical Centre of the Republic of Srpska, Clinic of General and Abdominal Surgery, Banja Luka, Republic of Srpska, B&H
bAmbulance of Brigade of Guards, Belgrade
cUniversity of Kragujevac, Faculty of Medical Sciences, Department of Anatomy and Forensic Medicine + University of Defence, Faculty of Medicine of the Military Medical Academy, Belgrade
dMilitary Medical Academy, Clinic for Orthopedic Surgery and Traumatology, Belgrade
eClinical Center Kragujevac, Clinic for Orthopaedics and Traumatology
fClinical Center Kragujevac + University of Kragujevac, Faculty of Medical Sciences
Introduction. Percutaneous vertebroplasty (PVP), as a mini-invasive approach in the treatment of patients with osteoporotic vertebral compression fractures (OVCFs), provides stabilization of the spine and relives pain. The most commonly it is applied in the 3-6 weeks before bending of the spine. Complete cessation of pain is easier to achieve if you treat 'less mature' fractures. The aim of the report is to show that PVP is effective and safe for old fractures too. Case report. A 77-old patient suffered from a stable compression fracture of 3th lumbar (L3) vertebral body after minor trauma. This fracture was clinically and radiologically diagnosed. The conservative treatment that included lumbo-sacral orthosis (LSO), analgesic drugs and physical therapy, was primarily applied due to permanent pain and type of fracture. After a period of two months, pain persisted, but it was localized in a thoracic spinal segment with radiologically diagnosed fractured bodies of 8th (Th8) and 10th (Th10), thoracic vertebra without neurological deficit. Thoraco-lumbo-sacral orthosis (TLSO) was prescribed and after six months the indication for vertebroplasty of the Th8 and Th10 vertebral body was given. The pain relief had been achieved and the patient was discharged from the Clinic for Orthopedics on the postoperative day 2, and was symptom free during the follow-up period. Conclusion. In patients with stable OVCFs, PVP is an effective therapy for reducing pain and improving mobility of 6 months old fractures.
Alexandru, D. (2012) Evaluation and Management of Vertebral Compression Fractures. Permanente Journal, str. 46-51
Anderson, P.A., Froyshteter, A.B., Tontz, W.L. (2013) Meta-analysis of vertebral augmentation compared with conservative treatment for osteoporotic spinal fractures. Journal of Bone and Mineral Research, 28(2): 372-382
Balkarli, H., Kilic, M., Balkarli, A., Erdogan, M. (2016) An evaluation of the functional and radiological results of percutaneous vertebroplasty versus conservative treatment for acute symptomatic osteoporotic spinal fractures. Injury, 47(4): 865-871
Brown, D.B., Gilula, L.A., Sehgal, M., Shimony, J.S. (2004) Treatment of Chronic Symptomatic Vertebral Compression Fractures with Percutaneous Vertebroplasty. American Journal of Roentgenology, 182(2): 319-322
Chen, D., An, Z., Song, S., Tang, J., Qin, H. (2014) Percutaneous vertebroplasty compared with conservative treatment in patients with chronic painful osteoporotic spinal fractures. Journal of Clinical Neuroscience, 21(3): 473-477
Cheng, X., Long, H., Xu, J., Huang, Y., Li, F. (2016) Comparison of unilateral versus bilateral percutaneous kyphoplasty for the treatment of patients with osteoporosis vertebral compression fracture (OVCF): a systematic review and meta-analysis. European Spine Journal, 25(11): 3439-3449
Dohm, M., Black, C.M., Dacre, A., Tillman, J.B., Fueredi, G. (2014) A Randomized Trial Comparing Balloon Kyphoplasty and Vertebroplasty for Vertebral Compression Fractures due to Osteoporosis. American Journal of Neuroradiology, 35(12): 2227-2236
Lamy, O., Uebelhart, B., Aubry-Rozier, B. (2014) Risks and benefits of percutaneous vertebroplasty or kyphoplasty in the management of osteoporotic vertebral fractures. Osteoporosis International, 25(3): 807-819
Layton, K.F., Thielen, K.R., Koch, C.A., Luetmer, P.H., Lane, J.I., Wald, J.T., i dr. (2007) Vertebroplasty, first 1000 levels of a single center: evaluation of the outcomes and complications. AJNR Am J Neuroradiol, 28(4); 683-9
Liu, L., Cheng, S., Lu, R., Zhou, Q. (2016) Extrapedicular Infiltration Anesthesia as an Improved Method of Local Anesthesia for Unipedicular Percutaneous Vertebroplasty or Percutaneous Kyphoplasty. BioMed Research International, 2016: 1-4
Papanastassiou, I.D., Phillips, F.M., Meirhaeghe, J., Berenson, J.R., Andersson, G.B.J., Chung, G., Small, B.J., Aghayev, K., Vrionis, F.D. (2012) Comparing effects of kyphoplasty, vertebroplasty, and non-surgical management in a systematic review of randomized and non-randomized controlled studies. European Spine Journal, 21(9): 1826-1843
Peh, W.C.G., Gilula, L.A. (2003) Percutaneous vertebroplasty: indications, contraindications, and technique. British Journal of Radiology, 76(901): 69-75
Röllinghoff, M., Zarghooni, K., Schlüter-Brust, K., Sobottke, R., Schlegel, U., Eysel, P., Delank, K. (2010) Indications and contraindications for vertebroplasty and kyphoplasty. Archives of Orthopaedic and Trauma Surgery, 130(6): 765-774
Stephenson, M.B., Glaenzer, B., Malamis, A. (2016) Percutaneous Minimally Invasive Techniques in the Treatment of Spinal Metastases. Current Treatment Options in Oncology, 17(11):
Takahara, K., Kamimura, M., Moriya, H., Ashizawa, R., Koike, T., Hidai, Y., Ikegami, S., Nakamura, Y., Kato, H. (2016) Risk factors of adjacent vertebral collapse after percutaneous vertebroplasty for osteoporotic vertebral fracture in postmenopausal women. BMC Musculoskeletal Disorders, 17(1):
Tan, H., Wang, L., Zhao, L., Liu, Y., Song, R. (2015) A Prospective Study of Percutaneous Vertebroplasty for Chronic Painful Osteoporotic Vertebral Compression Fracture. Pain Research and Management, 20(1): e8-e11
Teles, A.R., Mattei, T.A., Righesso, O., Falavigna, A. (2015) Controversies on vertebroplasty and kyphoplasty for vertebral compression fractures. Coluna/Columna, 14(4): 324-329
Vanni, D., Galzio, R., Kazakova, A., Pantalone, A., Grillea, G., Bartolo, M., Salini, V., Magliani, V. (2016) Third-generation percutaneous vertebral augmentation systems. Journal of Spine Surgery, 2(1): 13-20
Yokoyama, K., Kawanishi, M., Yamada, M., Tanaka, H., Ito, Y., Kuroiwa, T. (2017) Long-term therapeutic effects of vertebroplasty for painful vertebral compression fracture: a retrospective comparative study. British Journal of Neurosurgery, 31(2): 184-188


article language: English
document type: Case Report
DOI: 10.2298/VSP170130037A
published in SCIndeks: 25/10/2018
peer review method: double-blind
Creative Commons License 4.0

Related records

No related records