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Percutaneous vertebroplasty in painful refractory vertebral hemangiomas

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Indian Journal of Orthopaedics Aims and scope Submit manuscript

Abstract

Background

Painful vertebral hemangiomas are often inadequately managed medically. We evaluated the outcome of percutaneous vertebroplasty (PVP) in the treatment of painful vertebral hemangiomas refractory to medical management.

Materials and Methods

14 patients (four thoracic and ten lumbar vertebra) with painful vertebral hemangiomas presenting with severe back pain for more than 6 months not responding to medical therapy were treated by vertebroplasty. Cross sectional imaging of the spine with magnetic resonance was done. Blood investigations were done to exclude coagulopathy excluded. PVP was performed under local anesthesia.

Results

The pain intensity numeric rating scale (PI-NRS-11) of these patients was in the range of 7–10 (Severe Pain). After vertebroplasty 8 patients were completely free of pain (PI NRS Score 0) while 6 were significantly relieved (PI-NRS Score 1–3). No complications were observed. Two patients with associated radicular pain had good pain relief following PVP. No recurrence was found during 36 months of postoperative followup.

Conclusion

PVP is a safe and effective procedure in patients with painful vertebral hemangiomas refractory to medical management.

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Authors and Affiliations

  1. Department of Interventional Neuroradiology, Seven Hills Hospital, Visakhapatnam, Andhra Pradesh, India

    Sibasankar Dalai

  2. Departments of Neurology, Seven Hills Hospital, Visakhapatnam, Andhra Pradesh, India

    R. V. Narayana & Rajesh Pati

Authors
  1. R. V. Narayana
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  2. Rajesh Pati
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  3. Sibasankar Dalai
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Correspondence to Sibasankar Dalai.

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Narayana, R.V., Pati, R. & Dalai, S. Percutaneous vertebroplasty in painful refractory vertebral hemangiomas. IJOO 48, 163–167 (2014). https://doi.org/10.4103/0019-5413.128759

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  • DOI: https://doi.org/10.4103/0019-5413.128759

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