PERCUTANEOUS VERTEBROPLASTY WITH POLYMETHYLMETHACRYLATE: Technique, Indications, and Results
Section snippets
Material
Vertebral percutaneous puncture is performed using needles of different lengths and diameters depending on the vertebral level (Fig. 1). At the cervical level we use 14- or 15-gauge needles, 7 cm long with a tapered or beveled end. At the thoracic or lumbar level, we use 10-gauge needles of 10 to 15 cm long with a beveled end. The bone cement is injected using 1 to 3 mL Luer-Lok syringes. A syringe handle makes the injection easier. The bone cement package consists of a two-component system:
INDICATIONS
PVP is indicated for the treatment of destabilizing and painful vertebral lesions. There are three major indications: (1) vertebral angiomas (VA), (2) osteoporotic vertebral collapse syndrome, and (3) malignant vertebral tumors.
INCIDENTS AND COMPLICATIONS
Incidents and complications can be related to the percutaneous approach, the status of the patient, and the injection of PMMA. Together with J. Chiras, we have published the incidents and complications concerning 274 patients with PVP.2, 3
ACKNOWLEDGMENT
We wish to thank Dr. Kieran Murphy for his assistance in this study.
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Address reprint requests to Hervé Deramond, MD, Service de Radiologie A, Place Victor Pauchet, Centre Hospitalier Universitaire, Amiens 80054, France