Complications of Percutaneous Vertebroplasty

Awad, Tariq Elemam; Habba, Hesham Refaat; Mahmoud, Mohamed Hassan; Abdelmonem, Ahmed M; Ali, Sherif H.

doi:10.21608/pajn.2022.94009.1034

Complications of Percutaneous Vertebroplasty

Document Type : Original Articles

Authors

¹ Department of neurosurgery Faculty of medicine Suez canal university

² Neurosurgery department , faculty of medicine , suez canal university , ismailia , egypt

³ Neurosurgery Department, Suez Canal University

⁴ Neurosurgery Department, Suez Canal University, Ismailia, Egypt

10.21608/pajn.2022.94009.1034

Abstract

Purpose:

The aim of this study was to assess the results of vertebroplasty and its complications. We performed on 120 vertebrae using polymethylmethacrylate cement (PMMA). Clinical manifestation and severity of complications of vertebroplasty were followed.

Study Design: A retrospective clinical study of 100 patients.

Patients and Methods:

120 PVP levels have been operated in 100 subjects. They were managed between 2010 and 2019 at Suez Canal University Hospitals (Ismailia, Egypt). There were 70 (58%) women and 50 men (42%), The range of our patients was between 24 to 74 years. The mean age was 58 years. 60 patients were osteoporotic. 45 subjects were operated on a single level while 15 subjects had double to triple levels fractures. Thirty patients have a history malignancy. Two patients’ imaging showed vertebral hemangiomas, and posttraumatic fractures were noticed in 8 subjects.

Results:

All our patients had significant back pain with high VAS score (70-100), with a mean of 93. 12 hours postoperatively, 95% of them reported a pain relief, with a mean of 35. Complications were noticed in 37.5% in all procedures. Leakage occurred in 35% in patients with osteoporosis, 20% in patients with neoplasms and 12.5% in traumatic fractures. Also, 3 patients had leakage in the spinal canal.

Conclusion:

Vertebroplasty is a minimally invasive surgical technique with a low risk of complications. In more than 95% of patients, vertebroplasty effectively decreases pain. Nearly 40% of patients experience local problems. However, in over 90% of these problems, there was no effect on treatment outcomes.

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