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. 2005 Jun;23(4):256-60.

Initial experience of percutaneous vertebroplasty using single-plane C-arm fluoroscopy for guidance

Masamichi Koyama  1 , Kenji Takizawa, Ken Kobayashi, Kaoru Sasaka, Yoshikazu Hoshikawa, Shunsuke Nakaji, Kyoko Okamoto, Nobuyasu Kanai, Eimei Okamoto, Yasuo Nakajima, Yutaka Sasao
Affiliations
  • PMID: 16012401

Initial experience of percutaneous vertebroplasty using single-plane C-arm fluoroscopy for guidance

Masamichi Koyama et al. Radiat Med. 2005 Jun.

Abstract

Purpose: The purpose of this study was to evaluate the feasibility and safety of percutaneous vertebroplasty (PVP) using single-plane C-arm fluoroscopy.

Materials and methods: Lesions in the present study all comprised compression fractures with intact pedicles. A polymethylmethacrylate (PMMA) mixture was injected by the transpedicular approach under C-arm fluoroscopy using a lateral projection. Before and after PVP, the pain score was determined using visual analog scale methods.

Results: Between June 2002 and May 2004, we performed 31 PVPs in 17 patients during 22 treatment sessions. Underlying pathology comprised neoplasm-related compression fracture (n=9) and fractures attributed to osteoporosis (n=8). Mean pain score was 8.0 (range, 4.5-10) immediately before PVP, and 1.9 (range, 0-7) at 24 h after PVP. Mean time needed to perform PVP was 59 min. Mean time to approach a pedicle was 36 min (range, 20 min for 1 pedicle to 110 min for 3 pedicles). No complications requiring surgical intervention or exacerbating conditions beyond pre-treatment levels were noted.

Conclusion: PVP using single-plane C-arm fluoroscopy for guidance is feasible, safe, and quick.

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