Repeat Percutaneous Vertebroplasty at Cemented Vertebra with Fluid Sign and Recurrent Pain

Chao-Chun Lin; Ing-Ho Chen; Pao-Sheng Yen; Der-Cherng Chen; Shih-Hsiang Hsu; Sai-Tung Kwong; Cheng-Hui Chiu
November 2008
Interventional Neuroradiology;2008, Vol. 14 Issue Supp2, p85
Academic Journal
Six patients (three females and three males) were referred from their clinicians for evaluation with complaints of recurrent pain. A followup MRI showed fluid at the cemented vertebral bodies. Repeat percutaneous vertebroplasty (PV) was performed in these six patients at the cemented vertebrae. Pain scores, mobility scores, and spine MRIs before the 1st PV, prior to the repeat PV, and 1 and 3 months after the repeat PV were obtained. One month after the repeat PV, the six patients had a mean pain score reduction of 6.2 points and a mean postoperative pain level reduction of 2.8 points. Four of the six patients demonstrated an improvement in mobility with a 1.7 point mean decrease one month after the repeat PV. There was decreased fluid and bone marrow edema in four of the six patients on the follow-up MRIs one and three months after the repeat PV. Repeat PV at cemented vertebrae with fluid signs may offer therapeutic benefits for recurrent pain.


Related Articles

  • MRI of degenerative lumbar spine disease: comparison of non-accelerated and parallel imaging. Nölte, Ingo; Gerigk, Lars; Brockmann, Marc A.; Kemmling, André; Groden, Christoph // Neuroradiology;May2008, Vol. 50 Issue 5, p403 

    Parallel imaging techniques such as GRAPPA have been introduced to optimize image quality and acquisition time. For spinal imaging in a clinical setting no data exist on the equivalency of conventional and parallel imaging techniques. The purpose of this study was to determine whether T1- and...

  • Degenerative diseases of the cervical spine: comparison of a multiecho data image combination sequence with a magnetisation transfer saturation pulse and cervical myelography and CT. Dorenbeck, U.; Schreyer, A.G.; Schlaier, J.; Held, P.; Feuerbach, S.; Seitz, J. // Neuroradiology;Apr2004, Vol. 46 Issue 4, p306 

    Assessing degenerative disease in the cervical spine remains a challenge. There is much controversy about imaging the cervical spine using MRI. Our aim in this prospective study was to compare a T2*-weighted 2D spoiled gradient-echo multiecho sequence (MEDIC) with a magnetisation transfer...

  • Percutaneous Vertebroplasty of the Cervical Spine. Anselmetti, G. C. // Neuroradiology Journal;Sep2009 Supplement, Vol. 22, p147 

    The article discusses the application of percutaneous vertebroplasty for cervical spine diseases. It indicates that percutaneous vertebroplasty involves the percutaneous injection of acrylic bone cement. It is considered as a minimally invasive procedure which increases the strength and...

  • Assessment of pain due to lumbar spine diseases using MR spectroscopy: a preliminary report. Yabuki, Shoji; Konno, Shin-ichi; Kikuchi, Shin-ichi // Journal of Orthopaedic Science;May2013, Vol. 18 Issue 3, p363 

    Background data: There is a considerable difference in pain perception among individuals. In patients with chronic pain, recent studies using fMRI, PET and SPECT have shown that functional changes mainly occurred in the anterior cingulate cortex (ACC), prefrontal cortex (PFC) and thalamus. Brain...

  • Chronic pain after TEP inguinal hernia repair, does MRI reveal a cause? Burgmans, J.; Voorbrood, C.; Dalen, T.; Clevers, G.; Boxhoorn, R.; Sanders, F.; Naafs, D.; Simmermacher, R.; Burgmans, J P J; Voorbrood, C E H; Van Dalen, T; Boxhoorn, R N; Clevers, G J; Sanders, F B M; Naafs, D B J; Simmermacher, R K J // Hernia;Feb2016, Vol. 20 Issue 1, p55 

    Purpose: Persistent pain is a known side effect after TEP inguinal repair disabling 2-5% of patients. A standardized diagnostic work-up so far is not available. MRI is a diagnostic tool in the work-up of inguinal hernias. In the present study the yield of MRI in evaluating chronic...

  • CT perfusion imaging in the management of posterior reversible encephalopathy. Casey, S.O.; McKinney, A.; Teksam, M.; Liu, H.; Truwit, C.L. // Neuroradiology;Apr2004, Vol. 46 Issue 4, p272 

    A 13-year-old girl with a renal transplant presented with hypertension and seizures. CT and MRI demonstrated typical bilateral parietal, occipital and posterior frontal cortical and subcortical edema, thought to represent posterior reversible encephalopathy syndrome. The cause was presumed to be...

  • In vivo basal ganglia volumetry through application of NURBS models to MR images. Anastasi, Giuseppe; Cutroneo, Giuseppina; Tomasello, Francesco; Lucerna, Sebastiano; Vitetta, AntonGiulio; Bramanti, Placido; Di Bella, Paolo; Parenti, Anna; Porzionato, Andrea; Macchi, Veronica; De Caro, Raffaele // Neuroradiology;May2006, Vol. 48 Issue 5, p338 

    Volumetry of basal ganglia (BG) based on magnetic resonance imaging (MRI) provides a sensitive marker in differential diagnosis of BG disorders. The non-uniform rational B-spline (NURBS) surfaces are mathematical representations of three-dimensional structures which have recently been applied in...

  • MRI language dominance assessment in epilepsy patients at 1.0 T: region of interest analysis and comparison with intracarotid amytal testing. Deblaere, K.; Boon, P.A.; Vandemaele, P.; Tieleman, A.; Vonck, K.; Vingerhoets, G.; Backes, W.; Defreyne, L.; Achten, E. // Neuroradiology;Jun2004, Vol. 46 Issue 6, p413 

    The primary goal of this study was to test the reliability of presurgical language lateralization in epilepsy patients with functional magnetic resonance imaging (fMRI) with a 1.0-T MR scanner using a simple word generation paradigm and conventional equipment. In addition, hemispherical fMRI...

  • Semicircular canal dehiscence: comparison of T2-weighted turbo spin-echo MRI and CT. Krombach, G.A.; Schmitz-Rode, T.; Haage, P.; DiMartino, E.; Prescher, A.; Kinzel, S.; Günther, R.W. // Neuroradiology;Apr2004, Vol. 46 Issue 4, p326 

    We assessed the value of MRI for delineation of dehiscence of the superior or posterior semicircular canal, as compared with CT, the current standard study for this entity. We reviewed heavily T2-weighted fast spin-echo images and high-resolution CT of the temporal bones of 185 patients...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics