COMPLICATIONS OF THE PERCUTANEOUS VERTEBROPLASTY

Perkutanöz vertebroplasti (PV) osteoporotik vertebra fraktürleri, malign vertebra fraktürleri ve hemanjiomların tedavisinde uzun zamandır uygulanmaktadır. Düşük komplikasyon oranları, hastanede yatış süresinde azalma, yüz güldürücü sonuçlar, maliyet etkinliği ve geleneksel stabilizasyon yöntemleri ile kıyaslandığında daha kolay uygulanabilir olması PV'yi uygun endikasyonların varlığında ilk tercih haline getirmektedir. PV her ne kadar minimal invaziv bir girişimsel işlem olsa da, ciddi komplikasyonlar da görülebilir. Diğer tüm girişimsel işlemler gibi PV de dikkatle yönetilmelidir. Bu yazıda PV'nin ılımlı, orta düzey ve en korkulan komplikasyonları gözden geçirilmiştir.

PERKÜTAN VERTEBROPLASTİ KOMPLİKASYONLARI

Percutaneous vertebroplasty (PV) has long been applied in the treatment of osteoporotic vertebral fractures, malignant vertebral fractures and hemangiomas. Low complication rates, reduced length of hospitalization, favorable results, cost effectiveness and quiet easy application compared with conventional stabilization methods make PV first choice in suitable indications. Although it is a minimally invasive interventional technique, it is not free of severe complications. Like other interventional procedures, PV must be managed carefully. Here, we reviewed mild, moderate and dreaded complications of PV.

Kaynakça

Ai-Min W, Yong-Long C, Wen-Fei N. Vertebral compression fracture with intravertebral vacuum cleft sign: pathogenesis, image, and surgical intervention. Asian Spine J 2013; 7(2): 148-155.

Bai B, Jazrawi LM, Kummer FJ. The use of an injectable, biodegradable calcium phosphate bone substitute for the prophylactic augmentation of osteoporotic vertebrae and the management of vertebral compression fractures. Spine 1999; 24: 1521-1526.

Chiras J, Depriester C, Weill A, Sola Martinez M.- T, Deramond H. Vertébroplasties percutanées: technique et indications. J Neuroradiol 1997; 24: 45-59.

Chiras J, Deramond H: Complications des vertébroplasties. In: Chirurgie du Rachis. Montpellier, France, Sauramps Medical, 1995; pp: 149-153.

Cortet B, Cotten A, Boutry N. Percutaneous vertebroplasty in the treatment of osteoporotic vertebral compression fractures: An open prospective study. J Rheumatol 1999; 26: 2222-2228.

Cotten A, Boutry N, Cortet B. Percutaneous vertebroplasty: State of the art. Radiographics 1998; 18: 311-320.

Cotten A, Dewatre F, Cortet B, Assaker R, Leblond D, Duquesnoy B. Percutaneous vertebroplasty for osteolytic metastases and myeloma: effects of the percentage of lesion filling and leakage of methyl methacrylate at clinical followup. Radiology 1996; 200: 525-530.

Cyteval C, Baron Sarrabère MP, Roux JO. Acute osteoporotic vertebral collapse: Open study on percutaneous injection of acrylic surgical cement in 20 patients. AJR Am J Roentgenol 1999; 173: 1685-1690.

Deramond H, Depriester C, Galibert P. Percutaneous vertebroplasty with polymethylmethacrylate: Technique, indications, and results. Radiol Clin North Am 1998; 36: 533-546.

Galibert P, Deramond H, Rosat P, Le Gars D. Preliminary note on the treatment of vertebral angioma by percutaneous cement vertebroplasty. Neurochirurgie 1987; 33: 166-168.

Gangi A, Kastler BA, Dietemann JL. Percutaneous vertebroplasty guided by a combination of CT and fluoroscopy. AJNR Am J Neuroradiol 1994; 15: 83-86.

Grados F, Depriester C, Cayrolle G, Hardy N, Deramond H, Fardellone P. Long-term observations of vertebral osteoporotic fractures treated by percutaneous vertebroplasty. Rheumatology (Oxford) 2000; 39: 1410- 1414.

Jensen ME, Evans AJ, Mathis JM, Kallmes DF, Cloft HJ, Dion JE. Percutaneous polymethylmethacrylate vertebroplasty in the treatment of osteoporotic vertebral body compression fractures: technical aspects. AJNR Am J Neuroradiol 1997; 18: 1897-1904.

Laredo JD, Hamze B. Complications of percutaneous vertebroplasty and their prevention. Skel Rad 2004; 33(9): 493-505.

Lindsay R, Silverman S, Cooper C. Risk of new vertebral fracture in the year following a fracture. JAMA 2001; 285: 320-323.

Mozaffar M, Radpay RM, Zirakzadeh H, Nabavizadeh P, Sobhiye RM, Langroudi MR. Intra-arterial injection of acrylic cement as a complication of percutaneous vertebroplasty. J Vasc Surg 2012; 56: 1107-1109.

O'Brien JP, Sims JT, Evans AJ. Vertebroplasty in patients with severe vertebral compression fractures: A technical report. AJNR Am J Neuroradiol 2000; 21: 1555- 1558.

Peh WC, Gilula LA, Peck DD. Percutaneous vertebroplasty for severe osteoporotic vertebral body compression fractures. Radiology 2002; 223: 121-126.

Peh WC, Gilula LA. Percutaneous vertebroplasty: indications, contraindications, and technique. Br J Radiol 2003; 76: 69-75.

Scroop R, Eskridge J, Britz GW. Paradoxical cerebral arterial embolization of cement during intraoperative vertebroplasty: case report. AJNR Am J Neuroradiol 2002; 23: 868-870.

Sucu HK, Akar O: Epidural cement leakage through the adjacent disc in kyphoplasty: a case report. J Neur Sci 2015; 32(1):266-270.

Uppin AA, Hirsch JA, Centenera LV, Pfiefer BA, Pazianos AG, Choi IS. Occurrence of new vertebral body fracture after percutaneous vertebroplasty in patients with osteoporosis. Radiology 2003; 226: 119-126.

Vasconcelos C, Gailloud Ph, Martin JB, Murphy KJ. Transient arterial hypotension induced by polymethylmethacrylate injection during percutaneous vertebroplasty . J Vasc Interv Radiol 2001; 12: 1001-1002.

Wang LJ, Yang HL, Shi YX, Jiang WM, Chen L. Pulmonary cement embolism associated with percutaneous vertebroplasty or kyphoplasty: a systematic review. Orthop Surg 2012; 4(3): 182-189.

Wasnich U. Vertebral fracture epidemiology. Bone 1996; 18: 179S-183S.

Weill A, Chiras J, Simon JM, Rose M, SolaMartinez T, Enkaoua E. Spinal metastases: indications for and results of percutaneous injection of acrylic surgical cement. Radiology 1996; 199: 241-247.

Kaynak Göster

  • ISSN: 2147-5903
  • Yayın Aralığı: Yılda 4 Sayı
  • Başlangıç: 1989
  • Yayıncı: Galenos Yayınevi

2.9b 2.2b

Sayıdaki Diğer Makaleler

COMPLICATIONS OF THE PERCUTANEOUS VERTEBROPLASTY

Ali Haluk DÜZKALIR, SELÇUK ÖZDOĞAN, Mehmet TİRYAKİ, Alptekin GÜL, Cumhur Kaan YALTIRIK, MURAT KÖKEN

PROF. AZMİ HAMZAOĞLU, M.D.

İ. Teoman BENLİ, Yener ERKEN

THE USE OF VIDEO ASSISTED THORACOSCOPIC SURGERY IN SPINAL DEFORMITY CORRECTION

H. Yener ERKEN, MEHMET NURİ ERDEM

COCCYDINIA: PAIN MANAGEMENT WITH RADIOFREQUANCY THERMOABLATION OF GANGLION IMPAR

Hüsnü SÜSLÜ, MURAT KÖKEN, SELÇUK ÖZDOĞAN, Mehmet TİRYAKİ, Ali Haluk DÜZKALIR

EFFECT OF POSTOPERATIVE SHOULDER IMBALANCE ON PATIENT SATISFACTION WITH SURGICAL TREATMENT OF ADOLESCENT IDIOPATHIC SCOLIOSIS

Olcay GÜLER, Erhan BAYRAM, Murat YILMAZ, Mehmet Emin ERDIL, Ali AKIN UGRAS, Mahir MAHİROĞULLARI

FAILED BACK SURGERY SYNDROME

SELÇUK ÖZDOĞAN, Erdal GÜR, Hüsnü SÜSLÜ, Mehmet TİRYAKİ, Ali Haluk DÜZKALIR, Cumhur Kaan YALTIRIK

OUR CLINICAL EXPERIENCES: THORACIC OUTLET SYNDROME

Uzay ERDOĞAN, Hakan KINA, M Orhun ÇEVİK, Aykut AKPINAR, Erhan EMEL, A. Ender OFLUOĞLU

EFFECTIVITY OF INTERBODY FUSION PROCEDURE IN DEGENERATIVE SPINE DISEASES

Okan OZKUNT, KERİM SARIYILMAZ, Fatih DİKİCİ, Murat KORKMAZ, TURGUT AKGÜL, Cüneyt ŞAR

UNILATERAL APPROACH FOR BILATERAL SPINAL MICRODECOMPRESSION IN LUMBAR SPINAL STENOSIS: SHORT TERM RESULTS

SELÇUK ÖZDOĞAN, Cumhur Kaan YALTIRIK, Başar ATALAY, Mehmet TİRYAKİ, Ali Haluk DÜZKALIR, Hüsnü SÜSLÜ

ALL LEVELS PEDICLE SCREW FOR DECOMPRESSION AND CORRECTION IN DEGENERATIVE LUMBAR SPINE SCOLIOSIS: SHORT-TERM RESULTS

Uzay ERDOĞAN, Hakan KINA, Orhun M CEVIK, A. Ender OFLUOĞLU