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Peruvian Journal of Neurosurgery

Vertebroplasty in pathological fractures of the spine

Alfredo Fuentes-Dávila M.MD, Wesley Alaba G. MD, Javier Torres M. MD, Federico Valencia L. MD.
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ABSTRACT

 

With the advances in the medicine, we have a high average of life and at the present time leave increment of patient with spine pain for pathological fractures taken place by osteoporosis or in other conditions such as: Spinal metastases, multiple myeloma lesions, and hemangiomas. It is necessary the vertebral stabilization in these patients to improve the pain and at the moment with technical Percutaneous Spinal Vertebroplasty can be reinforced and to give bigger consistency or hardness to the fractured spine.The technique consists to guide placement of the needle and the plastic bone cement that is injected into the vertebrae to stabilize them using Poly methyl methacrylate (PMMA), which is radiopaque due to sterile barium powder, is injected into the bone in the vertebral fractured body, through a stem.Sometimes at level of the spinal compression fractures, we can to introduce and inflates a small balloon into the vertebra to expand its height before injecting the PMMA. This technique is known as Kyphoplasty or Vertebroplasty mediating balloon. The indications of the Vertebroplasty and Kyphoplasty at the moment are the reinforcement of vertebral fractures for spinal metastases too.
In this paper we review the technical basis of the vertebroplasty, according to our experience in this treatment and we present our experience with a small number of cases which had a good outcome for the majority of them.