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Percutaneous Vertebroplasty in Adult Degenerative Scoliosis for Spine Support: Study for Pain Evaluation and Mobility Improvement

We evaluate the efficacy-safety of percutaneous vertebroplasty (PV) as primary treatment in adult degenerative scoliosis. During the last 4 years, PV was performed in 18 adult patients (68 vertebral bodies) with back pain due to degenerative scoliotic spine. Under anaesthesia and fluoroscopy, direct...

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Autores principales: Filippiadis, Dimitrios K., Papagelopoulos, Panagiotis, Kitsou, Maria, Oikonomopoulos, Nikolaos, Brountzos, Elias, Kelekis, Nikolaos, Kelekis, Alexis
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi Publishing Corporation 2013
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3821888/
https://www.ncbi.nlm.nih.gov/pubmed/24260742
http://dx.doi.org/10.1155/2013/626502
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author Filippiadis, Dimitrios K.
Papagelopoulos, Panagiotis
Kitsou, Maria
Oikonomopoulos, Nikolaos
Brountzos, Elias
Kelekis, Nikolaos
Kelekis, Alexis
author_facet Filippiadis, Dimitrios K.
Papagelopoulos, Panagiotis
Kitsou, Maria
Oikonomopoulos, Nikolaos
Brountzos, Elias
Kelekis, Nikolaos
Kelekis, Alexis
author_sort Filippiadis, Dimitrios K.
collection PubMed
description We evaluate the efficacy-safety of percutaneous vertebroplasty (PV) as primary treatment in adult degenerative scoliosis. During the last 4 years, PV was performed in 18 adult patients (68 vertebral bodies) with back pain due to degenerative scoliotic spine. Under anaesthesia and fluoroscopy, direct access to most deformed vertebral bodies was obtained by 13G needles, and PMMA for vertebroplasty was injected. Scoliosis' inner arch was supported. Clinical evaluation included immediate and delayed studies of patient's general condition and neurological status. An NVS scale helped assessing pain relief, life quality, and mobility improvement. Comparing patients' scores prior to (mean value 8.06 ± 1.3 NVS units), the morning after (mean value 3.11 ± 1.2 NVS units), at 12 (mean value 1.67 ± 1.5 NVS units), and 24 months after vertebroplasty (mean value 1.67 ± 1.5 NVS units) treatment, patients presented a mean decrease of 6.39 ± 1.6 NVS units on terms of life quality improvement and pain relief (P = 0.000). Overall mobility improved in 18/18 (100%) patients. No complications were observed. During follow-up period (mean value 17.66 months), all patients underwent a mean of 1.3 sessions for facet joint and nerve root infiltrations. Percutaneous vertebroplasty in the inner arch seems to be an effective technique for supporting adult degenerative scoliotic spine.
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spelling pubmed-38218882013-11-20 Percutaneous Vertebroplasty in Adult Degenerative Scoliosis for Spine Support: Study for Pain Evaluation and Mobility Improvement Filippiadis, Dimitrios K. Papagelopoulos, Panagiotis Kitsou, Maria Oikonomopoulos, Nikolaos Brountzos, Elias Kelekis, Nikolaos Kelekis, Alexis Biomed Res Int Clinical Study We evaluate the efficacy-safety of percutaneous vertebroplasty (PV) as primary treatment in adult degenerative scoliosis. During the last 4 years, PV was performed in 18 adult patients (68 vertebral bodies) with back pain due to degenerative scoliotic spine. Under anaesthesia and fluoroscopy, direct access to most deformed vertebral bodies was obtained by 13G needles, and PMMA for vertebroplasty was injected. Scoliosis' inner arch was supported. Clinical evaluation included immediate and delayed studies of patient's general condition and neurological status. An NVS scale helped assessing pain relief, life quality, and mobility improvement. Comparing patients' scores prior to (mean value 8.06 ± 1.3 NVS units), the morning after (mean value 3.11 ± 1.2 NVS units), at 12 (mean value 1.67 ± 1.5 NVS units), and 24 months after vertebroplasty (mean value 1.67 ± 1.5 NVS units) treatment, patients presented a mean decrease of 6.39 ± 1.6 NVS units on terms of life quality improvement and pain relief (P = 0.000). Overall mobility improved in 18/18 (100%) patients. No complications were observed. During follow-up period (mean value 17.66 months), all patients underwent a mean of 1.3 sessions for facet joint and nerve root infiltrations. Percutaneous vertebroplasty in the inner arch seems to be an effective technique for supporting adult degenerative scoliotic spine. Hindawi Publishing Corporation 2013 2013-10-24 /pmc/articles/PMC3821888/ /pubmed/24260742 http://dx.doi.org/10.1155/2013/626502 Text en Copyright © 2013 Dimitrios K. Filippiadis et al. https://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Clinical Study
Filippiadis, Dimitrios K.
Papagelopoulos, Panagiotis
Kitsou, Maria
Oikonomopoulos, Nikolaos
Brountzos, Elias
Kelekis, Nikolaos
Kelekis, Alexis
Percutaneous Vertebroplasty in Adult Degenerative Scoliosis for Spine Support: Study for Pain Evaluation and Mobility Improvement
title Percutaneous Vertebroplasty in Adult Degenerative Scoliosis for Spine Support: Study for Pain Evaluation and Mobility Improvement
title_full Percutaneous Vertebroplasty in Adult Degenerative Scoliosis for Spine Support: Study for Pain Evaluation and Mobility Improvement
title_fullStr Percutaneous Vertebroplasty in Adult Degenerative Scoliosis for Spine Support: Study for Pain Evaluation and Mobility Improvement
title_full_unstemmed Percutaneous Vertebroplasty in Adult Degenerative Scoliosis for Spine Support: Study for Pain Evaluation and Mobility Improvement
title_short Percutaneous Vertebroplasty in Adult Degenerative Scoliosis for Spine Support: Study for Pain Evaluation and Mobility Improvement
title_sort percutaneous vertebroplasty in adult degenerative scoliosis for spine support: study for pain evaluation and mobility improvement
topic Clinical Study
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3821888/
https://www.ncbi.nlm.nih.gov/pubmed/24260742
http://dx.doi.org/10.1155/2013/626502
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