Abstract
INTRODUCTION: Our objective was to assess the safety, efficacy and feasibility of percutaneous transpedicular polymethylmethacrylate vertebroplasty (PTPV) for the treatment of vertebral compression fractures causing refractory pain. METHODS: We retrospectively reviewed a consecutive group of patients undergoing PTPV between April 1998 and January 2001. Outcome measures included analgesic requirements, ambulatory status, sleep comfort, and overall quality of life 2 weeks after the procedure. RESULTS: 97 patients (24 male, 73 female) underwent 258 PTPV procedures during 133 treatment sessions. The mean age was 76 years (range, 42–99 yr). The mean duration of follow-up was 14.7 months (range, 2–35 mo). Complete follow-up was obtained in 81 patients. Narcotic and analgesic usage was decreased in 63% of patients, increased in 7%, and the same in 30%. Ambulation and mobility were improved in 51%, worse in 1%, and the same in 48%. 50% of patients were able to sleep more comfortably after the procedure,...
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