Percutaneous Kyphoplasty: New Treatment for Painful Vertebral Body Fractures

Abstract

Aims and Background: The purpose of this study was to assess the effectiveness and safety of Percutaneous Kyphoplasty as a new method of treatment for pain deriving from vertebral compression fractures (VCF). Patients and Methods: We treated sixteen patients with unremitting pain over spine, which increased particularly when pressure was applied over the spinous process, in absence of neurological signs and refractory to conventional medical therapy. Results: The method demonstrated swift pain relief associated with an evident augmentation in the resistance and restoration of the vertebral body's physiological shape. Polymethylmethacrylate (PMMA) leakages were not observed in the epidural space or foraminal area. The presence of complications such as pulmonary embolism involving the venous plexus, toxicity due to PMMA and infection due the procedure did not occur. Conclusion: Kyphoplasty is an effective, alternative, simple and safe treatment of vertebral collapse consequent to osteoporosis, aggressive haemangiomas, myelomas and metastases.