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Ann Geriatr Med Res > Volume 14(2); 2010 > Article
Journal of the Korean Geriatrics Society 2010;14(2):97-103.
DOI: https://doi.org/10.4235/jkgs.2010.14.2.97    Published online June 30, 2010.
Comparative Analysis of Usefulness of Vertebral Venography on the Percutaneous Vertebroplasty for Osteoporotic Compression Fracture
Ki Seong Eom, Jong Tae Park, Seong Hoon Park, Seong Keun Moon, Tae Young Kim
Departments of 1Neurosurgery, 2Radiology, Wonkwang University School of Medicine, Iksan, Korea
골다공증성 척추체 압박골절에 대한 경피적 척추체 성형술에 있어 정맥조영술의 유용성에 대한 비교 연구
엄기성1, 박종태1, 박성훈2, 문성근1, 김태영1
원광대학교 의과대학 신경외과학교실1, 영상의학교실2
Abstract
BACKGROUND
Percutaneous vertebroplasty (PV) is a minimally invasive, image-guided therapy used to relieve pain from osteoporotic vertebral compression fractures. Venography before injection of bone cement has been advocated as a means of identifying sites of potential venous leakage during the procedure. However, venography has been used only in selected situations, and its need is debatable. We aimed to analyze the usefulness of venography with percutaneous vertebroplasties for osteoporotic compression fractures and to report our recent experiences in treating such patients.
METHODS
One hundred PVs performed on 93 patients were evaluated. To identify the usefulness of venography, our cases were divided into 2 groups. Group A patients had venographies before the PVs, whereas Group B patients were treated without venography. We analyzed their clinical status, pain status, and complications linked to leakage of bone cement.
RESULTS
There were no significant differences in any of the collected data for the two groups.
CONCLUSION
Our results indicate that PVs can be performed safely without venography beforehand. However, venography may be beneficial for less experienced physicians or trainees.
Key Words: Vertebroplasty, Venography, Bone cement, Intraoperative complications


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