Table of Contents Author Guidelines Submit a Manuscript
BioMed Research International
Volume 2013, Article ID 626502, 7 pages
http://dx.doi.org/10.1155/2013/626502
Clinical Study

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

12nd Radiology Department, University General Hospital “ATTIKON,” 1 Rimini Street, 12462 Athens, Greece
2A Orthopedic Clinic, University General Hospital “ATTIKON,” 1 Rimini Street, 12462 Athens, Greece
3B Anesthesiology Clinic, University General Hospital “ATTIKON,” 1 Rimini Street, 12462 Athens, Greece
4Diagnostic and Interventional Radiology, 2nd Radiology Department, University General Hospital “ATTIKON,” 1 Rimini Street, 12462 Athens, Greece

Received 30 April 2013; Revised 13 August 2013; Accepted 10 September 2013

Academic Editor: Hae-Ryong Song

Copyright © 2013 Dimitrios K. Filippiadis et al. 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.

Abstract

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  NVS units), the morning after (mean value  NVS units), at 12 (mean value  NVS units), and 24 months after vertebroplasty (mean value  NVS units) treatment, patients presented a mean decrease of  NVS units on terms of life quality improvement and pain relief ( ). 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.