Safety and results of image-guided vertebroplasty with elastomeric polymer material (elastoplasty)
Abstract Background Image-guided elastoplasty is an innovative method for percutaneous vertebral augmentation with a silicone elastomeric material. Our aim was to evaluate its technical success, safety and efficacy as well as the rate of secondary fractures. Methods Nineteen patients (13 women and 6...
| Main Authors: | , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
SpringerOpen
2018-10-01
|
| Series: | European Radiology Experimental |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s41747-018-0062-5 |
| _version_ | 1811233374373675008 |
|---|---|
| author | Giovanni Mauri Luca Nicosia Luca Maria Sconfienza Gianluca Maria Varano Paolo Della Vigna Guido Bonomo Franco Orsi Giovanni Carlo Anselmetti |
| author_facet | Giovanni Mauri Luca Nicosia Luca Maria Sconfienza Gianluca Maria Varano Paolo Della Vigna Guido Bonomo Franco Orsi Giovanni Carlo Anselmetti |
| author_sort | Giovanni Mauri |
| collection | DOAJ |
| description | Abstract Background Image-guided elastoplasty is an innovative method for percutaneous vertebral augmentation with a silicone elastomeric material. Our aim was to evaluate its technical success, safety and efficacy as well as the rate of secondary fractures. Methods Nineteen patients (13 women and 6 men, age 72 ± 10 years, mean ± standard deviation) underwent elastoplasty between 2010 and 2016. A total of 33 vertebrae were treated. A total of 2–6 mL of silicone-based elastomeric polymer material (VK100) was used. Visual analogue scale (VAS) and Oswestry disability index (ODI) pain scores were used. Results In all cases, it was possible to complete the procedure (technical success 100%). No major complications occurred. In 6/19 (31.5%) patients, asymptomatic leakage of the material was observed during the procedure. Full pain recovery was obtained in 18/19 (94%) patients. One patient with a painful angioma did not experience any change in symptoms. VAS and ODI were significantly reduced after the procedure, from 7.9 ± 1.1 to 0.7 ± 1.4 and from 79.6 ± 12% to 9.9 ± 14% respectively (p < 0.001 for both comparisons). After vertebroplasty, 14 of 15 patients (93%) removed the brace and 16/19 (84%) completely stopped using any drugs for pain relief (p < 0.001 for both pre-procedure versus post-procedure comparisons). At a mean follow-up time of 26.5 ± 28.1 months (median 8.7 months, range 6–69 months), no secondary fracture occurred. Conclusion Taking into consideration the relatively small sample size, image-guided elastoplasty seems to be a safe procedure providing effective pain control over time. |
| first_indexed | 2024-04-12T11:19:37Z |
| format | Article |
| id | doaj.art-075d57cf4642472f99f074812c53eb98 |
| institution | Directory Open Access Journal |
| issn | 2509-9280 |
| language | English |
| last_indexed | 2024-04-12T11:19:37Z |
| publishDate | 2018-10-01 |
| publisher | SpringerOpen |
| record_format | Article |
| series | European Radiology Experimental |
| spelling | doaj.art-075d57cf4642472f99f074812c53eb982022-12-22T03:35:25ZengSpringerOpenEuropean Radiology Experimental2509-92802018-10-01211710.1186/s41747-018-0062-5Safety and results of image-guided vertebroplasty with elastomeric polymer material (elastoplasty)Giovanni Mauri0Luca Nicosia1Luca Maria Sconfienza2Gianluca Maria Varano3Paolo Della Vigna4Guido Bonomo5Franco Orsi6Giovanni Carlo Anselmetti7Department of Interventional Radiology, European Institute of OncologyPostgraduation School in Radiodiagnostics, Università degli Studi di Milano, Facoltà di Medicina e ChirurgiaUnit of Diagnostic and Interventional Radiology, IRCCS Istituto Ortopedico GaleazziDepartment of Interventional Radiology, European Institute of OncologyDepartment of Interventional Radiology, European Institute of OncologyDepartment of Interventional Radiology, European Institute of OncologyDepartment of Interventional Radiology, European Institute of OncologyGVM Care&Research, Maria Pia HospitalAbstract Background Image-guided elastoplasty is an innovative method for percutaneous vertebral augmentation with a silicone elastomeric material. Our aim was to evaluate its technical success, safety and efficacy as well as the rate of secondary fractures. Methods Nineteen patients (13 women and 6 men, age 72 ± 10 years, mean ± standard deviation) underwent elastoplasty between 2010 and 2016. A total of 33 vertebrae were treated. A total of 2–6 mL of silicone-based elastomeric polymer material (VK100) was used. Visual analogue scale (VAS) and Oswestry disability index (ODI) pain scores were used. Results In all cases, it was possible to complete the procedure (technical success 100%). No major complications occurred. In 6/19 (31.5%) patients, asymptomatic leakage of the material was observed during the procedure. Full pain recovery was obtained in 18/19 (94%) patients. One patient with a painful angioma did not experience any change in symptoms. VAS and ODI were significantly reduced after the procedure, from 7.9 ± 1.1 to 0.7 ± 1.4 and from 79.6 ± 12% to 9.9 ± 14% respectively (p < 0.001 for both comparisons). After vertebroplasty, 14 of 15 patients (93%) removed the brace and 16/19 (84%) completely stopped using any drugs for pain relief (p < 0.001 for both pre-procedure versus post-procedure comparisons). At a mean follow-up time of 26.5 ± 28.1 months (median 8.7 months, range 6–69 months), no secondary fracture occurred. Conclusion Taking into consideration the relatively small sample size, image-guided elastoplasty seems to be a safe procedure providing effective pain control over time.http://link.springer.com/article/10.1186/s41747-018-0062-5PainPain managementRadiology (interventional)Silicone (elastomers)Vertebroplasty |
| spellingShingle | Giovanni Mauri Luca Nicosia Luca Maria Sconfienza Gianluca Maria Varano Paolo Della Vigna Guido Bonomo Franco Orsi Giovanni Carlo Anselmetti Safety and results of image-guided vertebroplasty with elastomeric polymer material (elastoplasty) European Radiology Experimental Pain Pain management Radiology (interventional) Silicone (elastomers) Vertebroplasty |
| title | Safety and results of image-guided vertebroplasty with elastomeric polymer material (elastoplasty) |
| title_full | Safety and results of image-guided vertebroplasty with elastomeric polymer material (elastoplasty) |
| title_fullStr | Safety and results of image-guided vertebroplasty with elastomeric polymer material (elastoplasty) |
| title_full_unstemmed | Safety and results of image-guided vertebroplasty with elastomeric polymer material (elastoplasty) |
| title_short | Safety and results of image-guided vertebroplasty with elastomeric polymer material (elastoplasty) |
| title_sort | safety and results of image guided vertebroplasty with elastomeric polymer material elastoplasty |
| topic | Pain Pain management Radiology (interventional) Silicone (elastomers) Vertebroplasty |
| url | http://link.springer.com/article/10.1186/s41747-018-0062-5 |
| work_keys_str_mv | AT giovannimauri safetyandresultsofimageguidedvertebroplastywithelastomericpolymermaterialelastoplasty AT lucanicosia safetyandresultsofimageguidedvertebroplastywithelastomericpolymermaterialelastoplasty AT lucamariasconfienza safetyandresultsofimageguidedvertebroplastywithelastomericpolymermaterialelastoplasty AT gianlucamariavarano safetyandresultsofimageguidedvertebroplastywithelastomericpolymermaterialelastoplasty AT paolodellavigna safetyandresultsofimageguidedvertebroplastywithelastomericpolymermaterialelastoplasty AT guidobonomo safetyandresultsofimageguidedvertebroplastywithelastomericpolymermaterialelastoplasty AT francoorsi safetyandresultsofimageguidedvertebroplastywithelastomericpolymermaterialelastoplasty AT giovannicarloanselmetti safetyandresultsofimageguidedvertebroplastywithelastomericpolymermaterialelastoplasty |