CT-guided percutaneous vertebroplasty in the treatment of an upper thoracic compression fracture

Korean J Radiol. 2009 Mar-Apr;10(2):185-9. doi: 10.3348/kjr.2009.10.2.185. Epub 2009 Mar 3.

Abstract

Percutaneous vertebroplasty (PVP) has been used to relieve pain and to prevent further collapse of the vertebral body in patients with an osteoporotic compression fracture. The most commonly affected site for the use of PVP is the thoracolumbar junction. There are few reports that have described on the usefulness of PVP in the treatment of a high thoracic compression fracture. We report a case of an upper thoracic compression fracture that was treated with computed tomography (CT)-guided PVP. It was possible to obtain easy access to the narrow thoracic pedicle and it was also possible to monitor continuously the proper volume of polymethylmethacrylate employed, under CT guidance.

Keywords: Compression fracture; Computed tomography (CT)-guided PVP; High thoracic; Polymethylmethacrylate.

Publication types

  • Case Reports

MeSH terms

  • Bone Cements / therapeutic use
  • Cervical Vertebrae / diagnostic imaging
  • Cervical Vertebrae / injuries
  • Cervical Vertebrae / surgery
  • Female
  • Fractures, Compression / diagnostic imaging
  • Fractures, Compression / surgery*
  • Humans
  • Middle Aged
  • Osteoporosis, Postmenopausal / complications
  • Polymethyl Methacrylate / therapeutic use
  • Radiography, Interventional*
  • Spinal Fractures / diagnostic imaging
  • Spinal Fractures / surgery*
  • Spinal Fusion
  • Thoracic Vertebrae / diagnostic imaging
  • Thoracic Vertebrae / injuries
  • Thoracic Vertebrae / surgery*
  • Tomography, X-Ray Computed
  • Vertebroplasty / methods*

Substances

  • Bone Cements
  • Polymethyl Methacrylate