Multiple-level Percutaneous Vertebroplasty for Osteoporotic spinal fractures

Background: Single or multiple level vertebral compression fractures are the most common complication of osteoporosis. Percutaneous Vertebroplasty is used in the management of osteoporotic compression fractures. Objectives: This study aimed to evaluate the clinical outcome of Multiple-level Percutaneous Vertebroplasty for treatment of Osteoporotic spinal fractures. Patients and Methods: This prospective study included 12 adult patients; 9 females and3 males, the mean age was 65.1 years, done in Neurosurgery Department, Cairo university hospitals from 2011 to 2013.Complete general and neurologic examination was carried out for patients included in this study. Spinal magnetic resonance imaging (MRI)and x-ray was done to all patients. All of patients had multiple–level Osteoporotic spinal fractures. These patients were treated by percutaneous Vertebroplasty. The clinical outcome was assessed pre and post injection using the Roland–Morris Disability Questionnaire (RDQ) and the visual analogue scale. Follow-up was performed direct postoperatively in first 24 hours and every 6month until 18month period. Results: All patients showed immediate significant improvement in disability score on Roland–Morris Disability scale and pain scores after the intervention (p 0.001). This improvement, on both scales, was persistent throughout the follow up period. Conclusions: Treating multiplelevel osteoporotic spinal compression fractures by Percutaneous Vertebroplasty is considered an effective method to improve clinical outcomes regarding pain and mobility of these patients.