Vertebral Fractures And Vertebroplasty

Vertebral body fractures show an intense increase in acti-vity that occurs within 72 h in most patients (30). Osteopenic compression fractures do not extend posteriorly into the vertebral arch and do not obscure the disc space. Matin et al. showed that 59% of fractures are normal by the end of the first year, 91% by the second year, and 95% by the third year (30).

Planar bone scintigraphy is useful in predicting pain relief from percutaneous vertebroplasty in patients with osteoporotic vertebral fractures (31). Current vertebro-plasty practice includes the evaluation of patients with chronic pain who have multiple fractures of uncertain age. In many patients the physical examination does not reliably identify the fracture that is responsible for the pain. Maynard et al. (31) used planar bone scintigraphy to guide patient selection for vertebroplasty. Significant pain relief was noted in 26 of 28 treatment sessions.

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