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ORIGINAL ARTICLE
Year : 2014  |  Volume : 48  |  Issue : 2  |  Page : 163-167

Percutaneous vertebroplasty in painful refractory vertebral hemangiomas


1 Department of Neurology, Seven Hills Hospital, Visakhapatnam, Andhra Pradesh, India
2 Department of Interventional Neuroradiology, Seven Hills Hospital, Visakhapatnam, Andhra Pradesh, India

Correspondence Address:
Sibasankar Dalai
OP No: 12, First Floor, Seven Hills Hospital, Rockdale Layout, Visakhapatnam - 530 017, Andhra Pradesh
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0019-5413.128759

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Background: Painful vertebral hemangiomas are often inadequately managed medically. We evaluated the outcome of percutaneous vertebroplasty (PVP) in the treatment of painful vertebral hemangiomas refractory to medical management. Materials and Methods: 14 patients (four thoracic and ten lumbar vertebra) with painful vertebral hemangiomas presenting with severe back pain for more than 6 months not responding to medical therapy were treated by vertebroplasty. Cross sectional imaging of the spine with magnetic resonance was done. Blood investigations were done to exclude coagulopathy excluded. PVP was performed under local anesthesia. Results: The pain intensity numeric rating scale (PI-NRS-11) of these patients was in the range of 7-10 (Severe Pain). After vertebroplasty 8 patients were completely free of pain (PI NRS Score 0) while 6 were significantly relieved (PI-NRS Score 1-3). No complications were observed. Two patients with associated radicular pain had good pain relief following PVP. No recurrence was found during 36 months of postoperative followup. Conclusion: PVP is a safe and effective procedure in patients with painful vertebral hemangiomas refractory to medical management.


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