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The Feasibility and Safety of Vertebral Augmentation in Nonosteoporotic Trauma Patients 2013

Category Interventional Nassim Akle, MD
Kevin Stewart, MD
Mel Ghaleb, MD
Purpose The common indications for percutaneous vertebral augmentation include compression fractures secondary to osteoporosis and neoplasms. There is little published data evaluating vertebral augmentation in nonosteoporotic trauma patients.  The purpose of our study is to evaluate the feasibility and effectiveness of vertebral augmentation in nonosteoporotic trauma patients with vertebral body fractures. Materials & Methods A retrospective study was made of patients who underwent percutaneous vertebral augmentations performed from November 2011 to December 2012 in a level 1 trauma center.  Patients were included in the study selection sample based on a chart review with an age. Results A total of 17 patients met the selection criteria (9 female and 8 male).  A transpedicular approach was used in all of these cases.  The procedure notes detailed successful percutaneous vertebral augmentations with no complications. Conclusion Percutaneous vertebral augmentation can be safely used to treat nonosteoporotic traumatic vertebral body fractures.  The intermediate and long term results of treatment based on the patients pain, mobility, need for medication, and need for additional procedures needs to be further assessed and a prospective study is being designed to further evaluate these effects. References
  1. Knavelb, E.M., Thielena, K.R., and Kallmesa, D.F., Vertebroplasty for the Treatment of Traumatic Nonosteoporotic Compression Fractures, AJNR February 2009 30: 323-327
  2. Jensena, M.E., McGrawb, J.K., Cardellac, J.F., and Hirschd, J.A., Position Statement on Percutaneous Vertebral Augmentation: A Consensus Statement Developed by the American Society of Interventional and Therapeutic Neuroradiology, Society of Interventional Radiology, American Association of Neurological Surgeons/Congress of Neurological Surgeons, and American Society of Spine Radiology, AJNR September 2007 28: 1439-1443