Percutaneous vertebroplasty

Case contributed by Dr Chris O'Donnell

Presentation

Severe lumbar back pain. Past history of osteoporosis.

Patient Data

Age: 85
Gender: Female
Fluoroscopy

Right transpedicular puncture with large bore needle entering the L1 vertebral body followed by injection of barium impregnated methyl methacrylate

CT
MRI

Case Discussion

Percutaneous vertebroplasty remains a controversial procedure (see attached papers). It still has a limited role in patients with intractable back pain due to osteoporotic compression fractures.

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