Percutaneous vertebroplasty for vertebral compression fractures

  Percutaneous Vertebroplasty (PVP) is a new interventional radiology technique for the image-guided treatment of painful vertebral compression fractures. At present, it is mainly applied to vertebral compression fractures in osteoporosis and primary or metastatic invasive tumors of the vertebral body, and has obvious effects on reducing pain, increasing the strength of the vertebral body and improving the symptoms related to the whole body.  China has tended to have an aging population, and according to statistics, the population over 65 years of age in China has accounted for 7.1% of the total population, reaching 90 million. Osteoporosis is one of the most common diseases among the elderly, and osteoporosis predisposes to associated vertebral fractures. Vertebral fractures can lead to dysfunctional pain that lasts for months, which can disable labor and movement, persist without improvement in nearly 40% of patients, and can rapidly lead to fatal complications such as loss of limb function, atelectasis and pneumonia, deep vein thrombosis, and pulmonary embolism. Most patients do not accept or cannot tolerate surgical treatment, and the use of extensive drug therapy often causes drug toxicity and drug dependence.  Percutaneous vertebroplasty is a new minimally invasive spinal procedure developed in Europe and the United States in recent years. Under X-ray fluoroscopic guidance, a fine needle is inserted from the back through the pedicle into the vertebral body and a bone cement called Polymethylmethacrylate (PMMA) is injected into the damaged or lax vertebral body, which has the ability to achieve both pain relief and It has the effect of both relieving pain and rebuilding the biomechanical strength of the bone. The procedure is usually performed under local anesthesia and takes about 30 to 40 minutes for a single treatment, even in frail patients. After treatment, pain relief and functional recovery is 95%, and the procedure is safe, with only 1.5% complications. The therapeutic effect of vertebroplasty is rapid and long-lasting, with significant pain control and reinforcement of the vertebral body, and its good efficacy is incomparable to traditional treatment methods (such as bed rest, traction, anti-inflammatory treatment or treatment with narcotic painkillers).  Percutaneous vertebroplasty has been carried out for nearly a year, treating nearly 100 patients and achieving significant results in pain relief and functional recovery, especially for elderly patients and those suffering from internal diseases, the superiority of the operation is more significant.  Indications 1, osteoporosis-induced vertebral compression fracture: patients with moderate to severe pain and or impaired mobility pain for 12 months; vertebral collapse >90%; spinal canal compression >20% or compression of nerve roots .  The procedure is performed under local anesthesia and is not contraindicated in patients with poor physical condition or age; 2.