Symptomatic Schmorl's nodes: role of percutaneous vertebroplasty. Open study on 52 patients.

Détails

ID Serval
serval:BIB_5A5D003EF3AE
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Titre
Symptomatic Schmorl's nodes: role of percutaneous vertebroplasty. Open study on 52 patients.
Périodique
Neuroradiology
Auteur(s)
Amoretti N., Guinebert S., Kastler A., Torre F., Andreani O., Foti P., Cornelis F., Theumann N., Hauger O.
ISSN
1432-1920 (Electronic)
ISSN-L
0028-3940
Statut éditorial
Publié
Date de publication
04/2019
Peer-reviewed
Oui
Volume
61
Numéro
4
Pages
405-410
Langue
anglais
Notes
Publication types: Journal Article
Publication Status: ppublish
Résumé
To assess the feasibility and clinical outcome of combined CT and fluoroscopy-guided percutaneous vertebroplasty in the management of painful Schmorl's nodes (SN).
A prospective study was carried out from January 2014 to January 2016 in 52 consecutive patients. Thirty-two men and 30 women aged between 42 and 88 years old were consecutively included. Technical success was defined as the ability to deposit cement in the subchondral endplate anteriorly, around the SN and posteriorly to the SN, in a cupule-like shape. Data regarding procedure time, amount of cement injection, and cement leakage were also noted. Assessment of pain was performed with VAS score and Oswestry disability index. All patients underwent a clinical and radiological follow-up at 1 day, 1 month, 6 months, and 1 year after procedure.
Technical success was 100%. Mean procedural time was 15 min, and mean injected cement volume was 2.8 mL. The VAS and Oswestry disability index decreased respectively from 7.2 ± 1.5 to 2.1 ± 1.0 and from 59.2 ± 16.2 to 17.1 ± 5.0 at 1 month. Follow-up mean VAS scores were 2.4 (± 1.4) at 6 months and 2.2 (± 1.2) at 12 months.
PVP appears as a feasible procedure in patients with painful SN with satisfying pain decrease in the following year after procedure.
Mots-clé
Adult, Aged, Aged, 80 and over, Female, Fluoroscopy, Humans, Intervertebral Disc Degeneration/diagnostic imaging, Intervertebral Disc Degeneration/surgery, Magnetic Resonance Imaging, Male, Middle Aged, Pain Measurement, Prospective Studies, Radiography, Interventional, Tomography, X-Ray Computed/methods, Treatment Outcome, Vertebroplasty/methods, CT fluoroscopy guidance, Cementoplasty, Local anesthesia, Schmorl’s node, Vertebral fracture
Pubmed
Web of science
Création de la notice
31/03/2019 15:10
Dernière modification de la notice
20/08/2019 15:13
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