Onkologie. 2011:5(3):155-159

Percutaneous vertebroplasty in patients with multiple myeloma - single center experience

Pavel Ryška^1,2, Vladimír Maisnar³, Václav Málek², Tomáš Kvasnička¹, Jiří Jandura¹, Eva Štěpánová³, Jana Hrubešová⁴, Svatopluk Řehák²

¹ Radiologická klinika LF UK a FN Hradec Králové

² Neurochirurgická klinika LF UK a FN Hradec Králové

³ II. interní klinika, oddělení klinické hematologie, LF UK a FN Hradec Králové

⁴ Klinika anesteziologie a resuscitace LF UK a FN Hradec Králové

Úvod: Jedná se o retrospektivní analýzu souboru nemocných s mnohočetným myelomem ošetřených ve FN Hradec Králové v období

Introduction: We present retrospective analysis of a group of patients with multiple myeloma treated in FN Hradec Králové from 1/2007

to 6/2010 by percutaneous vertebroplasty.

Material and methods: A total of 18 vertebral bodies were treated in thoracolumbar spine region in 13 patients (3 men and 10 women),

median age of 65 years. We watched the pain using the VAS (visual analoque scale), frequency of complications, functional outcome of

patients (same, improved, worsened) and consumption of analgetics (increased, same, decreased). Patiens were treated at angiographic

suit using transpedicular or posterolateral access.

Results: Vertebroplasty has a statistically significant effect on the pain relief after procedure (p = 0,002). We didn´t find symptomatic

complications, asymptomatic leakage of bone cement outside the vertebral body was observed in 11 % of patients.

Improving the standard of living was reported by 100 % of patients. Reducing consumption of analgetics has been confirmed in 92 %

and 8 % of patients remained the same consumption of analgetics.

Conclusion: Percutaneous vertebroplasty is a minimally invasive procedure with minimum of complications and rapid onset of analgetic

effect in patients.

Keywords: percutaneous vertebroplasty, percutaneous kyphoplasty, PMMA, multiple myeloma

Published: July 1, 2011  Show citation