Presentation
Severe lumbar back pain. Past history of osteoporosis.
Patient Data
Age: 85
Gender: Female
From the case:
Percutaneous vertebroplasty
{"current_user":null,"step_through_annotations":true,"access":{"can_edit":false,"can_download":true,"can_toggle_annotations":true,"can_feature":false,"can_pin":false},"extraPropsURL":"/studies/21534/annotated_viewer_json?lang=us"}
Right transpedicular puncture with large bore needle entering the L1 vertebral body followed by injection of barium impregnated methyl methacrylate
From the case:
Percutaneous vertebroplasty
{"current_user":null,"step_through_annotations":true,"access":{"can_edit":false,"can_download":true,"can_toggle_annotations":true,"can_feature":false,"can_pin":false},"extraPropsURL":"/studies/21536/annotated_viewer_json?lang=us"}
From the case:
Percutaneous vertebroplasty
{"current_user":null,"step_through_annotations":true,"access":{"can_edit":false,"can_download":true,"can_toggle_annotations":true,"can_feature":false,"can_pin":false},"extraPropsURL":"/studies/21537/annotated_viewer_json?lang=us"}
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.