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Pain Response in the First Trimester after Percutaneous Vertebroplasty in Patients with Osteoporotic Vertebral Compression Fractures with or without Bone Marrow Edema

M.H.J. Voormolena, W.J. van Rooija, M. Sluzewskia, Y. van der Graafc, L.E.H. Lampmanna, P.N.M. Lohlea and J.R. Juttmannb

a Department of Radiology, St. Elisabeth Ziekenhuis, Tilburg, the Netherlands
b Department of Internal Medicine, St. Elisabeth Ziekenhuis, Tilburg, the Netherlands
c Department of Clinical Epidemiology, Julius Centre for Health Sciences and Primary Care, Utrecht, the Netherlands


Figure 1
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  		Fig 1. Lateral STIR and T1-weighted MR images of various osteoporotic vertebral compression fractures with absent, partial, and full bone marrow edema (BME) before percutaneous vertebroplasty (PV) and lateral radiographic images after PV.


Figure 2
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  		Fig 2. Osteoporotic vertebral compression fracture of L2 with absent bone marrow edema (BME) treated by percutaneous vertebroplasty (PV). Lateral STIR and T1-weighted MR images of the lumbar spine before and after PV. In the middle, lateral and anteroposterior radiographic images after PV.


Figure 3
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  		Fig 3. Osteoporotic vertebral compression fractures of L1 and L3 with partial bone marrow edema (BME) treated by percutaneous vertebroplasty (PV). Lateral STIR and T1-weighted MR images of the lumbar spine before and after PV. In the middle are lateral and anteroposterior radiographic images after PV.


Figure 4
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  		Fig 4. Osteoporotic vertebral compression fracture of L1 with full bone marrow edema (BME) treated by percutaneous vertebroplasty (PV). Lateral STIR and T1-weighted MR images of the lumbar spine before and after PV. In the middle, lateral and anteroposterior radiographic images after PV.


Figure 5
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  		Fig 5. Visual analog score (VAS) for pain both preprocedure (0 months) and at follow-up periods after percutaneous vertebroplasty (PV) in patients with absent bone marrow edema (no BME) in treated vertebral compression fractures and patients with full BME in treated VCF.


Figure 6
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  		Fig 6. Analgesic use both before percutaneous vertebroplasty (PV) (0 months) and at follow-up periods after PV in patients with absent bone marrow edema (no BME) in treated vertebral compression fractures (VCF) and patients with full BME in treated VCF. NSAID indicates nonsteroidal anti-inflammatory drug.





Copyright © 2009 by the American Society of Neuroradiology. Print ISSN: 0195-6108 Online ISSN: 1936-959X