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Research ArticleSpine

Comparative Study of Percutaneous Vertebral Body Perforation and Vertebroplasty for the Treatment of Painful Vertebral Compression Fractures

K. Yokoyama, M. Kawanishi, M. Yamada, H. Tanaka, Y. Ito, M. Hirano and T. Kuroiwa
American Journal of Neuroradiology April 2012, 33 (4) 685-689; DOI: https://doi.org/10.3174/ajnr.A2847
K. Yokoyama
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M. Kawanishi
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M. Yamada
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H. Tanaka
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Y. Ito
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M. Hirano
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T. Kuroiwa
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    Fig 1.

    Comparison of reductions in postoperative VAS scores during follow-up between the perforation and PVP groups. The VAS score decrease after vertebroplasty was significantly greater than with vertebral perforation at all time points.

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    Fig 2.

    Correlation between pain relief for 3 months and vertebral percentage of compression. We compared pain relief between the perforation and PVP groups. A, Patients with marked vertebral percentage of compression (>70%). B, Patients with slight vertebral percentage of compression (<30%).

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    Table 1:

    Baseline characteristics of 108 patients treated for VCFsa

    CharacteristicPerforation GroupPVP GroupP Value
    No. of patients5850
    Mean age (yr) (range)76.7 ± 4.277.5 ± 8.4.35
    No. of women (%)4842
    Preop. VAS score7.0 ± 2.17.0 ± 1.4.82
    Mean duration of symptoms (day)127.8 ± 105145.3 ± 112.68
    Posterior destruction of VB(+) 19(+) 10.09
    (–) 39(–) 40
    No. of patients with preexisting VCFs(+) 34(+) 31.42
    (–) 24(–) 19
    Distribution of treated VCFsT7-L5T6-L4
    Presence of kyphotic change(+) 15(+) 18.15
    (–) 43(–) 32
    Preop. vertebral percentage of compression (%)45.9 ± 29.742.5 ± 14.2.64
    Preop. intravertebral cleft on MRI(+) 30(+) 15.02
    (–) 28(–) 35
    Communication of puncture holes(+) 15
    (–) 43
    • Note:—preop indicates preoperative; VB, vertebral body.

    • ↵a Statistical analyses were performed with the Mann-Whitney U test or the Fisher exact test.

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    Table 2:

    Comparison of complications between the perforation and PVP groupsa

    ComplicationPerforation GroupPVP GroupP Value
    New fracture after surgery (%)1/27 (3.7)10/42 (23.8).042
    (median, 10.1 mo)(follow-up, 10.0 mo)
    16/42 (38.1)
    (median, 15.0 mo)
    Progression of vertebral collapse after surgery (%)6/27 (22.2)8/50 (16.0).380
    Pulmonary embolism00
    Infection00
    Pneumothorax00
    • ↵a Statistical analysis was performed by the Fisher exact test.

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American Journal of Neuroradiology: 33 (4)
American Journal of Neuroradiology
Vol. 33, Issue 4
1 Apr 2012
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Comparative Study of Percutaneous Vertebral Body Perforation and Vertebroplasty for the Treatment of Painful Vertebral Compression Fractures
K. Yokoyama, M. Kawanishi, M. Yamada, H. Tanaka, Y. Ito, M. Hirano, T. Kuroiwa
American Journal of Neuroradiology Apr 2012, 33 (4) 685-689; DOI: 10.3174/ajnr.A2847

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Comparative Study of Percutaneous Vertebral Body Perforation and Vertebroplasty for the Treatment of Painful Vertebral Compression Fractures
K. Yokoyama, M. Kawanishi, M. Yamada, H. Tanaka, Y. Ito, M. Hirano, T. Kuroiwa
American Journal of Neuroradiology Apr 2012, 33 (4) 685-689; DOI: 10.3174/ajnr.A2847
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