Open AccessValue of Bone Scan Imaging in Determining Painful Vertebrae of Osteoporotic Vertebral Compression Fractures Patients With Contraindications to MRI
Author(s) -
Tang Zhibing,
Lei Zhang,
Yang Huilin,
Chen Kangwu
Publication year - 2012
Publication title -
orthopaedic surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.666
H-Index - 23
eISSN - 1757-7861
pISSN - 1757-7853
DOI - 10.1111/j.1757-7861.2012.00187.x
Subject(s) - medicine , radiology , compression (physics) , vertebral compression fracture , osteoporosis , magnetic resonance imaging , spinal cord compression , spinal cord , percutaneous , materials science , psychiatry , composite material
Objective To assess the value of bone scan imaging in determining painful vertebrae of osteoporotic vertebral compression fractures ( OVCF s) patients with contraindications to MRI . Methods Twenty‐three OVCF s patients with contraindications to MRI , diagnosed and treated in our hospital between D ecember 2007 and N ovember 2010, were enrolled in this retrospective study. There were 18 females and five males, aged from 57 to 87 years, with a mean age of 69.5 years. All patients underwent X ‐ray, CT scans examinations and bone scan to determine painful vertebrae. After the painful vertebra was defined, percutaneous kyphoplasty ( PKP ) was performed. Efficacy of PKP was assessed with visual analog ( VAS) pain scale and the O swestry D isability I ndex ( ODI ) preoperatively, postoperatively and during final follow‐up assessments. Results The painful vertebrae shown on radiological films did not accord with those found based on bone scan imaging, with a high rate of incongruent findings (27.3%, 9/33). Radiological films showed 33 vertebrae with fractures, but only 26 vertebrae (22 patients) were selected as painful vertebrae for PKP based on bone scan imaging. There were statistically significant differences in mean VAS and ODI between the preoperative and the postoperative assessments; no significant differences were observed between postoperative and final follow‐up assessments. Conclusions For the OVCF s patients with contraindications to MRI , bone scan imaging could be used to determine painful vertebrae, which is an effective method.