Open AccessInterventional Techniques in Managing Persistent Pain After Vertebral Augmentation Procedures: A Retrospective Evaluation
Author(s) -
Bassem Georgy
Publication year - 2007
Publication title -
pain physician
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.31
H-Index - 99
eISSN - 2150-1149
pISSN - 1533-3159
DOI - 10.36076/ppj.2007/10/673
Subject(s) - medicine , surgery , facet joint , percutaneous vertebroplasty , percutaneous , sacroiliac joint , retrospective cohort study , interventional pain management , lumbar , intercostal nerves , back pain , facet (psychology) , anesthesia , pain management , vertebral body , alternative medicine , pathology , psychology , social psychology , personality , big five personality traits
Background: Based on systematic reviews, it appears that at least 10% of patients maycontinue to suffer with residual or persistent pain after successful vertebral or sacral augmentation procedures.Objective: To report and evaluate the incidence and prevalence of different spinal injections in patients who received vertebroplasty, kyphoplasty, and sacroplasty procedures forboth benign and malignant compression fractures.Design: A retrospective case review.Methods: Retrospective review of all cases of vertebroplasty, sacroplasty, and kyphoplasty performed in a 12-month period in a single outpatient setting of interventional radiology was conducted.Results: In a 12-month period starting from October 2005 to September 2006, 144 patients underwent cement augmentation procedures. Of the 144, 34 patients required a spinal injection procedure for residual or persistent pain within a 1-year period after the augmentation procedure.Twenty-four patients required epidural steroid injections, 6 patients required intercostalnerve blocks, 5 patients required trigger point injections, 5 patients required sacroiliac jointinjections, and 1 patient required facet joint injections. Nine patients who required lumbarepidural steroid injections and all patients who required intercostal nerve blocks and hadunderwent a thoracic cement augmentation procedure.Conclusion: A small proportion of patients undergoing percutaneous cement augmentation for vertebral compression fractures or sacral insufficiency fractures potentially requirespinal injections to treat residual pain after the procedure.Key words: Kyphoplasty, vertebroplasty, sacroplasty, residual pain, vertebral compressionfractures, epidural steroid injections, facet joint pain, sacroiliac joint injections, facet jointinjections.