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British Journal of Radiology (2005) 78, 261-264
© 2005 British Institute of Radiology
doi: 10.1259/bjr/55389916
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Case report

Successful treatment of a chronic post-traumatic 5-year-old osteoporotic vertebral compression fracture by percutaneous vertebroplasty

F G Irani, MBBS, MD1, J P Morales, MD1, T Sabharwal, MBBCH, FRCSI, FRCR1, R Dourado, DCR1, A Gangi, MD, PhD1,2 and A Adam, FRCP, FRCS, FRCR1

1 Department of Radiology, Guy's and St Thomas' Hospital, London, UK and 2 University Louis Pasteur, Strasbourg, France

Correspondence: Dr Tarun Sabharwal, Consultant Radiologist, Department of Radiology, 1st Floor Lambeth Wing, St Thomas' Hospital, Lambeth Palace Road, London SE1 7EH, UK

Osteoporotic vertebral compression fracture (VCF) is a frequently encountered clinical problem associated with chronic pain and disability. Conservative treatment in the form of bed rest, pain control and bracing may create a vicious circle, in which reduced activity leads to further reduction in bone density and fracture risk. Percutaneous vertebroplasty (PVP) is an accepted treatment modality for osteoporotic vertebral body collapse present for less than 1 year, vertebral myeloma, haemangioma, metastasis and recent traumatic fractures (between 3 and 12 months). We describe an osteoporotic patient in whom successful PVP was performed, under general anaesthesia using CT and fluoroscopic guidance, in a post-traumatic 5-year-old VCF with complete alleviation of debilitating pain. In the light of our experience, we suggest that PVP should be carried out in a series of similar patients to asses its value as a treatment option in patients with chronic osteoporotic vertebral fractures for pain relief and improvement in mobility, independent of fracture age.




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