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CC BY-NC-ND 4.0 · Indian J Radiol Imaging 2021; 31(04): 867-872
DOI: 10.1055/s-0041-1739375
Original Article

Percutaneous Vertebroplasty: Efficacy of Unipedicular Vertebroplasty as Compared to Bipedicular Vertebroplasty

Authors

  • Mahendra Kumar Dwivedi

    1   Department of Radio Diagnosis, Shri Shankaracharya Institute of Medical Sciences, Junwani, Bhilai, Chhattisgarh, India

  • Vikrant Bhende 

    1   Department of Radio Diagnosis, Shri Shankaracharya Institute of Medical Sciences, Junwani, Bhilai, Chhattisgarh, India

  • Dnyaneshwar Narayanrao Panchbhaiyye

    1   Department of Radio Diagnosis, Shri Shankaracharya Institute of Medical Sciences, Junwani, Bhilai, Chhattisgarh, India

  • Madhura Vijay Bayaskar

    1   Department of Radio Diagnosis, Shri Shankaracharya Institute of Medical Sciences, Junwani, Bhilai, Chhattisgarh, India

Funding Source None.
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Abstract

Introduction Percutaneous vertebroplasty has been used for treatment of intractable painful fractures of vertebral bodies. With the help of refined procedures and standard techniques, the interventional radiologist can now offer help to orthopedics and neurosurgeons in these cases, which include treatment of vertebral compression fracture. Vertebroplasty is aimed at reducing the pain induced by collapse. Vertebroplasty is the standard mode of treatment for vertebral collapse, and in our study, bipedicular vertebroplasty was compared with unipedicular approach as bipedicular vertebroplasty is the routinely used approach.

Aim To compare efficacy of unipedicular percutaneous vertebroplasty with that of bipedicular percutaneous vertebroplasty.

Material and Methods A total of 52 vertebroplasties were done over a period of 2 years. Out of 52 patients, 28 patients underwent unipedicular vertebroplasty and 24 patients underwent bipedicular vertebroplasty. Visual analogue scale (VAS) scores were used to assess the pain prior to vertebroplasty and after vertebroplasty. Efficacy of the two procedures were assessed by comparing VAS scores.

Results There was no statistically significant difference observed in the preprocedure and postprocedure VAS scores (p-value < 0.0001, < 0.0001, respectively). The mean procedure time was lesser in unipedicular vertebroplasty (41.9 ± 3.90) than bipedicular vertebroplasty (54.5 ± 3.4).

Conclusion Unipedicular vertebroplasty is as effective as bipedicular vertebroplasty, as there is insignificant difference in postprocedure VAS scores between the unipedicular and bipedicular vertebroplasty.

Keywords

Bipedicular vertebroplasty - Percutaneous Vertebroplasty - Unipedicular vertebroplasty - Visual analogue scale


Publication History

Article published online:
10 January 2022

© 2022. Indian Radiological Association. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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