Pain Relief following Vertebroplasty in Patients With and Without Localizing Tenderness on Palpation

Abstract

BACKGROUND AND PURPOSE:Focal point tenderness over the fractured level is believed to be a necessary criterion for performing vertebroplasty. The purpose of this study was to explore whether the presence of focal-point tenderness over a fracture treated with vertebroplasty predicts superior clinical outcome as compared with outcomes in patients without such tenderness.

Is Severe Pain Immediately after Spinal Augmentation a Predictor of Long-Term Outcomes?

“…The severe pain group had significantly higher preprocedure median VAS rest pain scores (5 [IQR, [2][3][4][5][6][7]) compared with the nonsevere pain group (3 [IQR, 1-6]) (P ϭ .0208). Median VAS activity pain scores were also significantly higher in the severe pain group (10 [IQR, 8 -10]) compared with the nonsevere pain group (8 [IQR 7-10]) (P ϭ .0263).…”

“…Patients in this data base have previously been included in other published studies that have not specifically examined patients with immediate postprocedure severe pain. 1,[4][5][6][7][8][9][10][11][12][13][14] Patients who underwent a vertebroplasty procedure at our institution from 2005-2011 were included in the study. Patients were excluded if they did not have immediate postprocedure pain data within 3 hours after the vertebroplasty or at either 1 month or 1 year postprocedure.…”

“…The literature abounds with both prospective and retrospective studies attempting to characterize many different aspects of the spinal augmentation procedures such as procedure efficacy, characteristics of fractures in success of augmentation, sequelae of spinal augmentation procedures, and a variety of other topics. [1][2][3][4] However, there is a paucity of research investigating clinical signs or symptoms directly related to the procedure as predictors of outcome after spinal augmentation.…”

Clinical Outcomes with Hemivertebral Filling during Percutaneous Vertebroplasty

“…This same cohort has been analyzed in multiple previous retrospective reviews but has never been analyzed regarding the effect of cement distribution on outcome. [4][5][6][7][8][9][10][11][12][13][14][15] Institutional review board approval was granted for this study, and all patient information was handled according to the Health Insurance Portability and Accountability Act standards.…”

Efficacy of Percutaneous Vertebroplasty for Multiple Synchronous and Metachronous Vertebral Compression Fractures

“…We have previously published global outcomes in this same cohort of patients as well as many subgroup analyses. 6,[9][10][11][12][13][14][15][16][17][18][19][20][21][22][23] We have never previously analyzed this same cohort of patients regarding the impact of the number of treated levels or treatment sessions on outcome. We defined these groups as:…”