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Interventional techniques in managing persistent pain after vertebral augmentation procedures: a retrospective evaluation

BACKGROUND: Based on systematic reviews, it appears that at least 10% of patients may continue 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 for both 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 intercostal nerve blocks, 5 patients required trigger point injections, 5 patients required sacroiliac joint injections, and 1 patient required facet joint injections. Nine patients who required lumbar epidural steroid injections and all patients who required intercostal nerve blocks and had underwent a thoracic cement augmentation procedure. CONCLUSION: A small proportion of patients undergoing percutaneous cement augmentation for vertebral compression fractures or sacral insufficiency fractures potentially require spinal injections to treat residual pain after the procedure

Keywords : administration & dosage,Adrenal Cortex Hormones,adverse effects,Aged,Aged,80 and over,California,etiology,Female,Fractures,Compression,Humans,Incidence,Injections,Spinal,Male,methods,Middle Aged,Nerve Block,Pain,Pain Management,Prevalence,Radiology,Retrospective Studies,Sacroiliac Joint,surgery,Vertebroplasty,, Techniques,Managing,Persistent,Pain, repetitive strain disorder

Date of Publication : 2007 Sep

Authors : Georgy BA;

Organisation : Interventional Neuroradiology and Pain Management, Valley Radiology Consultants, University of California, San Diego, CA 92130, USA. bgeorgy@earthlink.net

Journal of Publication : Pain Physician

Pubmed Link : https://www.ncbi.nlm.nih.gov/pubmed/17876364

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