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Treatment of Chronic Symptomatic Vertebral Compression Fractures with Percutaneous Vertebroplasty

Daniel B. Brown1, Louis A. Gilula, Manu Sehgal and Joshua S. Shimony

1 All authors: Mallinckrodt Institute of Radiology, 510 S Kingshighway Blvd., Box 8131, St. Louis, MO 63110.



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  		Fig. 1A. —74-year-old woman with osteoporotic compression fracture of L4 vertebral body. Lateral radiograph obtained in 1997 shows anterosuperior compression of L4.

 


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  		Fig. 1B. —74-year-old woman with osteoporotic compression fracture of L4 vertebral body. Lateral radiograph obtained in November 1998 reveals further collapse.

 


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  		Fig. 1C. —74-year-old woman with osteoporotic compression fracture of L4 vertebral body. Sagittal T2-weighted image (TR/TE, 4,000/117) obtained 18 months after B shows no increase in signal in affected vertebral body. Note asymptomatic hemangioma in L2 vetebra.

 


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  		Fig. 1D. —74-year-old woman with osteoporotic compression fracture of L4 vertebral body. Frontal radiograph after injection of left pedicle shows inadequate filling of right vertebral hemibody.

 


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  		Fig. 1E. —74-year-old woman with osteoporotic compression fracture of L4 vertebral body. Frontal radiograph after placement of second needle, which led to good final result.

 

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