Local Time : 06:48 CET

C-0397 - Vertebroplasty with or without radiofrequency ablation for pain management in patients with multiple myeloma

M. Tipaldi1, G. Orgera1, M. Matteoli2, M. Krokidis3, M. Rossi1; 1 Rome/IT 2 Roma/IT 3 Cambridge/UK Type: Scientific Exhibit
Area of Interest: Interventional non-vascular
Imaging Techniques: CT, Fluoroscopy
Procedure: Vertebroplasty
Special Focus: Neoplasia
Add poster to my schedule In your schedule (remove)

Aims and objectives:   Percutaneous vertebroplasty (PVP) has been established with wide clinical acceptance for the treatment of symptomatic osteoporotic vertebral compression fractures, metastatic disease and Multiple Myeloma (MM) of the spine,  despite higher risk of symptomatic cement leakage, mainly due to[...]

Methods and materials: This prospective study was undertaken since January 2008 with formal approval from the local institutional review board. The study included patients treated until February 2013. The inclusion criteria were as follows: (a) patients with a consistent vertebral involvement of MM in 1–3 vertebral bodies[...]

Results: Twenty-five procedures were performed in group A (9 in the thoracic and 16 in the lumbar spine) and 28 in group B (11 in the thoracic and 17 in the lumbar spine). A 100 % technical success rate was achieved in all patients of both groups. A unipedicular approach was performed in 18 of 25 patients o[...]

Conclusion: The use of percutaneous vertebroplasty alone appears to be effective for the pain management of the patients with vertebral involvement of multiple myeloma. The use of RFA that includes cost and time does not offer any clear added benefit on the midterm pain management of such patients.  

Personal information:

References: 1. Chen LH, Hsieh MK, Niu CC et al (2012) Percutaneous vertebroplasty for pathological vertebral compression fractures secondary to multiple myeloma. Arch Orthop Trauma Surg 132:759–764 2. Chew C, Ritchie M, O’Dwyer PJ et al (2011) A prospective study of percutaneous vertebroplasty in patients wit[...]

This website uses cookies. Learn more