Document Detail


Treatment considerations for vertebroplasty in men.
MedLine Citation:
PMID:  15090359     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND AND PURPOSE: Vertebroplasty is now a widely accepted image-guided intervention in patients with compression fracture. The purpose of this report is to look specifically at the male population undergoing vertebroplasty and identfy the management considerations distinct to men. METHODS: The hospital medical records and radiographic studies of 24 men treated with vertebroplasty between February 1999 and November 2000 were retrospectively reviewed. RESULTS: Five patients presented with idiopathic or secondary osteoporosis. In two of these five men, malignancies were discovered by core biopsies taken at the time of vertebroplasty. Thirteen patients (54%) had secondary osteoporosis. Of this group, 10 patients (42%) were steroid dependent and three (13%) were hypogonadal. Five patients (21%) had traumatic events leading to fracture. One presented with known metastases. CONCLUSION: Primary osteoporosis in men is unusual. In male patients without a definable cause of osteoporosis, known metastatic disease, or a significant history of trauma, the routine performance of a vertebral biopsy through the vertebroplasty needle before the injection of bone cement is indicated to identify unexpected neoplasm.
Authors:
Alan Hammond; Lee H Riley; Philippe Gailloud; David A Nussbaum; A Malhotra; Monica Watkins; Kieran J Murphy
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  AJNR. American journal of neuroradiology     Volume:  25     ISSN:  0195-6108     ISO Abbreviation:  AJNR Am J Neuroradiol     Publication Date:  2004 Apr 
Date Detail:
Created Date:  2004-04-19     Completed Date:  2004-07-19     Revised Date:  2008-02-14    
Medline Journal Info:
Nlm Unique ID:  8003708     Medline TA:  AJNR Am J Neuroradiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  639-41     Citation Subset:  IM    
Affiliation:
Division of Interventional Neuroradiology, The Johns Hopkins Medical Institutions, Baltimore, MD, USA.
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MeSH Terms
Descriptor/Qualifier:
Aged
Aged, 80 and over
Biopsy, Needle
Cervical Vertebrae / injuries,  pathology,  surgery*
Female
Fractures, Spontaneous / diagnosis,  etiology,  pathology,  surgery
Humans
Image Processing, Computer-Assisted*
Lumbar Vertebrae / injuries,  pathology,  surgery*
Magnetic Resonance Imaging*
Middle Aged
Myelography*
Osteoporosis / diagnosis,  etiology,  pathology,  surgery*
Spinal Fractures / diagnosis,  etiology,  pathology,  surgery*
Spinal Neoplasms / diagnosis,  pathology,  secondary,  surgery*
Surgical Procedures, Minimally Invasive*
Thoracic Vertebrae / injuries,  pathology,  surgery*
Tomography, X-Ray Computed*
Comments/Corrections
Erratum In:
AJNR Am J Neuroradiol. 2004 May;25(5):904

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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