Document Detail

Treatment considerations for vertebroplasty in men.
MedLine Citation:
PMID:  15090359     Owner:  NLM     Status:  MEDLINE    
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.
Alan Hammond; Lee H Riley; Philippe Gailloud; David A Nussbaum; A Malhotra; Monica Watkins; Kieran J Murphy
Related Documents :
6103389 - Effect of dichloromethylene diphosphonate in paget's disease of bone and in hypercalcae...
23886379 - Gastrointestinal motility and functional gastrointestinal diseases.
16699279 - Infliximab therapy improves the bone metabolism in fistulizing crohn's disease.
16093869 - Serum leptin, soluble leptin receptor, free leptin index and bone mineral density in pa...
7689089 - Decreased serum levels of insulin-like growth factors and igf binding protein 3 in oste...
21175099 - Investigation of acquired von willebrand syndrome in children with hypothyroidism: reve...
9254079 - Intracranial aneurysms treated with the guglielmi detachable coil: midterm clinical res...
23946889 - Severe hemorrhagic colitis in a patient with chronic myeloid leukemia in the blastic ph...
11443769 - End-stage renal disease treatment: a european perspective.
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    
Division of Interventional Neuroradiology, The Johns Hopkins Medical Institutions, Baltimore, MD, USA.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Aged, 80 and over
Biopsy, Needle
Cervical Vertebrae / injuries,  pathology,  surgery*
Fractures, Spontaneous / diagnosis,  etiology,  pathology,  surgery
Image Processing, Computer-Assisted*
Lumbar Vertebrae / injuries,  pathology,  surgery*
Magnetic Resonance Imaging*
Middle Aged
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*
Erratum In:
AJNR Am J Neuroradiol. 2004 May;25(5):904

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

Previous Document:  Amyloidosis concurrently involving the sinonasal cavities and larynx.
Next Document:  Thoracic intradural Aspergillus abscess formation following epidural steroid injection.