Use of percutaneous vertebroplasty for intractable back pain associated with compression fracture in an 80-year-old female.

OBJECTIVE

The aim of this study is to describe a patient with painful osteoporotic compression fracture and subsequent relief from percutaneous vertebroplasty (PVP). A brief review of vertebroplasty including indications, contraindications, and potential complications is discussed.

CLINICAL FEATURES

An 80-year-old woman presented with severe low back pain and no history of trauma. Initial radiographs showed a typical benign, osteoporotic compression fracture of L1.

INTERVENTION AND OUTCOME

Percutaneous vertebroplasty was performed because of severe intractable low back pain. The patient had an excellent response to PVP. Postoperative radiographs showed only slight central compression fracture of L1 with partial central filling of the vertebral body with cement, and generalized osteopenia.

CONCLUSION

This article provides a case study and an overview of PVP. Percutaneous vertebroplasty may be a viable option for treatment of painful vertebral compression fractures if more conservative measures are unsuccessful.