Article Details

* Date : 06-08-2009 - 07:33 PM (5434 days ago), * Characters : 1629, Words : 232, Size : 1.59 Kb.

Acute Vertebral Compression Fractures in Patients with Multiple Myeloma: Evaluation of Vertebral Body Edema Patterns on MR Imaging and the Implications for Vertebroplasty.

The edema in a fractured vertebra is likely related to an inflammatory healing response with increased fluid in the bone. As a compression fracture heals, the edema typically resolves along with the patient’s pain. Previous reports have documented the utility of percutaneous vertebroplasty in chronic compression fractures without associated edema on MR imaging.6, 7 It is important to accurately identify compression fractures that might be amenable to vertebroplasty treatment, given the efficacy of this procedure. Acute or subacute compression fractures in osteoporosis and multiple myeloma generally mount a reparative response with associated edema; however, the edema present in patients with multiple myeloma may be decreased or even absent as demonstrated in the previously mentioned patients (Figs 1B and 2A, -B). Therefore, practitioners who perform percutaneous vertebroplasty procedures should consider this fact when evaluating patients with multiple myeloma and deciding whether to treat a fractured level. In our vertebroplasty experience, in treating patients with multiple myeloma, the edema present in acute or subacute compression fractures is subjectively decreased or absent compared with benign osteoporotic fractures. Because this article includes only 2 patients, further evaluation with a larger series is required to fully define the differences in edema response encountered in patients with multiple myeloma. In these patients with severe back pain, clinical findings along with manual palpation may be more important than edema on MR imaging in determining the potential response to vertebroplasty.

Return to Doctor's Page
Email This Doctor

To Quote this article, you should add: : All rights of Article "Acute Vertebral Compression Fractures in Patients with Multiple Myeloma: Evaluation of Vertebral Body Edema Patterns on MR Imaging and the Implications for Vertebroplasty." belongs to Kennith Franklin LAYTON MD and it is published at SuggestADoctor.com (http://www.suggestadoctor.com) Health Articles Library. With this notice, you can quote reasonable amount of text from this article but you have to get permission from its author to republish or redistribute it fully.

Other Articles by Kennith Franklin LAYTON MD: Use Of Covered Stent Grafts İn The Extracranial Carotid Artery: Report Of Three Patients With Follow-Up Between 8 And 42 Months. Percutaneous Sacroplasty Using Ct Fluoroscopy. A Modified Vertebroplasty Approach For Spine Biopsies. Expanding The Treatment Window With Mechanical Thrombectomy İn Acute Ischemic Stroke. Transarterial Coil Embolization Of The Venous Component Of Aggressive Type 4 Dural Arteriovenous Fistulas. The Radial Artery Access Site For Interventional Neuroradiology Procedures. Bovine Aortic Arch Variant İn Humans: Clarification Of A Common Misnomer. Subsequent Vertebral Fractures After Vertebroplasty: Association With Intraosseous Clefts. Vertebral Endplate Fractures: An Indicator Of The Abnormal Forces Generated İn The Spine After Vertebroplasty. Use Of The Ulnar Artery As An Alternative Access Site For Cerebral Angiography. Angioplasty Of An Idiopathic Intracranial Arterial Stenosis. Balloon-Assisted Coiling Through A 5-French System. Outcomes Of Patients Receiving Long-Term Corticosteroid Therapy Who Undergo Percutaneous Vertebroplasty. Specificity Of Mr Angiography As A Confirmatory Test For Carotid Artery Stenosis: İs İt Valid? Vertebroplasty, First 1000 Levels Of A Single Center: Evaluation Of The Outcomes And Complications. Endovascular Treatment Of Epistaxis İn Patients With Hereditary Hemorrhagic Telangiectasia. Balloon-Assisted Coiling Of Intracranial Aneurysms: Evaluation Of Local Thrombus Formation And Symptomatic Thromboembolic Complications. Transorbital Puncture For The Treatment Of Cavernous Sinus Dural Arteriovenous Fistulas. Isolated Third Nerve Palsy Assocaited With A Ruptured Anterior Communicating Artery Aneurysm. Recurrent Intracranial Stenosis Induced By The Wingspan Stent: Comparison With Balloon Angioplasty Alone İn A Single Patient.