Pain Management

Chronic Pain Management

Value of bone SPECT-CT to predict chronic pain relief after percutaneous vertebroplasty in vertebral fractures

Solá M, Pérez R, Cuadras P, et al (Hospital Universitari Germans Trias i Pujol. Badalona, Spain) Spine J 11:1102-1107, 2011^§

Abstract

Background Context

Longer life span has resulted in increased risk of vertebral osteoporotic fractures. Among minimally invasive procedures, percutaneous vertebroplasty (PV) has shown excellent results in the treatment of chronic vertebral pain. The role of preintervention bone single photon emission computed tomography–computed tomography (SPECT-CT) has not been clearly established for the management of these patients.

Purpose

To determine the value of bone SPECT-CT in patient selection, treatment planning, and prediction of response to PV. A comparison with magnetic resonance imaging (MRI) was also aimed.

Study Design

Prospective consecutive series.

Patient Sample

We studied the performance of bone SPECT-CT on 33 consecutive patients with chronic pain because of vertebral fracture intended for PV.

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