Percutaneous pediculoplasty: polymethylmethacrylate injection into lytic vertebral pedicle lesions

J Vasc Interv Radiol. 2002 May;13(5):517-21. doi: 10.1016/s1051-0443(07)61533-4.

Abstract

Two patients with painful lytic lesions of the vertebral pedicle were treated with percutaneous pediculoplasty. This technique, similar to vertebroplasty but with increased procedural risks because of the immediate vicinity of neural structures, was performed under high-quality biplane fluoroscopic guidance. For lesions involving both the pedicle and the vertebral body, a double-needle unipedicular technique is advocated.

Publication types

  • Case Reports

MeSH terms

  • Adolescent
  • Aged
  • Aged, 80 and over
  • Barium / therapeutic use
  • Bone Cements / therapeutic use
  • Combined Modality Therapy
  • Fluoroscopy
  • Hemangioma / diagnosis
  • Humans
  • Injections, Spinal
  • Lumbar Vertebrae / diagnostic imaging
  • Lumbar Vertebrae / pathology*
  • Lumbar Vertebrae / surgery*
  • Magnetic Resonance Imaging
  • Male
  • Multiple Myeloma / diagnosis
  • Polymethyl Methacrylate / therapeutic use
  • Thoracic Vertebrae / diagnostic imaging
  • Thoracic Vertebrae / pathology*
  • Thoracic Vertebrae / surgery*
  • Tomography, X-Ray Computed

Substances

  • Bone Cements
  • Barium
  • Polymethyl Methacrylate