Interventions and Therapy in Rheumatology

Radiol Clin North Am. 2017 Sep;55(5):1103-1110. doi: 10.1016/j.rcl.2017.04.013. Epub 2017 Jun 8.

Abstract

Patients affected by rheumatic conditions frequently present with spine degeneration and vertebral compression fractures, mainly related to the long-term therapies with glucocorticosteroids. A mini-invasive approach provided by interventional radiology techniques, especially vertebroplasty, plays a relevant role in the pain management of these patients; vertebroplasty represents the symptomatic treatment of fracture pain, so patients must always be included in a specific therapeutic workup of the rheumatic condition. This article describes patient selection criteria, technique, and outcomes of vertebroplasty in patients affected by rheumatic disease and secondary osteoporosis caused by glucocorticosteroids.

Keywords: Glucocorticosteroids; Magnetic Resonance; Rheumatology; Secondary osteoporosis; Vertebroplasty.

Publication types

  • Review

MeSH terms

  • Arthritis, Rheumatoid / complications*
  • Arthritis, Rheumatoid / drug therapy
  • Fractures, Compression / complications*
  • Fractures, Compression / surgery
  • Glucocorticoids / adverse effects*
  • Glucocorticoids / therapeutic use
  • Humans
  • Osteoporosis / complications*
  • Osteoporosis / surgery
  • Pain / complications
  • Pain / surgery
  • Radiology, Interventional
  • Spinal Fractures / complications*
  • Spinal Fractures / surgery
  • Vertebroplasty / methods*

Substances

  • Glucocorticoids