الفهرس 
IntroductionOnly 14 pages are availabe for public view
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Abstract
Percutaneous vertebroplasty (PVP) was first described by Galibert in 1987 and performed by percutaneous injection of bone cement into one or more vertebral bodies under fluoroscopic and/or computed tomography control. It provides pain relief and mechanical stabilization within a vertebral body to prevent further vertebral body collapse and achieve better functional results. Help restoration of daily activities and improvement of the psychological status of the patients. It also caused a reduction of the dose of analgesics when needed by some patients. It is a simple day care procedure that can be performed under general or local anesthesia with intravenous sedation. It has a rapid effect in decreasing spinal pain when performed for the appropriate indications. It requires a small number of Instruments, C-arm image intensifier, in addition to bone cement. In our study, vertebroplasty was performed for 20 patients who suffered from painful spine as a result of vertebral compression fractures either osteoporotic or traumatic. We concentrated in our patient evaluation on the effect of vertebroplasty in treating and alleviating pain suffered by the patients. We used a simple and precise technique for performing vertebroplasty, local anesthesia, transpedicular approach of cement injection which is either bipedicular or unipcdicular and uniplanar fluoroscopy and vertebroplasty cement. Our results showed that vertebroplasty was effective in markedly reducing pain and improving the quality of life in the majority of patients within a very short period of time. This enabled them to resume most of their daily activities, cut-down using analgesics, avoid prolonged bed rest and bracing which were necessary before undertaking vertebroplasty. And avoid deterioration in osteopenia and function of the musculoskeletal system in elderly patients. Vertebroplasty does not aim at vertebral height restoration as compared to kyphoplasty. Despite this fact, all of our cases had varying degrees of increase in the vertebral body height following vertebroplasty. Also there was an improvement of the kyphotic angle. Which prevent the development of delayed neural palsy and kyphosis induced by slowly progressing destruction of vertebrae without reinforcement. Although vertebroplasty is effective minimally invasive procedure in markedly und rapidly reducing pain and improving the quality life in patients with osteoporotic and traumatic vertebral compression fractures it may lead to serious neurological complications and even paraplegia. So patient selection and careful technique are of utmost importance for the success of the procedure. This is based on clinical as well as radiological data. Vertebroplasty in addition leads to some restoration of the sagittal balance in the form of certain degrees of vertebral height restoration and varying degrees of kyphotic angle correction. Further trials are needed to study the long term effects of vertebroplasty including the traumatic cases.