[Percutaneous vertebroplasty in the treatment of XXXX : review of the literature].

@entity1 @entity174 @entity3814 @entity1151 @entity158
OBJECTIVE: To determine the effectiveness and safety of percutaneous vertebroplasty for the treatment of @entity3814 as published in the scientific literature. DESIGN: Literature review. METHOD: Medline and the Cochrane library were searched with the terms 'percutaneous vertebroplasty', ' @entity3814 '. Criteria for inclusion were: (a) the studies had to have been published in the period January 1985-August 2002, (b) the study population had to include at least 10 @entity1 , (c) the @entity1 had to have been treated with percutaneous vertebroplasty, and (d) the diagnosis had to have been 'osteoporotic vertebral compression @entity174 '. RESULTS: Twelve studies met the inclusion criteria. @entity158 relief was seen in 60%-100% of the @entity1 within the first 24 hours and this result improved to 78-100% in the long term (maximum 4 years). The complications immediately after the procedure were related to cement leakages and were mostly of no clinical consequence. Serious complications such as @entity1151 were rare. In the long term, percutaneous vertebroplasty was associated with an increased risk of @entity174 in the adjacent vertebrae. CONCLUSION: Percutaneous vertebroplasty seems to be effective and safe in the treatment of @entity3814 . A prospective randomised intervention study has, however, not yet been performed. For the time being, percutaneous vertebroplasty should be reserved for carefully selected @entity1 in whom conservative therapy has not produced results.
