In recent years, a number of minimally invasive nuclear decompression techniques for lumbar disc prolapse, protrusion, and/or herniation have been introduced, including the Dekompressor®. However, poor results have been reported for contained disc herniations with open surgical interventions. The primary goal of the surgical treatment of nerve root compression from a disc protrusion continues to be the relief of compression by removing the herniated nuclear material with open discectomy. After PVP, vertebral height showed a subtle increase. Conclusion: In this study, preoperative pain in patients with VCF prominently diminished in the postoperative early and late phase. The mean pre- and postoperative values of vertebral height were 1.83☐.39 cm vs1.88☐.36 cm (P<.01). The approximate compression rate was 24.72☑3.99 %, the ratio of approximate restoration height was 3.47±5.36, and the mean kyphosis angle was 7.35☖.81 °. Results: Preoperative and postoperative VAS scores were 8.6☐.9 vs. In patients’ preoperative and postoperative evaluation, a visual analogue scale (VAS) was used to assess back and leg pain, preoperative routine lumbar vertebral radiography was used for fracture morphology, lumbar magnetic resonance imaging was performed, and the segmental kyphotic angle, vertebral corpus compression rate, polymethylmethacrylate (PMMA) cement volume, and diffusion of PMMA were recorded. Methods: Forty-nine patients with VCF due to osteoporosis, trauma, osteolytic bone tumors, metastases or leukemia who were admitted to our hospital between 20 and treated with PVP were included in the study. In this study, the efficacy and complications of PVP were investigated among 49 patients with VCF. Objective: Percutaneous vertebroplasty (PVP) is the preferred treatment option for vertebral compression fractures (VCF). Multiple spinal metastases patients may regain functional independence after multilevel vertebroplasty.Multilevel vertebroplasty does not cause more complications than single-level vertebroplasty.Percutaneous vertebroplasty is safe and effective for painful osteolytic spinal metastases.Multilevel PVP relieves pain and improves QoL and mobility. Multilevel vertebroplasty is safe and effective for the treatment of multiple osteolytic spinal metastases. There was also no significant difference between groups in minor and major complications. There was no significant difference between the two groups throughout the follow-up period in overall pain relief and improvement in QoL and mobility. Mobility improvement was observed in both groups, despite worse mobility status before PVP in group B compared with group A. ResultsBoth groups experienced significant pain relief and QoL improvement after the intervention (p < 0.001). Minor and major complications were systematically assessed. Pain, quality of life (QoL), and mobility were assessed before and after PVP. Group B patients (n = 60) underwent PVP at more than three levels in one session. ![]() Group A patients (n = 93) underwent PVP at up to three vertebral levels per session. MethodsA total of 153 patients with painful osteolytic spinal metastases underwent PVP. ![]() To retrospectively assess the safety and efficacy of percutaneous vertebroplasty (PVP) for painful osteolytic spinal metastases when treating more than three vertebrae per session.
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