Percutaneous Vertebroplasty and Radiotherapy in Vertebral Hemangiomas: Comparative Study

A.V. Shishigin, A.V. Kuramshin, F.F. Mufazalov, R.R. Muhamedrahimov, R.A. Valishin, Sh.M. Safin

Cuvatov Republic Clinical Hospital, Ufa, Russia

 

The study goal had been comparative estimation of percutaneous vertebroplasty (PVP) and radiotherapy (RT) and their efficacy in treatment of cases with vertebral hemangiomas.

Material and Methods. The study was carried out on 92 cases with vertebral hemangiomas (males 25, females 67; mean age - 48±1.1 years) RT and PVP were used in 46 and 46 cases, respectively.

Results and Discussion. According to the scale of verbal rating, severity of pain syndrome was as follows: 0 6.5%; 1 - 10.5%; 2 35%, 3 48% of cases (before PVP) and 0 30.5%, 1 47.8%, 2 21.7% (after PVP); 0 - 4.3%, 1 8.7%, 2 - 32.6%, 3 54.4% (before RT) and 0 32.6% 1 50%, 2 17.4% (after RT). Thus, it is quite obvious, that use of PVP and RT in vertebral hemangiomas is characterized by absence of reliable statistical difference (p>0.05) from the point of view of an analgesic effect. Nevertheless, PVP has certain advantages over RT: a) rapid appearance of an analgesic effect (as for RT with a total irradiation dose of 16-20 Gy, this effect is observed in 2 weeks: in PVP it is watched in 1-3 days); b) a low dose of irradiation; c) stabilization of a vertebral body (RT does not result in structural changes of irradiated vertebrae; their structure remains cellular and, thus, massive lesion of a vertebral body increases a risk of compression fracture development).

Conclusion.
1. The results of PVP and RT, observed in treatment of vertebral hemangiomas, are practically identical (p>0.05).
2. It is recommended to use PVP as the only method of treatment of vertebral hemangiomas.