Percutaneous vertebroplasty for maintenance hemodialysis patients with thoracolumbar vertebral compression fractures : a case report of four cases

Abstract

Percutaneous vertebroplasty (PVP) is increasingly used to treat pain in patients with osteoporotic thoracolumbar vertebral compression fractures. However, few studies have determined which patient subgroups would benefit from the use of PVP for pain control. In this study, we examined the efficacy and safety of PVP in four maintenance hemodialysis (HD) patients. Compression fracture-associated pain was markedly improved soon after the PVP in all patients, and there were no major complications that were directly related to the PVP. One patient experienced recurrent compression fractures twice. Therefore, PVP was repeated three times, and all of these procedures were highly effective at providing pain relief and preventing a decline in the patient’s ability to perform activities of daily living. This study suggests that PVP is an effective and safe procedure even for maintenance HD patients.