Vertebral Augmentation Flashcards
MRI findings that suggest sclerosis of the vertebral compression fracture
hypointense on both T1 and T2 sequences
conditions where patients are on chronic steroids
asthma, COPD, rheumatoid arthritis, lymphoma, multiple myeloma, transplants
findings that favor the diagnosis of malignant vertebral compression fracture
- abnormal signal in the posterior elements
- expansion of the contour of the vertebral body or posterior elements
- associated epidural or extravertebral soft-tissue mass
common malignant causes of vertebral compression fractures
osteolytic mets and multiple myeloma
is vertebral augmentation recommended before or after radiation therapy for malignant fracture
after due to the theoretical risk of dislodging marrow that may disseminate metastatic disease
should you do vertebral augmentation on a younger patient with normal bone mineral density and a traumatic vertebral compression fracture
No - they will heal well without intervention
Risk factors for Sacral insufficiency fractures
- Osteoporosis
- Radiation Therapy
- Neoplasm
- Corticosteroid treatment
