ABSTRACT

Aim:

To evaluate the anesthesia monitor changes and to review the possibilities to prevent Intraoperative medical complications in the percutaneous vertebroplasty applied patient group.

Patients and Methods:

The data of the percutaneous vertebroplasty applied patients, between October 2001 and August 2007, were retrospectively evaluated. The study group included 40 patients (24 women, 16 men) with a mean age of 68.2. Most of the patients (92.5 %) were operated under local anesthesia and sedation. Anesthesia monitor changes during the operation were evaluated and the preventions against the possible complications were reviewed.

Results:

In the study group, which was mostly formed by thoracolumbar (62.5 %) and osteoporotic fractures (80 %), hypotansive attacks during percutaneous vertebroplasty were observed in 5 patients. Two patients had tension irregularities and 1 patient had dyspne. In the postoperative computerized tomography scans, 22 asymptomatic cement leakages were observed.

Conclusions:

Most of the complications are the result of cement leakage. In order to prevent cement leakage, appropriate surgical technique should be applied and the patient must be well hydrated. The treatment regimen for the existing cardiac and pulmonary diseases should be put into order preoperatively. During the operation, anesthetist must be ready to manage the probable complications.