AUTHOR=Pusceddu Claudio , Faiella Eliodoro , Derudas Daniele , Ballicu Nicola , Melis Luca , Zedda Stefano , Marsico Salvatore 

TITLE=Re-expansion of vertebral compression fractures in patients with multiple myeloma with percutaneous vertebroplasty using spinejack implants: a preliminary and retrospective study

JOURNAL=Frontiers in Surgery

VOLUME=Volume 10 - 2023

YEAR=2023

URL=https://www.frontiersin.org/journals/surgery/articles/10.3389/fsurg.2023.1121981

DOI=10.3389/fsurg.2023.1121981

ISSN=2296-875X

ABSTRACT=Objective: To retrospectively evaluate the feasibility and effectiveness of vertebroplasty using Spinejack implantation for the treatment and stabilization of painful vertebral compression fractures, in patients diagnosed with Multiple Myeloma (MM), to allow both an effective pain reduction and a global structural spine stabilization.

Results: The technical success rate was 100%.  No procedure-related major complications or death occurred.  In the 6-month follow-up, the mean VAS score decreased from 5.4 ± 1.0  to 0.2 ± 0.5 with a mean reduction of 96.3%. FMS  FMS decreased from 2.3± 0.5 vs 1.2 ± 0.4 with a mean reduction of -47.8%.
There were no major complications related to incorrect positioning of the Expandable Titanium SpineJack Implants. 
In five patients, a cement leak was observed with no associated clinical manifestations.
The average length of hospital stay was 6-8 Hours6.6 ± 1.2 hours.  
No new bone fractures or local disease recurrence occurred during a median contrast-enhanced CT follow-up of 6 months.

Conclusions: our results suggest that vertebroplasty, using Spinejack implantation for the treatment and stabilization of painful vertebral compression fractures, secondary to Multiple Myeloma  is a safe and effective procedure with long - term pain relief and restoration of vertebral height.