Percutaneous vertebroplasty is a minimally invasive procedure famed for its widespread use in augmenting and stabilizing vertebral body compression fractures, primarily to reduce pain, and until now, has been little practiced in sub-Saharan Africa. We present the case of a 60-year-old male patient with intractable back pain attributed to multiple-level vertebral compression fractures on imaging. We went on to discuss the novel use of this technique in Ghana, highlighting the intended outcomes vis-à-vis providing relief in symptomatology, spinal stability, and improved patient mobility while touching on the prevailing local challenges related to operational costs, local availability of the vertebroplasty kit, and strategies required to formalize the process.
References
[1]
Hamdi, Y., Abdeljaoued-Tej, I., Zatchi, A.A., Abdelhak, S., Boubaker, S., Brown, J.S., et al. (2021) Cancer in Africa: The Untold Story. FrontiersinOncology, 11, Article 650117. https://doi.org/10.3389/fonc.2021.650117
[2]
Atiase, Y. and Quarde, A. (2020) A Call to Action for Osteoporosis Research in Sub-Saharan Africa Yacoba Atiase and Akuffo Quarde. GhanaMedicalJournal, 54, 58-67. https://doi.org/10.4314/gmj.v54i1.8
[3]
Heran, M.K.S., Legiehn, G.M. and Munk, P.L. (2006) Current Concepts and Techniques in Percutaneous Vertebroplasty. OrthopedicClinicsofNorthAmerica, 37, 409-434. https://doi.org/10.1016/j.ocl.2006.05.001
[4]
Clark, W., Bird, P., Gonski, P., Diamond, T.H., Smerdely, P., McNeil, H.P., et al. (2016) Safety and Efficacy of Vertebroplasty for Acute Painful Osteoporotic Fractures (VAPOUR): A Multicentre, Randomised, Double-Blind, Placebo-Controlled Trial. TheLancet, 388, 1408-1416. https://doi.org/10.1016/s0140-6736(16)31341-1
[5]
Hemama, M., Fatemi, N.E. and Gana, R. (2017) Percutaneous Vertebroplasty in Moroccan Patients with Vertebral Compression Fractures. PanAfricanMedicalJournal, 26, Article 225. https://doi.org/10.11604/pamj.2017.26.225.9872
[6]
Firanescu, C.E., de Vries, J., Lodder, P., Venmans, A., Schoemaker, M.C., Smeet, A.J., et al. (2018) Vertebroplasty versus Sham Procedure for Painful Acute Osteoporotic Vertebral Compression Fractures (VERTOS IV): Randomised Sham Controlled Clinical Trial. BMJ, 361, k1551. https://doi.org/10.1136/bmj.k1551
[7]
Hargunani, R., Le Corroller, T., Khashoggi, K., Liu, D.M., Marchinkow, L.O., Mudri, M.J., et al. (2012) An Overview of Vertebroplasty: Current Status, Controversies, and Future Directions. CanadianAssociationofRadiologistsJournal, 63, S11-S17. https://doi.org/10.1016/j.carj.2012.04.001
[8]
Li, Y., Tian, J., Ge, M., Ji, L., Kang, Y., Xia, C., et al. (2022) A Worldwide Bibliometric Analysis of Published Literature on Osteoporosis Vertebral Compression Fracture. JournalofPainResearch, 15, 2373-2392. https://doi.org/10.2147/jpr.s375119
[9]
Laratta, J.L., Shillingford, J.N., Lombardi, J.M., Mueller, J.D., Reddy, H., Saifi, C., et al. (2017) Utilization of Vertebroplasty and Kyphoplasty Procedures throughout the United States over a Recent Decade: An Analysis of the Nationwide Inpatient Sample. JournalofSpineSurgery, 3, 364-370. https://doi.org/10.21037/jss.2017.08.02
[10]
Agodirin, O., Aremu, I., Rahman, G., Olatoke, S., Olaogun, J., Akande, H., et al. (2021) Determinants of Delayed Presentation and Advanced-Stage Diagnosis of Breast Cancer in Africa: A Systematic Review and Meta-Analysis. AsianPacificJournalofCancerPrevention, 22, 1007-1017. https://doi.org/10.31557/apjcp.2021.22.4.1007
[11]
Shamhoot, E., Balaha, A. and Elkholy, A. (2022) Evaluation and Outcome of Percutaneous Vertebroplasty for Multilevel Osteoporotic and Malignant Vertebral Fractures (More Than Two). InterdisciplinaryNeurosurgery, 28, Article ID: 101473. https://doi.org/10.1016/j.inat.2021.101473
[12]
Shi, G., Feng, F., Hao, C., Pu, J., Li, B. and Tang, H. (2019) A Case of Multilevel Percutaneous Vertebroplasty for Vertebral Metastases Resulting in Temporary Paraparesis. JournalofInternationalMedicalResearch, 48. https://doi.org/10.1177/0300060519835084
[13]
Mohamed, A., Mohamed, m. and Al aghory, I. (2022) Vertebroplasty: Pros and Cons in Treating Vertebral Compression Fractures. JournalofRecentAdvancesinMedicine, 3, 143-153. https://doi.org/10.21608/jram.2022.110308.1152
[14]
Navarro-Navarro, R., Fernández-Varela, T., Montesdeoca-Ara, A. and Lorenzo-Rivero, J.A. (2020) Outcomes of Vertebroplasty in Osteoporotic Vertebral Fractures with Limited Indication. RevistaEspañoladeCirugíaOrtopédicayTraumatología (EnglishEdition), 64, 4-12. https://doi.org/10.1016/j.recote.2019.12.001
[15]
Clark, W. and Diamond, T. (2023) Early Vertebroplasty for Severely Painful Acute Osteoporotic Compression Fractures: A Critical Review of the Literature. CardioVascularandInterventionalRadiology, 46, 1439-1446. https://doi.org/10.1007/s00270-022-03348-z
[16]
Zidan, I., Fayed, A.A. and Elwany, A. (2018) Multilevel Percutaneous Vertebroplasty (More Than Three Levels) in the Management of Osteoporotic Fractures. JournalofKoreanNeurosurgicalSociety, 61, 700-706. https://doi.org/10.3340/jkns.2017.0253