Painful Pagetic vertebra palliated with percutaneous vertebral augmentation

InterventionalradiologyPaget's disease is a benign bone disease of unclear etiology characterized by excessive bonyremodeling that weakens, expands and distorts the shape of affected bones. Although thespine is the second most common site of Paget's disease, Pagetic vertebrae are typicallyasymptomatic [1]. Sources of pain secondary to spinal Paget's disease include pathologicfracture, spinal cord or nerve root compression, and rarely, sarcomatous transformation[2]. However, patients may also experience uncomplicated back pain that is most likelyrelated to vertebral body microfractures and/or vascular congestion [3]. This mechanismis similar to that of painful vertebral body hemangiomas, which are effectively palliatedwith vertebral augmentation [4].This led us to utilize percutaneous vertebral augmentation to treat a patient withpainful, uncomplicated monostotic spinal Paget's disease with clinical success.