Salvage percutaneous vertebral augmentation in failed spinal interbody fusions associated with multiple myeloma

The Spine Journal : Official Journal of the North American Spine Society
Ajit S Puri, Eren Erdem

Abstract

Failed posterior spinal interbody fusion is a known phenomenon with clinical consequences. This technical note of percutaneous vertebral augmentation in patients with failed posterior interbody construct can be used in patients at high risk for repeat surgery, like patients with multiple myeloma. Retrospective analysis of the two procedures was done. Clinical and radiologic follow-up was available for 1.5 years at the time of manuscript preparation. Both patients were referred to us after undergoing posterior spinal interbody fusion from outside institutions with persistent pain. The patients had a pain level requiring opioid analgesics and changes in the activities of daily living. The patients had active multiple myeloma at the time of the surgical intervention and vertebral augmentation procedure. Visual analog scales were used to gauge the pain relief after the procedure and during further follow-ups. In addition, radiologic follow-up was obtained by means of computed tomography and magnetic resonance imaging scans. Vertebral augmentation procedures in both patients were done under intravenous conscious sedation with the patient prone. High-quality biplane fluoroscopy was used for the procedure. No immediate- or long-term c...Continue Reading

Citations

Sep 15, 2018·AJNR. American Journal of Neuroradiology·A CianfoniP Scarone
Aug 15, 2021·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·James Randolph OnggoJoshua A Hirsch

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