Vertebroplasty using real-time, fluoroscopy-controlled, catheter-assisted, low-viscosity cement injection

Spine
Chung-Wei LeeHung-Jen Hsieh

Abstract

Case series. Evaluation of new vertebroplasty technique. Viscous polymethylmethacrylate cement is frequently used to avoid leakage in vertebroplasty. However, the large force required to inject the cement can require the use of special equipment or the direct injection of the cement without a cannula. In addition, injection under fluoroscopic guidance with a short or absent cannula is associated with a higher intraoperative radiation dose. A method using an angiographic catheter for thin cement injection is presented. Real-time, fluoroscopy-controlled, catheter-assisted, thin cement injection was used for 102 vertebroplasty sessions (84 patients, 148 vertebrae). Leakage was monitored in 85 procedures via computed tomography. All vertebral bodies were successfully and satisfactorily filled with bone cement. Cement leakage was evident in 50% of the 85 asymptomatic cases (25 paraspinal, 29 epidural, and 30 intradisc space). On follow-up, new compression fractures were noted in the same (n = 5) or adjacent (n = 16) vertebral body, and elsewhere (n = 10). Vertebroplasty provided pain relief in >90% of cases. Recurrent compression fracture occurred in 5 vertebrae of 4 patients after vertebroplasty. New compression fractures occurred ...Continue Reading

References

Apr 16, 1998·Radiographics : a Review Publication of the Radiological Society of North America, Inc·A CottenH Deramond
Mar 12, 1999·Journal of Orthopaedic Research : Official Publication of the Orthopaedic Research Society·T A SchildhauerP F O'Leary
Aug 24, 1999·Bone·J B MartinD A Rüfenacht
Aug 24, 1999·Bone·D San Millán RuízA M Kurt
Nov 1, 2000·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·P F HeiniU Berlemann
Aug 16, 2001·Tecnologica. MAP Supplement
Dec 12, 2001·Journal of Clinical Densitometry : the Official Journal of the International Society for Clinical Densitometry·K J Murphy, D D Lin
Feb 7, 2002·Journal of Vascular and Interventional Radiology : JVIR·Wade Wong, John Mathis
Feb 7, 2002·Journal of Vascular and Interventional Radiology : JVIR·J Kevin McGrawJeffrey M Boorstein
Jul 13, 2002·Journal of Biomedical Materials Research·Stephen M BelkoffLouis E Jasper
Aug 22, 2002·The Journal of Bone and Joint Surgery. British Volume·U BerlemannP F Heini
Nov 13, 2002·Neuroradiology·A Pérez-HiguerasI Al-Assir
Jun 21, 2003·Journal of Vascular and Interventional Radiology : JVIR·Donald L MillerUNKNOWN RAD-IR study
Oct 2, 2003·Radiology·David F Kallmes, Mary E Jensen
Feb 18, 2004·Neuroradiology·A MehdizadeD A Rüfenacht
Apr 29, 2005·Seminars in Ultrasound, CT, and MR·Jean-Denis Laredo, Bassam Hamze
Nov 2, 2006·Spine·Niki T FitousiGeorge S Panayiotakis

❮ Previous
Next ❯

Citations


❮ Previous
Next ❯

Related Concepts

Related Feeds

Antifungals

An antifungal, also known as an antimycotic medication, is a pharmaceutical fungicide or fungistatic used to treat and prevent mycosis such as athlete's foot, ringworm, candidiasis, cryptococcal meningitis, and others. Discover the latest research on antifungals here.

Antifungals (ASM)

An antifungal, also known as an antimycotic medication, is a pharmaceutical fungicide or fungistatic used to treat and prevent mycosis such as athlete's foot, ringworm, candidiasis, cryptococcal meningitis, and others. Discover the latest research on antifungals here.