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Trauma vertebroplasty

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https://www.readbyqxmd.com/read/28811793/effectiveness-and-safety-of-percutaneous-vertebroplasty-in-the-treatment-of-spinal-metastatic-tumor
#1
Yilin Liu, Yuqiang Wang, Liang Zhao, Ruipeng Song, Hongyu Tan, Limin Wang
OBJECTIVE: To evaluate the effectiveness, safety and feasibility of percutaneous vertebroplasty in the treatment of spinal metastatic tumor. METHODS: Thirty-four patients with spinal metastatic tumor who received treatment in the First Affiliated Hospital of Zhengzhou University from May 2014 to June 2015 were selected. Totally fifty diseased vertebrae were treated by percutaneous vertebroplasty. The curative effects were evaluated according to visual analogue scale (VAS) score, Oswestry Dability Index (ODI) and dose of pain reliever...
May 2017: Pakistan Journal of Medical Sciences Quarterly
https://www.readbyqxmd.com/read/28736621/percutaneous-cement-augmentation-for-osteoporotic-vertebral-fractures
#2
REVIEW
Amer Sebaaly, Maroun Rizkallah, Falah Bachour, Firas Atallah, Pierre Emmanuel Moreau, Ghassan Maalouf
Thoracolumbar vertebral fracture incidents usually occur secondary to a high velocity trauma in young patients and to minor trauma or spontaneously in older people.Osteoporotic vertebral fractures are the most common osteoporotic fractures and affect one-fifth of the osteoporotic population.Percutaneous fixation by 'vertebroplasty' is a tempting alternative for open surgical management of these fractures.Despite discouraging initial results of early trials for vertebroplasty, cement augmentation proved its superiority for the treatment of symptomatic osteoporotic vertebral fracture when compared with optimal medical treatment...
June 2017: EFORT open reviews
https://www.readbyqxmd.com/read/28735136/spinal-instability-predictive-scoring-system-for-subsequent-fracture-after-bone-cement-augmentation-in-patients-with-osteoporotic-vertebral-compression-fracture
#3
Hyeun Sung Kim, Chang Il Ju
OBJECTIVE: Bone cement augmentation procedures (vertebroplasty and kyphoplasty) are the primary treatments for osteoporotic vertebral compression fracture (VCF). However, these procedures are associated with various problems resulting in subsequent fracture. The purpose of this study was to evaluate the spinal instability factors related to subsequent fracture after vertebral augmentation procedures. METHODS: We retrospectively reviewed patients who underwent augmentation procedures for osteoporotic VCF...
October 2017: World Neurosurgery
https://www.readbyqxmd.com/read/28573824/bone-cement-cardiac-and-pulmonary-embolism
#4
Tomás F Cianciulli, Diego E Mc Loughlin, Luis A Morita, María C Saccheri, Jorge A Lax
This case describes a complication of bone cement use. A 65-year-old male patient with back spine trauma caused by a fall, underwent a percutaneous vertebroplasty. Five years later, he consulted for palpitations, and the electrocardiogram showed supraventricular arrhythmia. A transthoracic two-dimensional echocardiography showed a hyperechogenic linear structure of 7 cm length, running from the lateral wall of the right ventricle to the right atrium through the tricuspid valve. This foreign body, which was suspicious for bone cement embolism, appeared rigid and was attached at the lateral wall of the right ventricle, with its proximal end free in the right atrium...
August 2017: Echocardiography
https://www.readbyqxmd.com/read/28542552/osteoporosis-associated-vertebral-fractures-health-economic-implications
#5
Julian Joestl, Nikolaus Lang, Adam Bukaty, Thomas M Tiefenboeck, Patrick Platzer
INTRODUCTION: Osteoporosis-associated vertebral fractures represent an increasing clinical and public health problem, one with important socioeconomic effects within western countries. The purpose of this study was to analyse demographic, medical, gender and socioeconomic aspects of osteoporotic vertebral fractures of the thoracic or lumbar spine over a period of at least 10-years. MATERIAL AND METHODS: Included for analysis were 694 patients who had suffered a vertebral fracture due to primary or secondary osteoporosis, and who were treated at our Level-I trauma center between 2000 and 2013...
2017: PloS One
https://www.readbyqxmd.com/read/28373079/temporary-short-segment-pedicle-screw-fixation-for-thoracolumbar-burst-fractures-comparative-study-with-or-without-vertebroplasty
#6
Hiroyuki Aono, Keisuke Ishii, Hidekazu Tobimatsu, Yukitaka Nagamoto, Shota Takenaka, Masayuki Furuya, Horii Chiaki, Motoki Iwasaki
BACKGROUND CONTEXT: Short-segment posterior spinal instrumentation for thoracolumbar burst fracture provides superior correction of kyphosis by an indirect reduction technique, but it has a high failure rate. PURPOSE: The purpose of the study we report here was to compare outcomes for temporary short-segment pedicle screw fixation with vertebroplasty and for such fixation without vertebroplasty. STUDY DESIGN: This is a prospective multicenter comparative study...
March 31, 2017: Spine Journal: Official Journal of the North American Spine Society
https://www.readbyqxmd.com/read/28236870/neuraxial-anesthesia-after-local-anesthesia-for-management-of-percutaneous-vertebroplasty-complication-during-vertebroplasty
#7
Hüseyin Balkarlı, Mesut Kılıç, İbrahim Öztürk
Percutaneous vertebroplasty is a relatively safe, simple and commonly performed interventional procedure for the management of vertebral compression fractures. However, serious complications are rarely reported in the procedure. Those are pulmonary embolism, severe infection, paraplegia and an occurrence of a new fracture in an adjacent vertebra after vertebroplasty. Acute complications are generally associated with the procedure. We present the case of neuraxial anesthesia, developed after local anesthesia with 8mL of 2% prilocaine, in a 68-year-old woman who underwent percutaneous vertebroplasty after an osteoporotic collapsed fracture in the L1 vertebra due to trauma...
March 2017: Brazilian Journal of Anesthesiology
https://www.readbyqxmd.com/read/28101655/percutaneous-vertebral-augmentation-in-fragility-fractures-indications-and-limitations
#8
REVIEW
O Gonschorek, S Hauck, T Weiß, V Bühren
INTRODUCTION: There is still no general consensus about the management of osteoporotic vertebral fractures. Recommendations depend on type of fracture, grade of instability, bone quality, and general conditions of the patient. Spontaneous fractures may be considered to be treated different compared to cases with high-velocity trauma. METHODS: According to the DVO, patients without trauma should first be treated conservatively. However, there is no more strict time protocol of 3 or 6 week conservative treatment before operations may be indicated...
February 2017: European Journal of Trauma and Emergency Surgery: Official Publication of the European Trauma Society
https://www.readbyqxmd.com/read/27891670/biomechanical-behavior-of-novel-composite-pmma-cap-bone-cements-in-an-anatomically-accurate-cadaveric-vertebroplasty-model
#9
Shant Aghyarian, Xiaobang Hu, Ram Haddas, Isador H Lieberman, Victor Kosmopoulos, Harry K W Kim, Danieli C Rodrigues
Vertebral compression fractures are caused by many factors including trauma and osteoporosis. Osteoporosis induced fractures are a result of loss in bone mass and quality that weaken the vertebral body. Vertebroplasty and kyphoplasty, involving cement augmentation of fractured vertebrae, show promise in restoring vertebral mechanical properties. Some complications however, are reported due to the performance characteristics of commercially available bone cements. In this study, the biomechanical performance characteristics of two novel composite (PMMA-CaP) bone cements were studied using an anatomically accurate human cadaveric vertebroplasty model...
September 2017: Journal of Orthopaedic Research: Official Publication of the Orthopaedic Research Society
https://www.readbyqxmd.com/read/27637996/-neuraxial-anesthesia-after-local-anesthesia-for-management-of-percutaneous-vertebroplasty-complication-during-vertebroplasty
#10
Hüseyin Balkarlı, Mesut Kılıç, İbrahim Öztürk
Percutaneous vertebroplasty is a relatively safe, simple and commonly performed interventional procedure for the management of vertebral compression fractures. However, serious complications are rarely reported in the procedure. Those are pulmonary embolism, severe infection, paraplegia and an occurrence of a new fracture in an adjacent vertebra after vertebroplasty. Acute complications are generally associated with the procedure. We present the case of neuraxial anesthesia, developed after local anesthesia with 8mL of 2% prilocaine, in a 68-year-old woman who underwent percutaneous vertebroplasty after an osteoporotic collapsed fracture in the L1 vertebra due to trauma...
March 2017: Revista Brasileira de Anestesiologia
https://www.readbyqxmd.com/read/27544377/safety-and-efficacy-of-vertebroplasty-for-acute-painful-osteoporotic-fractures-vapour-a-multicentre-randomised-double-blind-placebo-controlled-trial
#11
COMMENT
William Clark, Paul Bird, Peter Gonski, Terrence H Diamond, Peter Smerdely, H Patrick McNeil, Glen Schlaphoff, Carl Bryant, Elizabeth Barnes, Val Gebski
BACKGROUND: We hypothesised that vertebroplasty provides effective analgesia for patients with poorly controlled pain and osteoporotic spinal fractures of less than 6 weeks' duration. The effectiveness of vertebroplasty, using an adequate vertebral fill technique, in fractures of less than 6 weeks' duration has not been specifically assessed by previously published masked trials. METHODS: This was a multicentre, randomised, double-blind, placebo-controlled trial of vertebroplasty in four hospitals in Sydney, Australia...
October 1, 2016: Lancet
https://www.readbyqxmd.com/read/27454279/elastoplasty-a-silicon-polymer-as-a-new-filling-material-for-kyphoplasty-in-comparison-to-pmma
#12
Rahel Bornemann, Yorck Rommelspacher, Tom R Jansen, Kirsten Sander, Dieter C Wirtz, Robert Pflugmacher
BACKGROUND: Painful vertebral compression fractures (VCF) caused by osteoporosis are a common health problem in the elderly population. If conservative treatments are unsuccessful, surgical treatments like vertebroplasty or kyphoplasty are recommended. But the use of Polymethylmethacrylat (PMMA) bone cement for augmentation surgery is associated with risks. OBJECTIVES: Evaluation of the effectiveness and safety of a newly developed silicon polymer (VK100) that can be used instead of PMMA bone cement for kyphoplasty treatments...
July 2016: Pain Physician
https://www.readbyqxmd.com/read/27403423/outcomes-and-national-trends-for-the-surgical-treatment-of-lumbar-spine-trauma
#13
Doniel Drazin, Miriam Nuno, Faris Shweikeh, Alexander R Vaccaro, Eli Baron, Terrence T Kim, J Patrick Johnson
Introduction. Operative treatment of lumbar spine compression fractures includes fusion and/or cement augmentation. Our aim was to evaluate postoperative differences in patients treated surgically with fusion, vertebroplasty, or kyphoplasty. Methods. The Nationwide Inpatient Sample Database search for adult vertebral compression fracture patients treated 2004-2011 identified 102,316 surgical patients: 30.6% underwent spinal fusion, 17.1% underwent kyphoplasty, and 49.9% underwent vertebroplasty. Univariate analysis of patient and hospital characteristics, by treatment, was performed...
2016: BioMed Research International
https://www.readbyqxmd.com/read/27352198/-kyphoplasty-and-vertebroplasty-for-spinal-trauma
#14
REVIEW
F Ahlhelm, R Omidi
CLINICAL ISSUE: Minimally invasive treatment of spinal fractures. STANDARD TREATMENT PROCEDURES: Conservative treatment versus spinal surgery. TREATMENT INNOVATIONS: Minimally invasive stabilization techniques, such as percutaneous (assisted) cementoplasty have been introduced as new procedures. DIAGNOSTIC WORK-UP: Magnetic resonance imaging (MRI), X‑rays and computed tomography (CT) are the imaging techniques of first choice...
August 2016: Der Radiologe
https://www.readbyqxmd.com/read/27345746/first-time-systematic-postoperative-clinical-assessment-of-a-minimally-invasive-approach-for-lumbar-ventrolateral-vertebroplasty-in-the-large-animal-model-sheep
#15
Matthias Bungartz, Stefan Maenz, Elke Kunisch, Victoria Horbert, Long Xin, Francesca Gunnella, Joerg Mika, Juliane Borowski, Sabine Bischoff, Harald Schubert, Andre Sachse, Bernhard Illerhaus, Jens Günster, Jörg Bossert, Klaus D Jandt, Raimund W Kinne, Olaf Brinkmann
BACKGROUND CONTEXT: Large animal models are highly recommended for meaningful preclinical studies, including the optimization of cement augmentation for vertebral body defects by vertebroplasty/kyphoplasty. PURPOSE: The aim of this study was to perform a systematic characterization of a strictly minimally invasive in vivo large animal model for lumbar ventrolateral vertebroplasty. STUDY DESIGN/ SETTING: This is a prospective experimental animal study...
October 2016: Spine Journal: Official Journal of the North American Spine Society
https://www.readbyqxmd.com/read/26994520/surgical-outcomes-of-temporary-short-segment-instrumentation-without-augmentation-for-thoracolumbar-burst-fractures
#16
Hiroyuki Aono, Hidekazu Tobimatsu, Kenta Ariga, Masayuki Kuroda, Yukitaka Nagamoto, Shota Takenaka, Masayuki Furuya, Motoki Iwasaki
BACKGROUND: Short-segment posterior spinal instrumentation for thoracolumbar burst fracture provides superior correction of kyphosis by an indirect reduction technique, but it has a high failure rate. We investigated the clinical and radiological results of temporary short-segment pedicle screw fixation without augmentation performed for thoracolumbar burst fractures with the goal of avoiding treatment failure by waiting to see if anterior reconstruction was necessary. METHODS: We studied 27 consecutive patients with thoracolumbar burst fracture who underwent short-segment posterior instrumentation using ligamentotaxis with Schanz screws and without augmentation...
June 2016: Injury
https://www.readbyqxmd.com/read/26815440/reduced-loosening-rate-and-loss-of-correction-following-posterior-stabilization-with-or-without-pmma-augmentation-of-pedicle-screws-in-vertebral-fractures-in-the-elderly
#17
A El Saman, S Meier, A Sander, A Kelm, I Marzi, H Laurer
BACKGROUND: Therapy of vertebral fractures in the elderly is a growing challenge for surgeons. Within the last two decades, the use of polymethylmethacrylate (PMMA) in the treatment of osteoporotic vertebral fractures has been widely established. Besides vertebroplasty and kyphoplasty, the augmentation of pedicle screws with PMMA found widespread use to strengthen the implant-bone interface. Several studies showed an enhanced pullout strength of augmented screws compared to standard pedicle screws in osteoporotic bone models...
October 2013: European Journal of Trauma and Emergency Surgery: Official Publication of the European Trauma Society
https://www.readbyqxmd.com/read/26752479/treatment-of-osteoporotic-vertebral-compression-fractures-applicability-of-appropriateness-criteria-in-clinical-practice
#18
Rupert Schupfner, Herman J Stoevelaar, Thomas Blattert, Daniel Fagan, Patrick Fransen, Stefano Marcia, Frederic Schils, Mashood Ali Siddiqi, Giovanni Carlo Anselmetti
BACKGROUND: Appropriate treatment choice for osteoporotic vertebral compression fractures (OVCF) is challenging due to patient heterogeneity. Using the RAND/UCLA method, an international multidisciplinary expert panel established patient-specific criteria for the choice between non-surgical management (NSM), vertebroplasty (VP), and balloon kyphoplasty (BKP). OBJECTIVES: To assess the applicability of the appropriateness criteria in real-life practice. STUDY DESIGN: Prospective observational study...
January 2016: Pain Physician
https://www.readbyqxmd.com/read/26728798/what-s-new-in-vertebral-cementoplasty
#19
REVIEW
Mario Muto, Gianluigi Guarnieri, Francesco Giurazza, Luigi Manfrè
Vertebral cementoplasty is a well-known mini-invasive treatment to obtain pain relief in patients affected by vertebral porotic fractures, primary or secondary spine lesions and spine trauma through intrametameric cement injection. Two major categories of treatment are included within the term vertebral cementoplasty: the first is vertebroplasty in which a simple cement injection in the vertebral body is performed; the second is assisted technique in which a device is positioned inside the metamer before the cement injection to restore vertebral height and allow a better cement distribution, reducing the kyphotic deformity of the spine, trying to obtain an almost normal spine biomechanics...
2016: British Journal of Radiology
https://www.readbyqxmd.com/read/26714695/effects-of-facet-joint-injection-reducing-the-need-for-percutaneous-vertebroplasty-in-vertebral-compression-fractures
#20
Tae Seong Im, Joon Woo Lee, Eugene Lee, Yusuhn Kang, Joong Mo Ahn, Heung Sik Kang
OBJECTIVE: To evaluate the effects of facet joint injection (FJI) reducing the need for percutaneous vertebroplasty (PVP) in cases of vertebral compression fracture (VCF). MATERIALS AND METHODS: A total of 169 patients who were referred to the radiology department of our institution for PVP between January 2011 and December 2014 were retrospectively evaluated. The effectiveness of FJI was evaluated by the proportion of patients who cancelled PVP and who experienced reduced pain...
May 2016: Cardiovascular and Interventional Radiology
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