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https://www.readbyqxmd.com/read/27909655/adjacent-disc-height-reduction-and-clinical-outcome-after-intradiscal-cement-leakage
#1
Minjie Shen, Junjie Niu, Haifei Zhou, Qian Meng, Minfeng Gan, Huilin Yang
OBJECTIVE: The purpose of this study is to evaluate the effect of intradiscal cement leakage on the height of adjacent cement-containing discs and the resulting clinical efficacy after kyphoplasty. METHODS: A total of 124 patients were included and classified into two groups: group A included 20 patients with intradiscal leakage, and group B contained 104 patients without intradiscal leakage. The mean follow-up time was 20.56±3.51 months. The height of the corresponding discs in both groups was measured using Farfan's method...
2016: International Journal of Spine Surgery
https://www.readbyqxmd.com/read/27906955/regarding-elastopasty-a-silicon-polymer-as-a-new-filling-material-for-kyphoplasty-in-comparison-to-pmma
#2
Thijs Urlings, Edwin van der Linden
No abstract text is available yet for this article.
November 2016: Pain Physician
https://www.readbyqxmd.com/read/27906947/a-longitudinal-cohort-investigation-of-the-development-of-symptomatic-adjacent-level-compression-fractures-following-balloon-assisted-kyphoplasty-in-a-series-of-726-patients
#3
Christopher P Deibert, Gurpreet S Gandhoke, Erin E Paschel, Peter C Gerszten
BACKGROUND: Balloon-assisted kyphoplasty (BAK) is a well-accepted treatment for symptomatic vertebral compression fractures (VCF) secondary to osteoporosis. Some have raised a concern of an increased incidence of adjacent fractures due to alterations in spine biomechanics after cement augmentation. The incidence of subsequent VCFs following BAK is poorly understood. The aim of this study was to investigate the timing, location, and incidence of new VCFs following BAK and to identify risk factors associated specifically with the occurrence of new adjacent level fractures...
November 2016: Pain Physician
https://www.readbyqxmd.com/read/27906938/technical-strategies-and-anatomic-considerations-for-an-extrapedicular-modified-inferior-endplate-access-to-thoracic-and-lumbar-vertebral-bodies
#4
Douglas P Beall, Blake Parsons, Scott Burner
BACKGROUND: Percutaneous access to the vertebral bodies is commonly done via the transpedicular approach for both diagnoses and treatment of spinal pathology. While this approach is effective in most cases, it is difficult in certain situations such as a patient with obstructing hardware from prior surgery. OBJECTIVES: To investigate and illustrate an alternative to the typical percutaneous access to the vertebral body via an extrapedicular approach and to determine the complications associated with this approach...
November 2016: Pain Physician
https://www.readbyqxmd.com/read/27906934/can-unilateral-kyphoplasty-replace-bilateral-kyphoplasty-in-treatment-of-osteoporotic-vertebral-compression-fractures-a-systematic-review-and-meta-analysis
#5
Han Sun, Pei-Pei Lu, Yi-Jie Liu, Xu Yang, Ping-Hui Zhou, Xiao-Feng Shen, Si-Wei Sun, Huilin Yang
BACKGROUND: Kyphoplasty has been proven to be an efficient method to relieve patient suffering from osteoporotic vertebral compression fractures (OVCFs). Because of its technological superiority, unilateral kyphoplasty consumes less operative time and bone cement than traditional bilateral kyphoplasty. However, there is controversy about which method is most efficient in the treatment of OVCFs. Thus, an overall analysis should be performed to shed light on the facts corroborating both procedures...
November 2016: Pain Physician
https://www.readbyqxmd.com/read/27891670/biomechanical-behavior-of-novel-composite-pmma-cap-bone-cements-in-an-anatomically-accurate-cadaveric-vertebroplasty-model
#6
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...
November 27, 2016: Journal of Orthopaedic Research: Official Publication of the Orthopaedic Research Society
https://www.readbyqxmd.com/read/27888274/percutaneous-sacroplasty-for-the-management-of-painful-pathologic-fracture-in-a-multiple-myeloma-patient-case-report-and-review-of-the-literature
#7
A A Dmytriw, K Talla, R Smith
Percutaneous kyphoplasty has a well-established role in the treatment of pathologic fractures in patients with multiple myeloma. Despite this, there is a scarcity of literature surrounding its use and efficacy in the sacrum. We present a case of successful symptom resolution in a patient with painful sacral fracture following sacroplasty, and review the existing literature.An 81-year-man with multiple myeloma presented to the hematology/oncology clinic with a history of excruciating pain while seated. The impact of this pain on his quality of life subjectively was rated to be particularly high...
November 25, 2016: Neuroradiology Journal
https://www.readbyqxmd.com/read/27866033/bone-scintigraphy-for-the-diagnosis-of-the-responsible-level-of-osteoporotic-vertebral-compression-fractures-in-percutaneous-balloon-kyphoplasty
#8
Toshiyuki Okazaki, Hiroshi Nakagawa, Kenji Yagi, Hitoshi Hayase, Shinji Nagahiro, Koji Saito
OBJECTIVES: This study was to investigate the efficacy of bone scintigraphy in order to diagnose the correct level of vertebral compression fractures (VCF) for the severe back pain before balloon kyphoplasty (BKP) was performed. PATIENTS AND METHODS: A total of 30 consecutive patients were treated with BKP for 38 times since May 2012. Eleven patients had acute multi-level VCFs. Bone scintigraphy was performed preoperatively except for the first case and the case with a chronic course and the level responsible for the pain was defined with bone scintigraphy...
November 12, 2016: Clinical Neurology and Neurosurgery
https://www.readbyqxmd.com/read/27858221/-preoperative-neuropathic-component-in-patients-with-back-pain
#9
Y-J Lee, E M W Koch, J B Breidebach, R Bornemann, D C Wirtz, R Pflugmacher
BACKGROUND: The objectification of pain is essential for evaluation, treatment plan and follow-up; therefore, it is necessary to find reliable clinical parameters. OBJECTIVE: The goal of the study was the preoperative screening of a neuropathic component in patients with vertebral compression fracture (WKF), herniated disc (NPP) or spinal cord compression (SKS). MATERIAL AND METHODS: Depending on the preoperative condition on admittance, patients were classified into three groups: group 1 WKF, group 2 NPP and group 3 SKS...
November 17, 2016: Der Schmerz
https://www.readbyqxmd.com/read/27845305/the-impact-of-endplate-fracture-on-postoperative-vertebral-height-loss-and-kyphotic-deformity-during-treatment-of-osteoporotic-vertebral-compression-fractures-with-balloon-kyphoplasty
#10
Qingqing Li, Long Xiao, Jianwei Zhang, Jin Fan, Wei Zhou, Guoyong Yin, Yongxin Ren
This retrospective study investigated the impact of endplate fracture on postoperative vertebral height loss and kyphotic deformity in 144 patients with osteoporotic vertebral compression fracture (OVCF), who received balloon kyphoplasty. Patients were divided into four groups: Group 1 had no superior endplate fracture, Group 2 had fractures on the anterior portion of the superior endplate, Group 3 had fractures on the posterior portion of the superior endplate, and Group 4 had complete superior endplate fractures...
September 2016: Journal of Biomedical Research
https://www.readbyqxmd.com/read/27824794/balloon-kyphoplasty-for-managing-intractable-pain-in-pediatric-pathologic-vertebral-fractures
#11
Jane S Hoashi, Stefanie M Thomas, Ryan C Goodwin, David P Gurd, Rabi Hanna, Thomas E Kuivila
BACKGROUND: Vertebral compression fractures are a common result of osteoporosis and osteopenia secondary to steroid use and chemotherapy treatment. Balloon kyphoplasty is a treatment option with good to excellent results well described in adults. Although a few recent studies have been published regarding the use of kyphoplasty in children, no formal indication exists for the pediatric population. The purpose of this study is to describe the outcomes of 3 chronically ill children with intractable pain from vertebral compression fractures, managed with kyphoplasty...
November 7, 2016: Journal of Pediatric Orthopedics
https://www.readbyqxmd.com/read/27799987/balloon-kyphoplasty-an-effective-treatment-for-kummell-disease
#12
Pius Kim, Seok Won Kim
OBJECTIVE: The purpose of this study was to evaluate the efficacy of balloon kyphoplasty for treating Kummel disease accompanying severe osteoporosis. METHODS: Twelve patients with single-level Kummell disease accompanied by severe osteoporosis were enrolled in this investigation. After postural reduction for 1 or 2 days, balloon kyphoplasty was performed on the collapsed vertebrae. Clinical results, radiological parameters, and related complications were assessed at 7 days, 1 month and 6 months after the procedure...
September 2016: Korean Journal of Spine
https://www.readbyqxmd.com/read/27799375/analysis-of-vertebral-augmentation-practice-patterns-a-2016-update
#13
Joshua A Hirsch, Ronil V Chandra, Vidsysagar Pampati, John D Barr, Allan L Brook, Laxmaiah Manchikanti
OBJECTIVE: To evaluate procedure utilization patterns for vertebroplasty and kyphoplasty in the US Medicare population from 2004 to 2014. METHODS: The analysis was performed using the Centers for Medicare and Medicaid Services database of specialty utilization files for the fee for service (FFS) Medicare population. RESULTS: The FFS Medicare population increased by 28% with an annual increase of 2.5% from 2004 to 2014. Utilization of vertebroplasty procedures decreased by 63% with an average annual decrease of 9...
October 31, 2016: Journal of Neurointerventional Surgery
https://www.readbyqxmd.com/read/27795998/a-classification-system-for-the-spread-of-polymethyl-methacrylate-in-vertebral-bodies-treated-with-vertebral-augmentation
#14
Joseph Frankl, Michael P Sakata, Gagandeep Choudhary, Seung Hur, Andrew Peterson, Charles T Hennemeyer
In this study, we develop a classification system for describing polymethyl methacrylate (PMMA) spread in vertebral bodies after kyphoplasty or vertebroplasty for vertebral compression fractures (VCFs) and for assessing whether PMMA spread varies between operators, VCF etiology, or vertebral level. Intraoperative fluoroscopic images of 198 vertebral levels were reviewed in 137 patients (women, 84; men, 53; mean age, 75.8 ± 12.5; and those with a diagnosis of osteoporosis, 63%) treated with kyphoplasty between January 01, 2015 and May 31, 2015 at a single center to create a 5-class descriptive system...
September 2016: Tomography: a Journal for Imaging Research
https://www.readbyqxmd.com/read/27793526/comparison-of-effectiveness-of-kyphoplasty-and-vertebroplasty-in-patients-with-osteoporotic-vertebra-fractures
#15
Ahmet Ateş, Halil Can Gemalmaz, Mehmet Ali Deveci, Sezai Aykın Şimşek, Engin Çetin, Alpaslan Şenköylü
OBJECTIVE: The aim of this study was to compare the functional and radiological outcomes of vertebroplasty and kyphoplasty in patients with osteoporotic vertebra fractures. METHODS: The files of the patients who underwent vertebroplasty or kyphoplasty for osteoporotic vertebrae fractures were retrieved from the archives. Forty-three patients with complete follow-up data were included in the study group. The patients were evaluated for radiological outcomes in terms of local kyphosis angle, wedging index, compression ratio, visual analog pain scale (VAS) and Oswestry Disability Index (ODI)...
October 25, 2016: Acta Orthopaedica et Traumatologica Turcica
https://www.readbyqxmd.com/read/27791828/spine-stereotactic-radiosurgery-for-the-treatment-of-multiple-myeloma
#16
Jacob A Miller, Ehsan H Balagamwala, Samuel T Chao, Todd Emch, John H Suh, Toufik Djemil, Lilyana Angelov
OBJECTIVE The objective of this study was to define symptomatic and radiographic outcomes following spine stereotactic radiosurgery (SRS) for the treatment of multiple myeloma. METHODS All patients with pathological diagnoses of myeloma undergoing spine SRS at a single institution were included. Patients with less than 1 month of follow-up were excluded. The primary outcome measure was the cumulative incidence of pain relief after spine SRS, while secondary outcomes included the cumulative incidences of radiographic failure and vertebral fracture...
October 28, 2016: Journal of Neurosurgery. Spine
https://www.readbyqxmd.com/read/27781987/balloon-humeroplasty-reconstruction-for-acute-hill-sachs-injury-a-technical-note
#17
F Jacquot, D Zbili, J-M Feron, A Sautet, L Doursounian, A-C Masquelet
Posterior Hill-Sachs humeral defects are present in 80% to 100% of cases of anterior shoulder dislocation and are a factor in recurrent instability. Several techniques have been described to fill the defect and avoid recurrence. We developed a percutaneous technique to fill the newly created defect in which a percutaneous balloon, analogous to the one used in vertebral kyphoplasty, is used to reduce the defect, which is then filled with calcium phosphate cement. One patient with an acute anterior dislocation of the shoulder with no previous history was treated using this method...
September 2016: Hand Surgery and Rehabilitation
https://www.readbyqxmd.com/read/27777054/risk-factors-and-correlation-of-secondary-adjacent-vertebral-compression-fracture-in-percutaneous-kyphoplasty
#18
Shaofeng Yang, Yanan Liu, Huilin Yang, Jun Zou
BACKGROUND: To analyze risk factors and correlation of secondary adjacent vertebral compression fracture in percutaneous kyphoplasty. MATERIALS AND METHODS: A total of 139 patients underwent PKP in our hospital for osteoporotic vertebral compression fracture between January 2013 and December 2014 and had completed follow-up data more than one year were selected randomly. Participants were divided into two groups in accordance with whether adjacent vertebral compression fracture occurred...
October 21, 2016: International Journal of Surgery
https://www.readbyqxmd.com/read/27770334/secondary-balloon-kyphoplasty-for-new-vertebral-compression-fracture-after-initial-single-level-balloon-kyphoplasty-for-osteoporotic-vertebral-compression-fracture
#19
Dawei Song, Bin Meng, Guangdong Chen, Junjie Niu, Weimin Jiang, Zongping Luo, Huilin Yang
PURPOSE: To explore the efficacy of secondary balloon kyphoplasty (BKP) for new vertebral compression fracture (NVCF) of previously non-fractured, non-treated vertebrae after previous BKP and to compare the therapeutic effect between patients with single-level adjacent NVCF and remote NVCF. METHODS: We retrospectively studied patients with single-level NVCF after initial BKP in our hospital from January 2007 to August 2014. The mean follow-up time from secondary BKP was 13...
October 21, 2016: European Spine Journal
https://www.readbyqxmd.com/read/27766261/extrapedicular-infiltration-anesthesia-as-an-improved-method-of-local-anesthesia-for-unipedicular-percutaneous-vertebroplasty-or-percutaneous-kyphoplasty
#20
Liehua Liu, Shiming Cheng, Rui Lu, Qiang Zhou
Aim. This report introduces extrapedicular infiltration anesthesia as an improved method of local anesthesia for unipedicular percutaneous vertebroplasty or percutaneous kyphoplasty. Method. From March 2015 to March 2016, 44 patients (11 males and 33 females) with osteoporotic vertebral compression fractures with a mean age of 71.4 ± 8.8 years (range: 60 to 89) received percutaneous vertebroplasty or percutaneous kyphoplasty. 24 patients were managed with conventional local infiltration anesthesia (CLIA) and 20 patients with both CLIA and extrapedicular infiltration anesthesia (EPIA)...
2016: BioMed Research International
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