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Shuzhong Liu, Xi Zhou, An Song, Xiangyi Kong, Yipeng Wang, Yong Liu
RATIONALE: Gorham-Stout syndrome in the spine is extremely rare, and there is no standard curative management thus far. The objective of this article is to report a very rare case of Gorham-Stout syndrome of the lumbar and sacral spine with chylothorax and chyloperitoneum successfully treated by combination of vertebroplasty with cement augmentation and medication treatment. We described the clinical characteristics and postoperative therapy of the patient, and reviewed all of the published cases of Gorham-Stout syndrome of the lumbar and sacral spine...
July 2018: Medicine (Baltimore)
Xiao-Hua Zuo, Xue-Piao Zhu, Hong-Guang Bao, Chen-Jie Xu, Hao Chen, Xian-Zhong Gao, Qian-Xi Zhang
BACKGROUND: Osteoporotic vertebral compression fractures (OVCFs) commonly afflicts most aged people resulting back pain, substantial vertebral deformity, functional disability, decreased quality of life, and increased adjacent spinal fractures and mortality. Percutaneous vertebral augmentation (PVA) included percutaneous vertebroplasty (PVP) and percutaneous kyphoplasty (PKP), nerve block (NB), and conservative treatment (CT) are used for the nonsurgery treatment strategy of OVCFs, however, current evaluation of their efficacy remains controversial...
July 2018: Medicine (Baltimore)
Doh Hyung Kim, Seok Bae Kim
A patient who has achieved resolution of acute hepatitis B and acquired anti-HBs would get protective immunity against hepatitis B virus (HBV). However, reactivation of HBV could happen if the patient was exposed to an immunocompromised state by using immunosuppressive drugs or chemotherapeutic agents. That is because cccDNA could reside within hepatocytes after recovery of acute hepatitis B. Therefore, guidelines for hepatitis B recommend the use of prophylactic antiviral agents such as entecavir or tenofovir in patients with anti-HBc IgG...
May 2018: Case Reports in Gastroenterology
Zbigniew Tyfa, Dariusz Witkowski, Krzysztof Sobczak, Damian Obidowski, Krzysztof Jóźwik
INTRODUCTION: A constant growth in the population suffering from osteoporotic vertebral weakening is observed. As a result, vertebroplasty procedures become more and more common. Unfortunately, they may be associated with several complications occurring during bone cement injection, including its leakage or overheating of tissues. Despite several experimental studies, there is a lack of data related to random aeration of the bone cement. Therefore, the main objective of the following investigations was to emphasize that random aeration of the bone cement, and, consequently, a compressibility factor, could not be treated as a negligible factor during the vertebroplasty procedure and had to be taken into account in the development of the mathematical model...
July 1, 2018: International Journal of Artificial Organs
Yong Yang, Xinyuan Lin, Ting Zeng, Yuanyuan Liu, Yong Li
OBJECTIVE: To observe the analgesic and sedative effects of acupuncture combined with local anesthesia for percutaneous vertebroplasty (PVP). METHODS: Sixty patients of single segmental osteoporotic vertebral compression fractures who were prepared to receive PVP were randomly divided into an observation group, a control 1 group, a control 2 group, 20 cases in each group. The patients in the observation group were treated with electroacupuncture (EA) at Hegu (LI 4), Neiguan (PC 6) and Zusanli (ST 36) 20 min before operation; during operation, EA was given combined with regular anesthesia...
July 12, 2018: Zhongguo Zhen Jiu, Chinese Acupuncture & Moxibustion
Waleed Awwad, Amna Baljoun, Yasir Alabdulkarim, Abdulrahman D Algarni, Chung-Hwan Kim, Demitri Giannitsios, Lorne Beckman, Jean Ouellet, Thomas Steffen
Introduction: Cement extravasation during vertebroplasty (VP) is the most commonly reported complication. Cement viscosity is considered the single most important predictor of the risk of extravasation. Certainly, injecting high-viscosity cement (HVC) is difficult to utilize in real practice. We invented a new device capable of injecting high-viscosity with ease and at a distance to avoid radiation. The aim of this study is to confirm the efficacy and safety of the new device on cadaveric vertebrae...
April 2018: Journal of Craniovertebral Junction and Spine
K-Z Hu, S-C Chen, L Xu
OBJECTIVE: Osteoporotic vertebral compression fractures (OVCFs) are common diseases in elderly patients and can cause serious thoracolumbar compression fractures. For patients with such fractures, conservative treatment, nail-stick fixation, percutaneous vertebroplasty (PVP) and percutaneous kyphoplasty (PKP) can be selected as treatment methods. In this study, we aimed to compare the clinical efficacy of PKP and PVP in the treatment of osteoporotic thoracolumbar vertebral compression fractures...
July 2018: European Review for Medical and Pharmacological Sciences
Vishnu Senthil, Satish Balaji
Paget disease is a metabolic disorder involving abnormal bone turnover that consists of 3 phases: the initial lytic phase, the intermediate mixed phase, and the chronic sclerotic phase. Paget disease mostly presents as polyostotic or monostotic lesions of the spine, and is rare on the Indian subcontinent. We present a case of isolated Paget disease of the lumbar third vertebra, which was confirmed only at biopsy. The patient presented with chronic low backache with a developing neurological deficit. We managed the patient with posterior spinal stabilisation, using pedicular screws and vertebroplasty of the collapsed vertebrae to regain the height...
June 2018: Neurospine
Marianne Hollensteiner, David Furst, Peter Augat, Benjamin Esterer, Falk Schrodl, Stefan Gabauer, Klaus Puschel, Andreas Schrempf
OBJECTIVE: The development of a novel hybrid patient simulator was initiated to provide a safe training possibility for novice surgeons. Integrated artificial vertebrae should be able to realistically mimic the haptics of transpedicular Vertebroplasty instrument insertion and pedicle screw placement. Therefore, new open-celled material compositions were developed, tested and validated with reference to elderly human vertebrae. METHODS: Vertebroplasty tool insertion force and pedicle screw torque measurements were performed...
December 13, 2017: IEEE Transactions on Bio-medical Engineering
Dandan Zong, Wenlong He, Jinhua Li, Hong Peng, Ping Chen, Ruoyun Ouyang
RATIONALE: Benign metastasizing leiomyoma (BML) is rare condition involving distant metastases secondary to benign uterine leiomyoma, and it is most commonly found in the lungs. It rarely metastasizes to the spine to cause osteolytic damage and spinal canal compression. PATIENT CONCERNS: A 51-year-old woman with low back and bilateral leg pain and paresthesia was admitted to our ward. She has a previous medical history of uterine leiomyomas. Magnetic resonance imaging of the lumbar spine revealed vertebral body osteolytic destruction and soft tissue mass in the L4/5 with a secondary lumbar spinal stenosis...
July 2018: Medicine (Baltimore)
Atif S Siddiqui, Ahmad Goodarzi, Tilottama Majumdar, Thomas Kaleekal
Pulmonary cement embolism (PCE) is a complication of percutaneous vertebral augmentation techniques. PCE in lung transplant patient population has not been reported. We report a case 57-year-old male patient with double lung transplant secondary to idiopathic pulmonary fibrosis presented with shortness of breath after vertebroplasty. CTA chest showed thin dense opacities within the bilateral pulmonary arteries consistent with pulmonary cement embolism. The patient was treated with therapeutic enoxaparin and remained stable at one year follow up...
2018: Respiratory Medicine Case Reports
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No abstract text is available yet for this article.
July 4, 2018: BMJ: British Medical Journal
Bong Gun Lee, Jung-Hwan Choi, Dong-Yun Kim, Won Rak Choi, Seung Gun Lee, Chang-Nam Kang
BACKGROUND CONTEXT: It has been reported that newly developed osteoporotic vertebral compression fractures (OVCFs) occur at a relatively high frequency after treatment. While there are many reports on possible risk factors, these have not yet been clearly established. PURPOSE: The purpose of this study was to investigate the risk factors for newly developed OVCFs after treatment by vertebroplasty (VP), kyphoplasty (KP), or conservative treatment. STUDY DESIGN/SETTING: A retrospective comparative study...
June 26, 2018: Spine Journal: Official Journal of the North American Spine Society
Kévin Premat, Saskia Vande Perre, Évelyne Cormier, Eimad Shotar, Vincent Degos, Laetitia Morardet, Catherine Fargeot, Frédéric Clarençon, Jacques Chiras
OBJECTIVES: Osteoporotic vertebral compression fractures (OVCFs) are an important health issue for which minimally invasive techniques are a feasible treatment. The SpineJack® (Vexim) is an intravertebral expandable system designed to improve the correction of the structural modifications caused by OVCFs. Its ability to stabilise and reduce OVCFs at the acute phase being already well established, we sought to evaluate the feasibility of vertebral augmentation with the SpineJack® in chronic kyphotic OVCFs...
June 12, 2018: European Radiology
Stefano Marcia, Mario Muto, Joshua A Hirsch, Ronil V Chandra, Nicole Carter, Paola Crivelli, Emanuele Piras, Luca Saba
PURPOSE: Vertebral augmentation procedures such as vertebroplasty and kyphoplasty are utilized in the treatment of vertebral compression fractures (VCFs). However, their capacity for providing analgesia, reducing disability, and improving quality of life in patients with osteoporotic VCFs remains a topic of debate. The objective of this narrative review is to summarize the latest evidence for the safety and efficacy of vertebral augmentation for osteoporotic vertebral compression fractures (VCFs)...
June 13, 2018: Neuroradiology
Dengwei He, Chao Lou, Weiyang Yu, Kejun Zhu, Zhongwei Wu, Feijun Liu, Minjiang Chen, Lin Zheng, Zhenzhong Chen, Shunwu Fan
OBJECTIVE: To revaluate the cement distribution patterns and further investigate associations between cement distribution patterns and the occurrence rates of recompression in cemented vertebrae after percutaneous vertebroplasty (PVP) for osteoporotic vertebral compression fractures (VCFs). METHODS: A total of 224 patients with a mean age of 71.9 years were enrolled and treated with single-level PVP between June 2012 and July 2015. The mean follow-up time was 16...
June 23, 2018: World Neurosurgery
Ihab Zidan, Ahmed Abdelaziz Fayed, Amr Elwany
Objective: Percutaneous vertebroplasty (PV) is a minimally invasive procedure designed to treat various spinal pathologies. The maximum number of levels to be injected at one setting is still debatable. This study was done to evaluate the usefulness and safety of multilevel PV (more than three vertebrae) in management of osteoporotic fractures. Methods: This prospective study was carried out on consecutive 40 patients with osteoporotic fractures who had been operated for multilevel PV (more than three levels)...
June 26, 2018: Journal of Korean Neurosurgical Society
Cristian Constantin, Dana Maria Albulescu, Daniel Răzvan Diţă, Claudia Valentina Georgescu, Andrei Constantin Deaconu
Most percutaneous vertebroplasty procedures are being performed in order to relieve pain in patients with severe osteoporosis and associated stable fractures of one or more vertebral bodies. In addition, vertebroplasty is also recommended for patients suffering from post-traumatic symptoms associated with vertebral fractures, patients with large angiomas positioned inside the vertebral body, with an increased risk for collapse fracture and also patients presenting with pain associated with vertebral body metastatic disease...
2018: Romanian Journal of Morphology and Embryology, Revue Roumaine de Morphologie et Embryologie
S Giordano, A Proietti, T Bisaccia, P Caso, A Martocchia, P Falaschi, L Tafaro
This study analyses the difference in 25OH-vitamin D values between two groups of patients both affected by severe osteoporosis with fragility fractures, but one group has vertebral fractures and the other one has hip fractures. Patients with hip fractures have vitamin D values lower than patients with vertebral fractures. INTRODUCTION: The purpose of this study was to evaluate 25OHD levels in patients with fragility vertebral fractures (VF) and hip fractures (HF) and make a comparison between the groups...
June 23, 2018: Osteoporosis International
Wei Zhao, Hui Wang, Ji-Hong Hu, Zhao-Hong Peng, Jin-Zhou Chen, Jian-Qiang Huang, Yong-Neng Jiang, Gang Luo, Gen-Fa Yi, Jin Shen, Bu-Lang Gao
Purpose: To investigate the pain relief effect and safety of percutaneous radiofrequency ablation (RFA) with a multitined electrode combined with cement injection in patients with painful metastatic bone tumors. Materials and methods: Sixteen patients with 34 osteolytic metastatic lesions were treated with RFA including 4 males and 12 females (age range 54-84). Thirteen patients with spinal metastases received additional cement injection. Medical imaging, a visual analog scale (VAS) and the EORTC QLQ-C30 were performed to evaluate the metastatic lesion, pain and quality of life, respectively, before and after RFA and at follow-ups...
June 20, 2018: Japanese Journal of Clinical Oncology
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