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https://www.readbyqxmd.com/read/28101655/percutaneous-vertebral-augmentation-in-fragility-fractures-indications-and-limitations
#1
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...
January 18, 2017: European Journal of Trauma and Emergency Surgery: Official Publication of the European Trauma Society
https://www.readbyqxmd.com/read/28101445/comparison-of-percutaneous-vertebroplasty-with-and-without-interventional-tumor-removal-for-spinal-metastatic-tumor-without-epidural-involvement
#2
Yan Su, Zhong-Zhen Sun, Long-Xiang Shen, Jian Ding, Zheng-Yu Xu, Yi-Min Chai, Wen-Qi Song, Dong Chen, Chun-Gen Wu
AIM: To evaluate the efficacy of percutaneous vertebroplasty (PVP) combined with interventional tumor removal (ITR) in providing pain relief, reducing disability, and improving functional performance in patients with malignant vertebral compression fractures without epidural involvement. METHODS: Patients with malignant vertebral compression fractures (n=58) were treated with either PVP+ITR (n=31, group A) or PVP alone (n=27, group B). A 14 G needle was inserted into the vertebral body, and the tract was sequentially dilated with working cannulae...
March 2017: Journal of Bone Oncology
https://www.readbyqxmd.com/read/28093431/which-is-best-for-osteoporotic-vertebral-compression-fractures-balloon-kyphoplasty-percutaneous-vertebroplasty-or-non-surgical-treatment-a-study-protocol-for-a-bayesian-network-meta-analysis
#3
Shun-Li Kan, Zhi-Fang Yuan, Ling-Xiao Chen, Jing-Cheng Sun, Guang-Zhi Ning, Shi-Qing Feng
INTRODUCTION: Osteoporotic vertebral compression fractures (OVCFs) commonly cause both acute and chronic back pain, substantial spinal deformity, functional disability and decreased quality of life and increase the risk of future vertebral fractures and mortality. Percutaneous vertebroplasty (PVP), balloon kyphoplasty (BK) and non-surgical treatment (NST) are mostly used for the treatment of OVCFs. However, which treatment is preferred is unknown. The purpose of this study is to comprehensively review the literature and ascertain the relative efficacy and safety of BK, PVP and NST for patients with OVCFs using a Bayesian network meta-analysis...
January 16, 2017: BMJ Open
https://www.readbyqxmd.com/read/28087450/item-response-theory-analysis-to-evaluate-reliability-and-minimal-clinically-important-change-of-the-roland-morris-disability-questionnaire-in-patients-with-severe-disability-due-to-back-pain-from-vertebral-compression-fractures
#4
Minji K Lee, Kathleen J Yost, Jennifer S McDonald, Ryne W Dougherty, Roanna L Vine, David F Kallmes
BACKGROUND CONTEXT: The majority of validation done on the Roland-Morris Disability Questionnaire (RMDQ) has been in patients with mild or moderate low disability. There is paucity of research focusing on the psychometric quality of the RMDQ in patients with severe disability. PURPOSE: To evaluate the psychometric quality of the RMDQ in patients with severe disability. STUDY DESIGN/SETTING: Observational clinical study SAMPLE: The sample consisted of 214 patients with painful vertebral compression fractures who underwent vertebroplasty or kyphoplasty...
January 10, 2017: Spine Journal: Official Journal of the North American Spine Society
https://www.readbyqxmd.com/read/28079799/risk-factors-for-recollapse-of-the-augmented-vertebrae-after-percutaneous-vertebroplasty-for-osteoporotic-vertebral-fractures-with-intravertebral-vacuum-cleft
#5
Weibo Yu, De Liang, Zhensong Yao, Ting Qiu, Linqiang Ye, Xuecheng Huang, Xiaobing Jiang
To determine risk factors related to recollapse of the augmented vertebrae after percutaneous vertebroplasty (PVP) for osteoporotic vertebral compression fractures (OVCFs) with intravertebral vacuum cleft (IVC).Fifty-two patients treated with PVP for single OVCFs with the IVC were retrospectively reviewed. The follow-up period was at least 2 years. Vertebral height loss ≥15% or kyphotic angle ≥10° at the final follow-up in relation to the immediately postoperative values were adopted as a definition of recollapse of the augmented vertebrae...
January 2017: Medicine (Baltimore)
https://www.readbyqxmd.com/read/28072815/author-s-reply-to-the-letter-to-editor-transarterial-embolization-followed-by-percutaneous-vertebroplasty-in-treating-vertebral-metastases-with-paravetebral-extension
#6
https://www.readbyqxmd.com/read/28072814/transarterial-embolization-followed-by-percutaneous-vertebroplasty-in-treating-vertebral-metastases-with-paravetebral-extension
#7
Zhenzhong Sun, Xuming Wei
No abstract text is available yet for this article.
January 2017: Pain Physician
https://www.readbyqxmd.com/read/28072794/does-percutaneous-vertebroplasty-or-balloon-kyphoplasty-for-osteoporotic-vertebral-compression-fractures-increase-the-incidence-of-new-vertebral-fractures-a-meta-analysis
#8
Hui Zhang, Caiyuan Xu, Tongxing Zhang, Zhongyu Gao, Tao Zhang
BACKGROUND: Because of an aging population,osteoporotic vertebral fractures are becoming more frequent.Conservative therapy was considered the gold standard for treating osteoporotic vertebral compression fractures (OVCFs) in the past. Percutaneous vertebroplasty (PVP) or balloon kyphoplasty (BKP) as minimally invasive techniques are new treatments that are widely used for painful OVCFs. However, an increase in new vertebral compression fractures at non-treated levels following augmentation is of concern...
January 2017: Pain Physician
https://www.readbyqxmd.com/read/28061493/effects-of-percutaneous-sacroplasty-on-pain-and-mobility-in-sacral-insufficiency-fracture
#9
Kyung-Chul Choi, Seung-Ho Shin, Dong Chan Lee, Hyeong-Ki Shim, Choon-Keun Park
OBJECTIVE: Sacral insufficiency fracture (SIF) contributes to severe low back pain. Prolonged immobilization resulting from SIF can cause significant complications in the elderly. Sacroplasty, a treatment similar to vertebroplasty, has recently been introduced for providing pain relief in SIF. The purpose of this study is to investigate the clinical short-term effects of percutaneous sacroplasty on pain and mobility in SIF. METHODS: This study is conducted prospectively with data collection...
January 1, 2017: Journal of Korean Neurosurgical Society
https://www.readbyqxmd.com/read/28057095/-comparison-of-curative-effect-and-prognosis-analysis-of-patients-with-spinal-metastases-treated-by-percutaneous-vertebroplasty-combined-with-postoperative-radiotherapy-and-radiotherapy-alone
#10
X Y Cao, Y S Liu, M X Lei, S B Liu, S G Zhou, Y C Cao, W G Jiang
Objective: To evaluate the efficacy of percutaneous vertebroplasty(PVP) combined with postoperative radiotherapy and radiotherapy alone in the treatment of spinal metastatic tumors and to evaluate the prognostic factors for survival. Methods: From December 2011 to December 2015, according to the choice of treatment, patients in group A(60 cases) were treated with PVP combined with postoperative radiotherapy and those in group B(50 cases) underwent radiotherapy alone, age, sex, primary tumor type , and other basic characteristics were analyzed in both groups in department of orthopedics and radiotherapy department, 307 Hospital of the People's Liberation Army...
December 20, 2016: Zhonghua Yi Xue za Zhi [Chinese medical journal]
https://www.readbyqxmd.com/read/28032698/thoracic-vertebral-hemangioma-with-spinal-cord-compression-multidisciplinary-surgical-treatment-and-follow-up-of-six-patients
#11
Hui-Lin Zhang, Yong-Cheng Hu, Rajendra Aryal, Xin He, Deng-Xing Lun, Li-Ming Zhao
OBJECTIVE: To provide useful insights of multidisciplinary surgical treatment for vertebral hemangioma with spinal cord compression. METHODS: From 2009 to 2014, data on six patients who were diagnosed with cord compression vertebral hemangioma were reviewed and analyzed retrospectively. There were five women and one man with a mean age of 48.6 years (range, 26-68 years). All the patients were treated by multidisciplinary approach, including use of gelfoam, pedicle screw instrumentation, vertebroplasty, and decompression laminectomy...
November 2016: Orthopaedic Surgery
https://www.readbyqxmd.com/read/28012889/analysis-of-risk-factors-for-secondary-new-vertebral-compression-fracture-following-percutaneous-vertebroplasty-in-patients-with-osteoporosis
#12
Jung Sik Bae, Jeong Hyun Park, Ki Joon Kim, Hyeun Sung Kim, Il-Tae Jang
OBJECTIVE: To analyze the risk factors for secondary new vertebral compression fracture(SNVCF) following percutaneous vertebroplasty in patients with osteoporosis. MATERIALS AND METHODS: We investigated medical records and radiologic images from patients receiving percutaneous vertebroplasty(PV) due to osteoporotic vertebral compression fracture, between October 2009 and September 2014. We checked patients' age, past medical history and bone mineral content(BMC) using computed tomogram(CT)...
December 21, 2016: World Neurosurgery
https://www.readbyqxmd.com/read/27999919/interventional-radiology-management-of-a-ruptured-lumbar-artery-pseudoaneurysm-after-cryoablation-and-vertebroplasty-of-a-lumbar-metastasis
#13
Aldo Victor Giordano, Francesco Arrigoni, Federico Bruno, Sergio Carducci, Marco Varrassi, Luigi Zugaro, Antonio Barile, Carlo Masciocchi
We describe the management of a complication (a lumbar artery pseudoaneurysm and its rupture) after combined procedure (cryoablation and vertebroplasty) on a lumbar (L2) metastasis from renal cell carcinoma. Review of the literature is also presented with discussion about the measures to be taken to prevent these types of complications.
December 20, 2016: Cardiovascular and Interventional Radiology
https://www.readbyqxmd.com/read/27992842/strain-uncertainties-from-two-digital-volume-correlation-approaches-in-prophylactically-augmented-vertebrae-local-analysis-on-bone-and-cement-bone-microstructures
#14
Gianluca Tozzi, Enrico Dall'Ara, Marco Palanca, Marco Curto, Federica Innocente, Luca Cristofolini
Combination of micro-focus computed tomography (micro-CT) in conjunction with in situ mechanical testing and digital volume correlation (DVC) can be used to access the internal deformation of materials and structures. DVC has been exploited over the past decade to measure complex deformation fields within biological tissues and bone-biomaterial systems. However, before adopting it in a clinically-relevant context (i.e. bone augmentation in vertebroplasty), the research community should focus on understanding the reliability of such method in different orthopaedic applications involving the use of biomaterials...
December 8, 2016: Journal of the Mechanical Behavior of Biomedical Materials
https://www.readbyqxmd.com/read/27975147/safety-and-efficacy-of-multilevel-vertebroplasty-for-painful-osteolytic-spinal-metastases-a-single-centre-experience
#15
Jian-Jun Zhang, Yan Zhou, Hai-Yan Hu, Yuan-Jue Sun, Yong-Gang Wang, Yi-Feng Gu, Chun-Gen Wu, Zan Shen, Yang Yao
OBJECTIVE: To retrospectively assess the safety and efficacy of percutaneous vertebroplasty (PVP) for painful osteolytic spinal metastases when treating more than three vertebrae per session. METHODS: A total of 153 patients with painful osteolytic spinal metastases underwent PVP. Group A patients (n = 93) underwent PVP at up to three vertebral levels per session. Group B patients (n = 60) underwent PVP at more than three levels in one session. Pain, quality of life (QoL), and mobility were assessed before and after PVP...
December 14, 2016: European Radiology
https://www.readbyqxmd.com/read/27942939/modification-of-pmma-vertebroplasty-cement-for-reduced-stiffness-by-addition-of-normal-saline-a-material-properties-evaluation
#16
Christian Schröder, Mai Nguyen, Michael Kraxenberger, Yan Chevalier, Carolin Melcher, Bernd Wegener, Christof Birkenmaier
PURPOSE: Vertebral augmentation is an established treatment for patients with pathological vertebral compression fractures. These procedures typically employ a PMMA-based bone cement, which possesses a high compressive stiffness. Because of the increased risk of subsequent fractures after vertebral augmentations, there is a desire for reducing this stiffness. The goal of our study was to examine the influence of adding isotonic saline on the biomechanical properties of PMMA vertebroplasty cement...
December 9, 2016: European Spine Journal
https://www.readbyqxmd.com/read/27939801/first-cases-of-calcium-pyrophosphate-deposition-disease-after-zoledronic-acid-therapy
#17
Guillaume Couture, Faustine Delzor, Haleh Bagheri, Joëlle Micallef, Adeline Ruyssen-Witrand, Michel Laroche
A number of medications promote the development of calcium pyrophosphate deposition disease (CPDD). We report 2 cases of acute CPDD after intravenous zoledronic acid therapy. Case #1: a 63-year-old female was admitted for vertebroplasty at the site of an osteoporotic fracture. She received an intravenous infusion of zoledronic acid 5mg on the day after the procedure. Acute CPDD developed in her right knee 24hours later. Findings from joint aspiration and standard radiography confirmed the diagnosis. Case #2: this 79-year-old woman had a history of CPDD was on glucocorticoid and hydroxychloroquine therapy for lupus...
December 6, 2016: Joint, Bone, Spine: Revue du Rhumatisme
https://www.readbyqxmd.com/read/27922573/vertebroplasty-and-return-to-work-for-thoracolumbar-fractures-within-the-workers-compensation-population
#18
Jay M Levin, Joshua T Anderson, Arnold R Haas, Rick Percy, Stephen T Woods, Uri M Ahn, Nicholas U Ahn
STUDY DESIGN: Retrospective cohort study OBJECTIVE.: Analyze efficacy of vertebroplasty and its affect on return to work (RTW) in a workers' compensation (WC) population SUMMARY OF BACKGROUND DATA.: Vertebroplasty remains a controversial treatment modality for vertebral compression fractures (VCFs). No studies have analyzed use of vertebroplasty in the clinically distinct WC population. METHODS: A total of 371 Ohio WC subjects were identified who sustained VCFs and were treated with either vertebroplasty or conservative medical therapy between 1993 and 2013 using Current Procedural Terminology procedural and International Classification of Diseases, Ninth Revision diagnosis codes...
December 2, 2016: Spine
https://www.readbyqxmd.com/read/27921158/long-term-outcome-of-percutaneous-alcohol-embolization-combined-with-percutaneous-vertebroplasty-in-aggressive-vertebral-hemangiomas-with-epidural-extension
#19
Kévin Premat, Frédéric Clarençon, Évelyne Cormier, Jugurtha Mahtout, Raphaël Bonaccorsi, Vincent Degos, Jacques Chiras
OBJECTIVES: To evaluate, on a long-term basis, the safety and effectiveness of percutaneous alcohol embolization (PAE) combined with percutaneous vertebroplasty (PVP) as a sole treatment for aggressive vertebral haemangiomas (AVHs) with epidural extension. METHODS: From 1996 to 2015, 26 consecutive patients (15 women [58%] and 11 men; mean age 51.8 years [range: 19-75 years]) underwent PAE combined with PVP (performed at day 15) for the treatment of 27 AVHs with epidural extension...
December 5, 2016: European Radiology
https://www.readbyqxmd.com/read/27908277/comparison-of-unilateral-and-bilateral-percutaneous-vertebroplasty-for-osteoporotic-vertebral-compression-fractures-a-systematic-review-and-meta-analysis
#20
Haolin Sun, Chunde Li
BACKGROUND: The aim of this meta-analysis is to examine the safety and effectiveness of unilateral percutaneous vertebroplasty (PVP) for treatment of osteoporotic vertebral compression fractures (OVCFs) compared with that of bilateral treatment. METHODS: The multiple databases including PubMed, Springer, EMBASE, OVID, and China Journal Full-text Database were adopted to search for relevant studies in English or Chinese, and full-text articles involving comparison of unilateral and bilateral PVP surgery were reviewed...
December 1, 2016: Journal of Orthopaedic Surgery and Research
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