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Vertebroplasty

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https://www.readbyqxmd.com/read/29327973/fluoroscopy-guided-percutaneous-vertebroplasty-for-symptomatic-loosened-pedicle-screw-and-instrumentation-associated-vertebral-fracture-an-evaluation-of-initial-experiences-and-technical-note
#1
Tsai-Sheng Fu, Yun-Da Li
OBJECTIVE For symptomatic loosened pedicle screws and instrumentation-associated vertebral fracture, extensive surgery to remove the pedicle screws and extend the instrumentation, along with the reinsertion of more pedicle screws, is usually the treatment of choice. After such a surgery, however, similar complications will still be encountered. In this study the authors propose minimally invasive percutaneous cement augmentation under fluoroscopic guidance as a salvage procedure that eliminates the inherent risks of conventional extensive surgery...
January 12, 2018: Journal of Neurosurgery. Spine
https://www.readbyqxmd.com/read/29325524/posterior-decompression-and-occipitocervical-fixation-followed-by-intraoperative-vertebroplasty-for-metastatic-involvement-of-the-axis
#2
Xinjie Wu, Mingsheng Tan, Yingna Qi, Ping Yi, Feng Yang, Xiangsheng Tang, Qingying Hao
BACKGROUND: Metastases to the upper cervical spine were rarely reported in the literature. However, metastases to this area may cause spinal instability and cord compression, which in turn can result in respiratory failure and neurological dysfunction. The present study investigated the efficacy and safety of posterior decompression and occipitocervical fixation followed by intraoperative vertebroplasty for this disease. METHODS: This was a retrospective study that included 10 patients with metastatic involvement of the axis from March 2002 to May 2014...
January 11, 2018: BMC Musculoskeletal Disorders
https://www.readbyqxmd.com/read/29322309/the-global-spine-care-initiative-a-summary-of-guidelines-on-invasive-interventions-for-the-management-of-persistent-and-disabling-spinal-pain-in-low-and-middle-income-communities
#3
REVIEW
Emre Acaroğlu, Margareta Nordin, Kristi Randhawa, Roger Chou, Pierre Côté, Tiro Mmopelwa, Scott Haldeman
PURPOSE: The purpose of this study was to synthesize recommendations on the use of common elective surgical and interventional procedures for individuals with persistent and disabling non-radicular/axial with or without myelopathy, radicular back pain, cervical myelopathy, symptomatic spinal stenosis, and fractures due to osteoporosis. This review was to inform a clinical care pathway on the patient presentations where surgical interventions could reasonably be considered. METHODS: We synthesized recommendations from six evidence-based clinical practice guidelines and one appropriate use criteria guidance for the surgical and interventional management of persistent and disabling spine pain...
January 10, 2018: European Spine Journal
https://www.readbyqxmd.com/read/29315051/vertebral-compression-fractures
#4
Omar Musbahi, Adam M Ali, Hamid Hassany, Reza Mobasheri
This review gives a practical guide to the investigation and management of osteoporotic vertebral compression fractures. With an ageing population, the burden of disease and health system costs attributable to this common injury continue to rise. This article outlines the epidemiology, clinical and radiological assessment of vertebral compression fractures, and key decisions that must be made in their management. It reviews the indications and evidence for conservative vs operative treatment, discusses the rationale for vertebroplasty, kyphoplasty and spinal stabilization, and looks at outcomes in this vulnerable patient population...
January 2, 2018: British Journal of Hospital Medicine
https://www.readbyqxmd.com/read/29310386/comparison-the-clinical-outcomes-and-complications-of-high-viscosity-versus-low-viscosity-in-osteoporotic-vertebral-compression-fractures
#5
Zhao Guo, Wei Wang, Wen-Shan Gao, Fei Gao, Hui Wang, Wen-Yuan Ding
To compare the clinical outcomes and complications of high viscosity and low viscosity bone cement percutaneous vertebroplasty (PVP) for osteoporotic vertebral compression fractures (OVCF).From September 2009 to September 2015, 100 patients with OVCF were randomly divided into 2 groups: group H, using high viscosity cement (n = 50) or group L, using low viscosity cement (n = 50). The clinical outcomes were assessed by the visual analog scale (VAS), Oswestry Disability Index (ODI), kyphosis Cobb angle, vertebral height, and complications...
December 2017: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29305658/incidence-of-unexpected-positive-histology-in-kyphoplasty
#6
Stephan Nowak, Jonas Müller, Henry W S Schroeder, Jan Uwe Müller
OBJECTIVE: Kyphoplasty and vertebroplasty have become one of the most frequent surgical procedures in the treatment of vertebral compression fractures. Often, the cause of compression fractures is lowered bone mineral density as in osteoporosis. In the differential workup, also pathologic vertebral compression fractures need to be ruled out. Importantly, imaging techniques alone cannot safely differentiate between invasive lymphatic and osteoporotic vertebral fracture. Our goal was to identify the degree of unexpected positive histology in kyphoplasty for presumed osteoporotic vertebral compression fracture...
January 5, 2018: European Spine Journal
https://www.readbyqxmd.com/read/29283901/vertebroplasty-and-kyphoplasty-for-metastatic-spinal-lesions-a-systematic-review
#7
Mohsen Sadeghi-Naini, Shahram Aarabi, Farhad Shokraneh, Leila Janani, Alexander R Vaccaro, Vafa Rahimi-Movaghar
INTRODUCTION: The spine is the most common site of bone metastases. Vertebroplasty (VP) and kyphoplasty (KP) have been proposed as potential minimally invasive therapeutic options for metastatic spinal lesion (MSL) pain. However, the efficacy of VP and KP on MSL pain is currently unclear. OBJECTIVE: The aim of this study was to assess the effects of VP and KP compared with each other, usual care, or other treatments on pain, disability, and quality of life following MSL...
December 27, 2017: Clinical Spine Surgery
https://www.readbyqxmd.com/read/29272991/bone-regeneration-of-osteoporotic-vertevral-body-defects-using-prp-and-gelatin-%C3%AE-tcp-sponges
#8
Munehiro Sakata, Hitoshi Tonomura, Tomonori Itsuji, Hidenobu Ishibashi, Ryota Takatori, Yasuo Mikami, Masateru Nagae, Ken-Ichi Matsuda, Yasuhiko Tabata, Masaki Tanaka, Toshikazu Kubo
The objective of the present study was to investigate the effect of platelet-rich plasma (PRP) combined with gelatin β-tricalcium phosphate (β-TCP) sponge on bone generation in a lumbar vertebral body defect of ovariectomized rat. After creating critical size defects in the center of the anterior vertebral body, the defects were filled with the following materials: (1) no material (control group), (2) gelatin β-TCP sponge with PRP (PRP sponge group), and (3) gelatin β-TCP sponge with phosphate-buffered saline (PBS sponge group)...
December 22, 2017: Tissue Engineering. Part A
https://www.readbyqxmd.com/read/29263726/clinical-management-of-osteoporotic-vertebral-fracture-treated-with-percutaneous-vertebroplasty
#9
Anna Capozzi, Giovanni Scambia, Alessandro Pedicelli, Maurizio Evangelista, Roberto Sorge, Stefano Lello
Our study demonstrated percutaneous vertebroplasty (PVP) is an effective procedure to rapidly reduce back pain in patients affected by acute osteoporotic vertebral compression fractures (OVCFs) assessed by MRI. We confirmed in our sample, femoral bone density impacts more deeply than vertebral T-score and/or BMD on bone strenght, as it is less affected by any interferences. We interestingly found the presence of previous osteoporotic fragility fractures and chronic glucocorticoids therapy should especially negatively influence bone health of our patients...
May 2017: Clinical Cases in Mineral and Bone Metabolism
https://www.readbyqxmd.com/read/29260290/appropriateness-criteria-for-treatment-of-osteoporotic-vertebral-compression-fractures
#10
REVIEW
S Luthman, J Widén, F Borgström
The purpose of this study was to review and summarise the literature on appropriateness criteria for treatment of osteoporotic vertebral compression fractures (OVCF), with appropriateness defined as a treatment where the expected benefits outweigh the expected harms, confirmed by available evidence and expert opinion. A comprehensive search of peer-reviewed publications (PubMed, EMBASE) and grey literature was performed. To be included for analysis, documents had to be a review article (e.g. clinical guideline or meta-analysis), focus on OVCF and make a statement on treatment appropriateness...
December 19, 2017: Osteoporosis International
https://www.readbyqxmd.com/read/29246565/in-vitro-simulation-of-intraoperative-vertebroplasty-applied-for-pedicle-screw-augmentation-a-biomechanical-evaluation
#11
Krzysztof Zapałowicz, Agnieszka Kierzkowska, Lechosław F Ciupik
BACKGROUND AND PURPOSE: The purpose of this study was to evaluate the effect of an in vitro simulation of intraoperative vertebroplasty on embedded pedicle screws resistance to pullout. This method involved an application of acrylic cement into the vertebral bodies only after pedicle screws implementation. MATERIALS AND METHODS: For the purpose of conducting this research, the authors used the spines of fully-grown pigs. The procedure was as follows: firstly, the pedicle screws were bilaterally implemented in 10 vertebrae; secondly, cancellous bone was removed from vertebral bodies selected for screws augmentation and lastly it was replaced by polymethylmethacrylate (PMMA)...
December 8, 2017: Neurologia i Neurochirurgia Polska
https://www.readbyqxmd.com/read/29239241/tuberculous-spondylitis-after-vertebral-augmentation-a-case-report-with-a-literature-review
#12
Sun Jia-Jia, Sun Zhi-Yong, Qian Zhong-Lai, Yang Hui-Lin, Zhu Xiao-Yu
Tuberculous spondylitis of vertebral augmentation following percutaneous vertebroplasty or kyphoplasty is rare. We report an unusual case of tuberculous spondylitis diagnosed after percutaneous kyphoplasty (PKP). A 54-year-old woman presented to hospital complaining of back pain following a fall 20 days prior. Radiology showed an acute osteoporotic compression (L3 fracture). The patient denied a history of pulmonary tuberculosis and there were no signs of infection. The patient was discharged from hospital 2 days after undergoing L3 PKP with a dramatic improvement in her back pain...
January 1, 2017: Journal of International Medical Research
https://www.readbyqxmd.com/read/29230488/surgical-treatment-of-compressive-spinal-hemangioma-a%C3%A2-case-series-of-three-patients-and-literature-review
#13
Yun-Lin Chen, Xu-Dong Hu, Nan-Jian Xu, Wei-Yu Jiang, Wei-Hu Ma
PURPOSE: In this article we describe the treatment of compressive vertebral hemangioma. METHODS: Our case series comprised three patients with aggressive hemangioma. We performed a combination of posterior decompression and vertebroplasty for the two patients with a sacral hemangioma and a thoracic hemangioma, and en bloc resection for the third patient, who also had a thoracic lesion. RESULTS: Surgical intervention is indicated in cases of rapidly progressive tumors or severe myelopathy...
December 11, 2017: Der Orthopäde
https://www.readbyqxmd.com/read/29226553/design-and-properties-of-a-novel-radiopaque-injectable-apatitic-calcium-phosphate-cement-suitable-for-image-guided-implantation
#14
Myriam Le Ferrec, Charlotte Mellier, Florian Boukhechba, Thomas Le Corroller, Daphné Guenoun, Franck Fayon, Valérie Montouillout, Christelle Despas, Alain Walcarius, Dominique Massiot, François-Xavier Lefèvre, Caroline Robic, Jean-Claude Scimeca, Jean-Michel Bouler, Bruno Bujoli
An injectable purely apatitic calcium phosphate cement (CPC) was successfully combined to a water-soluble radiopaque agent (i.e., Xenetix® ), to result in an optimized composition that was found to be as satisfactory as poly(methyl methacrylate) (PMMA) formulations used for vertebroplasty, in terms of radiopacity, texture and injectability. For that purpose, the Xenetix dosage in the cement paste was optimized by injection of the radiopaque CPC in human cadaveric vertebrae under classical PMMA vertebroplasty conditions, performed by interventional radiologists familiar with this surgical procedure...
December 11, 2017: Journal of Biomedical Materials Research. Part B, Applied Biomaterials
https://www.readbyqxmd.com/read/29208438/an-integrated-multidisciplinary-algorithm-for-the-management-of-spinal-metastases-an-international-spine-oncology-consortium-report
#15
REVIEW
Daniel E Spratt, Whitney H Beeler, Fabio Y de Moraes, Laurence D Rhines, Joseph J Gemmete, Neeraj Chaudhary, David B Shultz, Sean R Smith, Alejandro Berlin, Max Dahele, Ben J Slotman, Kelly C Younge, Mark Bilsky, Paul Park, Nicholas J Szerlip
Spinal metastases are becoming increasingly common because patients with metastatic disease are living longer. The close proximity of the spinal cord to the vertebral column limits many conventional therapeutic options that can otherwise be used to treat cancer. In response to this problem, an innovative multidisciplinary approach has been developed for the management of spinal metastases, leveraging the capabilities of image-guided stereotactic radiosurgery, separation surgery, vertebroplasty, and minimally invasive local ablative approaches...
December 2017: Lancet Oncology
https://www.readbyqxmd.com/read/29201847/the-efficacy-of-fentanyl-transdermal-patch-as-the-first-line-medicine-for-the-conservative-treatment-of-osteoporotic-compression-fracture
#16
June Ho Choi, Hui Dong Kang, Jin Hoon Park, Bon Sub Gu, Sang Ku Jung, Se Hyun Oh
Objective: There are no strong guidelines on how long or how we should undertake conservative treatment during the acute period of an osteoporotic vertebral compression fracture (VCF). Methods: We treated 202 patients with conservative treatment on VCF from March 2012 to August 2015. On inclusion criteria, 75 patients (22 males and 53 females) were included in the final analysis. After admission, a transdermal fentanyl patch with low dose (12.5 µg) application was attempted in all patients...
October 2017: Korean Journal of Neurotrauma
https://www.readbyqxmd.com/read/29201845/k%C3%A3-mmell-s-disease-treated-with-percutaneous-vertebroplasty-minimum-1-year-follow-up
#17
Jae Won Park, Jong-Hwa Park, Hong Jun Jeon, Jong Young Lee, Byung Moon Cho, Se-Hyuck Park
Objective: To evaluate the radiographic and clinical outcomes of percutaneous vertebroplasty (PVP) in patients with Kümmell's disease. Methods: A retrospective review was conducted for 19 vertebrae in 18 patients, between January 2012 and June 2016. A visual analogue scale (VAS) score was used to determine each patient's subjective level of pain (0=no pain to 10=severe pain) preoperative, immediately postoperative and at the last follow-up (at least 12 months after PVP)...
October 2017: Korean Journal of Neurotrauma
https://www.readbyqxmd.com/read/29200483/biomechanical-analysis-of-range-of-motion-and-failure-characteristics-of-osteoporotic-spinal-compression-fractures-in-human-cadaver
#18
Robert F Heary, Naresh K Parvathreddy, Nitin Agarwal
Background: Vertebroplasty is a treatment for osteoporotic vertebral compression fractures. The optimal location of needle placement for cement injection remains a topic of debate. As such, the authors assessed the effects of location of two types of cement instillations. In addition, the motion and failure modes at the index and adjacent segments were measured. Materials and Methods: Seven human osteoporotic cadaver spines (T1-L4), cut into four consecutive vertebral segments, were utilized...
November 2017: Indian Journal of Orthopaedics
https://www.readbyqxmd.com/read/29191468/malunion-of-post-traumatic-thoracolumbar-fractures
#19
REVIEW
C Mazel, L Ajavon
Thoracolumbar malunion is the result of loss of correction, insufficient correction, or even no correction (both in the frontal and sagittal planes) of a thoracolumbar fracture. The main causes are incorrect assessment of the fracture's complexity (burst fracture), its potential progression to kyphosis, and associated disc or ligament damage. It can also be the result of a poorly conducted initial treatment. The types of malunion have changed over the years because of the introduction of vertebroplasty and kyphoplasty...
November 27, 2017: Orthopaedics & Traumatology, Surgery & Research: OTSR
https://www.readbyqxmd.com/read/29186747/-volume-growth-of-inpatient-treatments-for-spinal-disease-analysis-of-german-nationwide-hospital-discharge-data-from-2005-to-2014
#20
Ulrike Nimptsch, Claire Bolczek, Melissa Spoden, Ekkehard Schuler, Josef Zacher, Thomas Mansky
Background Marked volume growth of inpatient treatments for spinal disease has been observed since diagnosis related groups (DRG) were introduced as payment for inpatient services in Germany. This study aims to analyse this increase by population and stratified by types of treatment. Material and Methods Using German nationwide hospital discharge data (DRG statistics), inpatient treatments for spinal disease with or without surgery were identified. Trends in case numbers were analysed from 2005 to 2014 with consideration of demographic changes, in order to explore which age groups and which types of treatment are affected by volume growth...
November 29, 2017: Zeitschrift Für Orthopädie und Unfallchirurgie
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