Percutaneous Vertebroplasty in Osteoporotic Patients: An Institutional Experience of 1,634 Patients with Long-Term Follow-Up

2011 ◽  
Vol 22 (12) ◽  
pp. 1714-1720 ◽  
Author(s):  
Giovanni Carlo Anselmetti ◽  
Antonio Manca ◽  
Joshua Hirsch ◽  
Filippo Montemurro ◽  
Giancarlo Isaia ◽  
...  
Keyword(s):  
Percutaneous Vertebroplasty ◽  
Long Term Follow Up ◽  
Institutional Experience

scholarly journals Long term follow up in 183 high grade meningioma: a single institutional experience

2021 ◽  
pp. 106808
Author(s):  
G Simonetti ◽  
A Silvani ◽  
Tramacere ◽  
M Farinotti ◽  
F Legnani ◽  
...  
Keyword(s):  
High Grade ◽  
Long Term Follow Up ◽  
Institutional Experience

scholarly journals Percutaneous Vertebroplasty for Symptomatic Schmorl’s Nodes: 11 Cases with Long-term Follow-up and a Literature Review

2017 ◽  
Vol 2 (20;2) ◽  
pp. 69-75
Author(s):  
Gao-Jun Teng
Keyword(s):  
Physical Therapy ◽  
Percutaneous Vertebroplasty ◽  
Case Series ◽  
Small Sample ◽  
Vertebral Compression Fractures ◽  
Safe Procedure ◽  
Long Term Follow Up ◽  
Schmorl’S Nodes

Background: Percutaneous vertebroplasty (PVP) is commonly used to treat symptomatic vertebral compression fractures. However, its long-term effectiveness and safety for use in the treatment of symptomatic Schmorl’s nodes (SNs) refractory to conservative treatment is uncertain. Objectives: To present a case series with PVP for symptomatic SNs not responding to conservative therapy and assess the effectiveness and safety for such treatment with long-term follow-up. To present a review of the literature regarding SNs and treatment options. Study Design: Single center retrospective observational study. Setting: This study consists of patients from a large academic center in China. Methods: Between January 2008 and December 2013, 11 patients suffering from symptomatic SNs that were refractory to medical or physical therapy, underwent PVP procedures in our department. All patients had a definitive diagnosis of SNs by magnetic resonance imaging (MRI) and computed tomography (CT). The visual analog scale (VAS) was assessed preoperatively at 4 hours, at one month, and every 6 months postoperatively during the long-term (mean: 58.0 months) follow-up period. Results: Each of the 11 patients reported an immediate and distinct relief of their back pain. No one reported a worsening of symptoms. The VAS decreased from an average preprocedural score of 7.9 to a postprocedural score of 2.1 at 4 hours. The VAS averaged 1.8 during the mean followup period of 58.0 (range 24.1 to 98.9) months. There were no postoperative complications during the follow-up period. At the end of the follow-up period, all 11 patients were unrestricted in their activities. Limitations: This study is a retrospective study with a small sample size. Conclusions: PVP is an effective and safe procedure for the treatment of symptomatic SNs, which are refractory to medical or physical therapy. Key words: Percutaneous vertebroplasty, symptomatic Schmorl’s nodes, vertebral endplate fracture, endplate osteonecrosis, Modic changes

scholarly journals Percutaneous Vertebroplasty Using a Rotary Cutter for Treating Kümmell’s Disease with Intravertebral Vacuum Cleft

2021 ◽  
pp. E477-E482
Keyword(s):  
Percutaneous Vertebroplasty ◽  
Tertiary Care ◽  
Control Group ◽  
Care Hospital ◽  
Long Term Follow Up ◽  
Kummell’S Disease ◽  
And Control ◽  
Kümmell’S Disease

BACKGROUND: Reported data indicate that the curative effect of percutaneous vertebroplasty (PVP) on the patients with intravertebral vacuum cleft (IVC) is worse than on those without IVC. OBJECTIVES: This study was to prospectively investigate the advantage of rotary cutter-PVP (RC-PVP) in patients with Kümmell’s disease with IVC. STUDY DESIGN: A prospective outcome study. SETTING: A tertiary care hospital. METHODS: Patients who underwent conventional PVP served as the control group. For the RC-PVP group, the rotary cutters were applied before the cement injection to destroy the IVC structure and the surrounding necrotic bone. The following data were compared between the two groups: the cement filling patterns, effective therapeutic rate, the pre- to post-procedural changes of spinal geometry, and the subsequent fractures. RESULTS: This study included a total of 64 patients (30 and 34 patients in RC-PVP group and control group, respectively). In the RC-PVP group, the cement in 26 cases was filled as a mixed pattern, while the filling pattern in the control group was mainly the cystic type (n = 31). There were no significant differences in the height restoration rate between the RC-PVP and control groups (32.7 ± 13.6 and 32.4 ± 13.9, respectively, P = 0.93). The RC-PVP group had a higher effective rate during the first week and the first month (93.3% vs. 70.6%, P = 0.02) and at 3 months (90.4% vs. 73.9%, P = 0.03). Long-term follow-up indicated that vertebral recollapse of the same treated vertebral body occurred in 5 patients after conventional PVP, which was not observed in the RC-PVP group. LIMITATIONS: The small number of included patients and no long-term follow-up. CONCLUSIONS: RC-PVP, with the destruction of IVC, may lead to better clinical outcomes with fewer complications. KEY WORDS: Back pain, bone cements, osteonecrosis, vertebroplasty

Long-term follow-up of vertebral osteoporotic fractures treated by percutaneous vertebroplasty

2004 ◽  
Vol 23 (4) ◽  
Author(s):  
Isabelle Legroux-G�rot ◽  
Christian Lormeau ◽  
Nathalie Boutry ◽  
Anne Cotten ◽  
Bernard Duquesnoy ◽  
...  
Keyword(s):  
Percutaneous Vertebroplasty ◽  
Osteoporotic Fractures ◽  
Long Term Follow Up

scholarly journals Treatment of vertebrobasilar fusiform aneurysms with Pipeline embolization device

2015 ◽  
Vol 21 (4) ◽  
pp. 434-440 ◽  
Author(s):  
Osama Ahmed ◽  
Christopher Storey ◽  
Piyush Kalakoti ◽  
Jai Deep Thakur ◽  
Shihao Zhang ◽  
...  
Keyword(s):  
Subsequent Treatment ◽  
State University ◽  
Pipeline Embolization Device ◽  
Louisiana State University ◽  
Long Term Follow Up ◽  
Institutional Experience ◽  
Delayed Complications ◽  
Worse Prognosis

Object Treatment of complex intracranial aneurysms with Pipeline embolization device (PED) (ev3/Covidien Vascular Therapies) has gained recent popularity. One application of PEDs that is not well described in the literature is the utility and long-term safety in treatment of vertebrobasilar fusiform (VBF) aneurysms. Despite the advancements in endovascular therapy, VBF aneurysms continue to challenging pathology. The authors provide long-term follow-up of VBF aneurysms treated with PEDs. Methods We retrospectively reviewed four patients that were treated at Louisiana State University Health Sciences Center in Shreveport with PEDs for VBFs from 2012 to 2014. Each patient was discussed in a multidisciplinary setting between neurosurgeons and neurointerventionalists. Each patient underwent platelet function tests to ensure responsiveness to anti-platelet agents and was treated by one neurointerventionalist (HC). All patients were placed on aspirin and Plavix and were confirmed for therapeutic response prior to discharge. Results Follow-up ranged from 12 to 25 months, with a mean of 14.25 months. Two cases presented with a recurrence after the initial treatment, both of which required subsequent treatment. Of the four patients treated, one patient developed hemiparesis and three died. Conclusion Despite reports describing successful treatment of VBF aneurysms with PEDs, delayed complications after obliteration and remodeling can occur. We describe our institutional experience of VBFs treated with PEDs. Treatment of holobasilar fusiform aneurysms may carry a worse prognosis after treatment. Further long-term follow-up will provide a better understanding of this pathology.

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