scholarly journals Gelfoam Embolization Technique to Prevent Bone Cement Leakage during Percutaneous Vertebroplasty: Comparative Study of Gelfoam only vs. Gelfoam with Venography

2020 ◽  
Vol 16 (2) ◽  
pp. 200
Author(s):  
Jae-Min Ahn ◽  
Jae-Sang Oh
Keyword(s):  
Comparative Study ◽  
Bone Cement ◽  
Percutaneous Vertebroplasty ◽  
Cement Leakage ◽  
Gelfoam Embolization

scholarly journals Percutaneous vertebroplasty versus kyphoplasty for the treatment of neurologically intact osteoporotic Kümmell’s disease

BMC Surgery ◽  
2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Shou-qian Dai ◽  
Rong-qing Qin ◽  
Xiu Shi ◽  
Hui-lin Yang
Keyword(s):  
Blood Loss ◽  
Bone Cement ◽  
Percutaneous Vertebroplasty ◽  
Cement Leakage ◽  
Intraoperative Blood Loss ◽  
Surgical Time ◽  
Significant Difference ◽  
Neurologically Intact ◽  
Operation Cost

Abstract Background Percutaneous vertebroplasty (PVP) and kyphoplasty (PKP) have been widely used to treat neurologically intact osteoporotic Kümmell’s disease (KD), but it is still unclear which treatment is more advantageous. Our study aimed to compare and investigate the safety and clinical efficacy of PVP and PKP in the treatment of KD. Methods The relevant data that 64 patients of neurologically intact osteoporotic KD receiving PVP (30 patients) or PKP (34 patients) were analyzed. Surgical time, operation costs, intraoperative blood loss, volume of bone cement injection, and fluoroscopy times were compared. Occurrence of cement leakage, transient fever and re-fracture were recorded. Universal indicators of visual analogue scale (VAS) and Oswestry disability index (ODI) were evaluated separately before surgery and at 1 day, 6 months, 1 year, 2 years and the final follow-up after operation. The height of anterior edge of the affected vertebra and the Cobb’s angle were assessed by imaging. Results All patients were followed up for at least 24 months. The volume of bone cement injection, intraoperative blood loss, occurrence of bone cement leakage, transient fever and re-fracture between two groups showed no significant difference. The surgical time, the operation cost and fluoroscopy times of the PKP group was significantly higher than that of the PVP group. The post-operative VAS, ODI scores, the height of the anterior edge of the injured vertebrae and kyphosis deformity were significantly improved in both groups compared with the pre-operation. The improvement of vertebral height and kyphosis deformity in PKP group was significantly better than that in the PVP group at every same time point during the follow-up periods, but the VAS and ODI scores between the two groups showed no significant difference. Conclusion PVP and PKP can both significantly alleviate the pain of patients with KD and obtain good clinical efficacy and safety. By contrast, PKP can achieve better imaging height and kyphosis correction, while PVP has the advantages of shorter operation time, less radiation volume and operation cost.

scholarly journals A case of multilevel percutaneous vertebroplasty for vertebral metastases resulting in temporary paraparesis

2019 ◽  
Vol 48 (2) ◽  
pp. 030006051983508
Author(s):  
Guan Shi ◽  
Fei Feng ◽  
Chen Hao ◽  
Jia Pu ◽  
Bao Li ◽  
...  
Keyword(s):  
Bone Cement ◽  
Percutaneous Vertebroplasty ◽  
Cement Leakage ◽  
Spinal Nerve ◽  
Vertebral Compression Fractures ◽  
Vertebral Metastases ◽  
Osteoporotic Vertebral Compression Fractures ◽  
Invasive Treatment ◽  
Compression Fractures ◽  
Cord Injury

Percutaneous vertebroplasty (PVP) is a minimally invasive treatment that has been widely used for the treatment of osteoporotic vertebral compression fractures and vertebral tumors. However, the maximum number of vertebral segments treated in a single PVP remains controversial. Furthermore, PVP may cause complications, including cement leakage, pulmonary embolism, bone cement toxicity, and spinal nerve-puncture injury. We report the rare case of a patient who underwent multilevel PVP for vertebral metastases, with no bone cement leakage or spinal cord injury, but who developed temporary paraparesis.

4:1133. Cement leakage in percutaneous vertebroplasty: effect of preinjection gelfoam embolization

2005 ◽  
Vol 5 (4) ◽  
pp. S17-S18 ◽  
Author(s):  
Chandra Bhatia ◽  
Manoj Krishna ◽  
Tai Friesem ◽  
Raymond Pollock
Keyword(s):  
Percutaneous Vertebroplasty ◽  
Cement Leakage ◽  
Gelfoam Embolization

scholarly journals Machine Learning Applications for the Prediction of Bone Cement Leakage in Percutaneous Vertebroplasty

2021 ◽  
Vol 9 ◽  
Author(s):  
Wenle Li ◽  
Jiaming Wang ◽  
Wencai Liu ◽  
Chan Xu ◽  
Wanying Li ◽  
...  
Keyword(s):  
Machine Learning ◽  
Logistic Regression ◽  
Bone Cement ◽  
Percutaneous Vertebroplasty ◽  
Cement Leakage ◽  
Gradient Boosting ◽  
Vertebral Compression Fractures ◽  
Good Prediction ◽  
Extreme Gradient Boosting ◽  
The Web

Background: Bone cement leakage is a common complication of percutaneous vertebroplasty and it could be life-threatening to some extent. The aim of this study was to develop a machine learning model for predicting the risk of cement leakage in patients with osteoporotic vertebral compression fractures undergoing percutaneous vertebroplasty. Furthermore, we developed an online calculator for clinical application.Methods: This was a retrospective study including 385 patients, who had osteoporotic vertebral compression fracture disease and underwent surgery at the Department of Spine Surgery, Liuzhou People's Hospital from June 2016 to June 2018. Combing the patient's clinical characteristics variables, we applied six machine learning (ML) algorithms to develop the predictive models, including logistic regression (LR), Gradient boosting machine (GBM), Extreme gradient boosting (XGB), Random Forest (RF), Decision Tree (DT) and Multilayer perceptron (MLP), which could predict the risk of bone cement leakage. We tested the results with ten-fold cross-validation, which calculated the Area Under Curve (AUC) of the six models and selected the model with the highest AUC as the excellent performing model to build the web calculator.Results: The results showed that Injection volume of bone cement, Surgery time and Multiple vertebral fracture were all independent predictors of bone cement leakage by using multivariate logistic regression analysis in the 385 observation subjects. Furthermore, Heatmap revealed the relative proportions of the 15 clinical variables. In bone cement leakage prediction, the AUC of the six ML algorithms ranged from 0.633 to 0.898, while the RF model had an AUC of 0.898 and was used as the best performing ML Web calculator (https://share.streamlit.io/liuwencai0/pvp_leakage/main/pvp_leakage) was developed to estimate the risk of bone cement leakage that each patient undergoing vertebroplasty.Conclusion: It achieved a good prediction for the occurrence of bone cement leakage with our ML model. The Web calculator concluded based on RF model can help orthopedist to make more individual and rational clinical strategies.

A Clinical Comparative Study on Low Versus Medium Viscosity PolyMethylMetAcrylate Bone Cement in Percutaneous Vertebroplasty

Spine ◽  
2010 ◽  
Vol 35 (20) ◽  
pp. E1037-E1044 ◽  
Author(s):  
Marc J. Nieuwenhuijse ◽  
Sander P. J. Muijs ◽  
Arian R. van Erkel ◽  
Sander P. D. Dijkstra
Keyword(s):  
Comparative Study ◽  
Bone Cement ◽  
Percutaneous Vertebroplasty ◽  
Medium Viscosity

scholarly journals Unilateral percutaneous vertebroplasty for osteoporotic lumbar compression fractures: a comparative study between transverse process root-pedicle approach and conventional transpedicular approach

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Wenwu Zhang ◽  
Shenpeng Liu ◽  
Xianhua Liu ◽  
Xiang Li ◽  
Le Wang ◽  
...  
Keyword(s):  
Bone Cement ◽  
Percutaneous Vertebroplasty ◽  
Operation Time ◽  
Transverse Process ◽  
Cement Leakage ◽  
Clinical Results ◽  
Clinical Effects ◽  
Compression Fractures ◽  
Transpedicular Approach ◽  
Cement Distribution

Abstract Purpose Percutaneous vertebroplasty (PVP) is a routine operation for the treatment of osteoporotic lumbar compression fractures (OLCFs). As is well known, unilateral puncture is a common method. However, with the conventional transpedicular approach (CTPA), the cement may be asymmetrically dispersed, so some surgeons use the transverse process root-pedicle approach (TPRPA). The objective of this study was to compare the clinical results and bone cement distribution of PVP for OLCF with unilateral TPRPA and CTPA to identify the advantages and disadvantages of the two surgical options. Patients and methods From January 2016 to June 2019, seventy-two elderly patients who underwent unilateral PVP for single-level OLCF were retrospectively reviewed. Operation time, injection amount and type of bone cement distribution, and bone cement leakage and surgical complications were recorded. The visual analog scale (VAS) scores and Oswestry disability index (ODI) scores were used to evaluate the clinical results. All patients were followed up for more than 12 months, and the assessment was based primarily on clinical and radiological outcomes. Results There were significant differences in the surgical time and the volume and the type of bone cement distribution and the lost of operative vertebra height between the two groups. However, there was no significant difference in bone cement leakage. Moreover, there were no significant differences in VAS and ODI between the two groups at 2 days and 12 months after the operation. Conclusions Unilateral TPRPA and CTPA are practical and feasible methods in PVP for the treatment of OLCF, and they have similar clinical effects. However, TPRPA has the advantages of a better distribution of bone cement and a shorter operation time and a better maintenance effect of injured vertebra height, without increasing the rate of bone cement leakage.

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