scholarly journals OUTCOMES OF VERTEBROPLASTY FOR TREATMENT OF PATHOLOGIC VERTEBRAL FRACTURES AND HAEMANGIOMAS

2006 ◽  
pp. 038-042
Author(s):  
Igors Aksiks ◽  
Viktors Vestermanis ◽  
Edmunds Karklinsh ◽  
Karlis Kupchs
Keyword(s):  
Bone Morphogenetic Proteins ◽  
Vertebral Fractures ◽  
Percutaneous Vertebroplasty ◽  
Osteoporotic Fractures ◽  
Pain Syndrome ◽  
Cement Leakage ◽  
Osteoporotic Vertebral Fractures ◽  
Before And After ◽  
Satisfaction With Treatment

Objective. To compare the intensity of pain-relieving effect of percutaneous vertebroplasty (PV) in patients with gemangiomas, osteoporotic vertebral fractures, and malignant metastases. Matherial and Methods. 210 percutaneous vertebroplasties (VP) were performed in 121 patients at the age of 18 to 87 years. Out of them 22 patients had metastases into vertebral body/bodies, 72 patients – osteoporotic fractures, and 27 patients – vertebral haemangiomas with high-grade pain syndrome. The levels of vertebroplasty were between T3 and S1, predominantly (178 cases) from T9 to L4 levels. Significant anatomic abnormalities in seven cases required CT-guidance of the percutaneous vertebroplasty. Pain syndrome intensity before and after PV was assessed by visualanalogue scale. Results. Percutaneous vertebroplasty resulted in significant pain relief in all patients. One hundred-and-one patients reported full satisfaction with treatment, 17 patients – partial satisfaction, and 3 patients were not satisfied. Vertebroplasty complicated by cement leakage into the spinal canal in two patients with multiple myeloma. One patient with osteoporotic fractures has developed L5 radiculopathy after four-level PV, which was eliminated in 5 days. Three patients had transient complications. Conclusion. The achieved results confirm a high painrelieving efficacy of percutaneous vertebroplasty. A choice of vertebroplasy technique depends on a nature of pathology and peculiarities of vertebral anatomy. Application of cement based on calcium phosphate, bioceramic and bone morphogenetic proteins improves the long-term outcomes of percutaneous vertebroplasty.

scholarly journals Percutaneous vertebroplasty: a comparison between the procedure using the traditional and the new side-opening cannula for osteoporotic vertebral fracture

2009 ◽  
Vol 67 (2b) ◽  
pp. 377-381 ◽  
Author(s):  
Nicandro Figueiredo ◽  
Filipe Barra ◽  
Laryssa Moraes ◽  
Roger Rotta ◽  
Luiz Augusto Casulari
Keyword(s):  
Vertebral Fracture ◽  
Vertebral Body ◽  
Vertebral Fractures ◽  
Pain Control ◽  
Percutaneous Vertebroplasty ◽  
Cement Leakage ◽  
Osteoporotic Vertebral Fracture ◽  
Cement Injection ◽  
Osteoporotic Vertebral Fractures ◽  
Good Improvement

A total of 47 percutaneous vertebroplasties (PVs) were performed for osteoporotic vertebral fractures in 31 patients, 25 PVs were performed using the frontal-opening cannula (FOC) and 22 using the new side-opening cannula (SOC), randomly distributed. The incidence of cement extrusion was 27% with the SOC, and 68% with the FOC, all asymptomatic (p<0.01). The pain control was similar for both groups, with good improvement of pain in most of the patients, and there were no clinical relevant complications. The cement leakage can be significantly reduced with this new SOC, which allows for a better cement injection toward the center of the vertebral body, increasing the safety of the procedure, with no increase in cost.

Percutaneous Transpedicular Vertebroplasty versus Conservative Management in Osteoporotic Vertebral Fractures

2016 ◽  
Vol 695 ◽  
pp. 205-211
Author(s):  
Iulian Popa ◽  
Petre Matusz ◽  
Diana Andrei ◽  
Mihai Mardare ◽  
Dan V. Poenaru
Keyword(s):  
Conservative Management ◽  
Vertebral Fractures ◽  
Percutaneous Vertebroplasty ◽  
Osteoporotic Fractures ◽  
Control Group ◽  
First Year ◽  
Lung Capacity ◽  
Osteoporotic Vertebral Fractures ◽  
Group 2 ◽  
Group 1

Osteoporotic vertebral fractures can lead to late collapse which often cause kyphotic spinal deformity, persistent back pain, decreased lung capacity, increased fracture risk and increased mortality. The purpose of our study is to compare the efficacy and safety of vertebroplasty against conservative management of osteoporotic vertebral fractures without neurologic symptoms. A total of 66 patients with recent OVF on MRI examination were included in the study. All patients were admitted from September 2009 to September 2012. The cohort was divided in two groups: first study group consisted of 33 prospectively followed consecutive patients who suffered 40 vertebral osteoporotic fractures treated by percutaneous vertebroplasty (Group 1), and the control group consisted of 33 patients who suffered 41 vertebral osteoporotic fractures treated conservatory because they reffused vertebroplasty (Group 2). Vertebroplasty with PMMA was performed in 30 patients on 39 VBs, including four thoracic vertebras, 27 vertebras of the thoracolumbar jonction and 8 lumbar vertebras. In the Group 2 were included 30 patients with 39 OVFs (four thoracic vertebras, 23 vertebras of the thoracolumbar junction and 11 lumbar vertebras). In our study on OVF, vertebroplasty delivered superior clinical and radiological outcomes over the first year from intervention when compared to consevative treatment of patients with osteoporotic compression fractures without neurological deficit.

scholarly journals UNILATERAL PERCUTANEOUS VERTEBROPLASTY FOR SYMPTOMATIC OSTEOPOROTIC VERTEBRAL COMPRESSION FRACTURES -EVALUATION OF RADIOLOGICAL AND CLINICAL OUTCOMES

2021 ◽  
pp. 1-2
Author(s):  
Sandeep Kumar ◽  
Kumari Rashmi ◽  
Kumar Anshuman ◽  
Debarshi Jana
Keyword(s):  
Vertebral Fractures ◽  
Local Anaesthesia ◽  
Percutaneous Vertebroplasty ◽  
Compression Fracture ◽  
Osteoporotic Fractures ◽  
Early Mobilization ◽  
Vertebral Compression Fractures ◽  
Vas Score ◽  
Osteoporotic Vertebral Fractures

Background: Vertebral fractures are the most common type of osteoporotic fractures. These are developing into a significant health problem worldwide as about 30% of the patients above 50 years suffer from a fracture secondary to osteoporosis. Osteoporotic vertebral fractures may be treated with rest and analgesics. Some fractures may also require surgery. Percutaneous procedure like vertebroplasty and kyphoplasty done under local anaesthesia can reduce the pain and restore height of vertebral body without need for an open surgery. The aim of the study was to assess the clinical and radiological outcomes following unilateral percutaneous vertebroplasty under local anaesthesia. Methods: 21 patients who underwent unilateral vertebroplasty for symptomatic osteoporotic compression fracture between August 2019 and July 2020 were included in the study. Unilateral vertebroplasty using an 11-gauge trocar through transpedicular technique was performed under c-arm guidance. Patient was mobilized as soon as tolerated. Oswestry disability index and visual analogue scale were assessed pre-operatively, in the immediate post-op and at 1-year follow up. Results: There were 15 females and 6 males. The mean age was 70.04±6.07 years. The pre-op ODI score was 76.8±7.6. The pre-op VAS score was 7.66±0.71. The average time period from fracture to vertebroplasty is 4.19±3.19 days. The immediate post-operative VAS score was 5.76±0.8 and the ODI score was 62.85±7.17. The VAS at final follow up was 1.23±1.19. ODI at final follow up was 9.04±3.19. There was a showed a significant improvement when preoperative, immediate post-operative ODI and VAS scores and final follow up (p<0.001). Conclusions: In our study unilateral percutaneous vertebroplasty has provided pain relief, early mobilization of the patient with less complication without the requirement of general anaesthesia.

scholarly journals TREATMENT OF OSTEOPOROTIC VERTEBRAL FRACTURES

2006 ◽  
pp. 043-047
Author(s):  
Shukhrat Numonzhonovich Rakhmatillaev ◽  
Viktor Viktorovich Rerikh ◽  
Mikhail Anatolyevich Sadovoy
Keyword(s):  
Surgical Treatment ◽  
Conservative Treatment ◽  
Vertebral Fractures ◽  
Osteoporotic Fractures ◽  
Pain Syndrome ◽  
Treatment Results ◽  
Transpedicular Fixation ◽  
Osteoporotic Vertebral Fractures ◽  
Spinal Brace ◽  
Vertebral Bodies

Objective. To analyze treatment results in patients with osteoporitic fractures of the thoracic and lumbar vertebral bodies. Material and Methods. The study was performed in 301 patients (aged 20 to 81 years) with noncomplicated fractures of thoracic and lumbar vertebral bodies associated with osteoporosis. Compression fractures were diagnosed in 42.5 % of patients, splintered – in 21.3 %, and burst – in 36.2 %. Grade I osteoporosis was observed in 12.6 %, Grade II – in 52.5 %, Grade III – in 27.5 %, and Grade IV – in 7.4 % of patients. Conservative treatment was performed in 188 patients. After pain syndrome relief and fixation with removable spinal brace the patients were discharged for follow-up care. Another 113 patients underwent surgical treatment: transpedicular fixation was done in 15.0 % of cases, transpedicular fixation with osteoplasty – in 50.4 %, two-stage surgical procedure – in 24.7 %, and vertebroplasty – in 9.9 %. Results. The outcomes after conservative treatment for osteoporotic vertebral fractures was good in 13.0 % of patients, satisfactory in 43.0 %, and nonsatisfactory in 44.0 %. Patients showed a progression of osteoporosis and deformity magnitude between 8 and 36 weeks after the treatment. Surgical treatment of veretbral fractures had excellent results in 27.4 % of patients, good results in 51.6 %, satisfactory in 19.7 %, and nonsatisfactory in 1,5 %. Correction of all deformity components of the injured spine segment was observed in the postoperative period. Conclusion. Differentiated treatment for osteoporotic fractures of the thoracic and lumber vertebral bodies associated with osteoporosis improves the treatment results and reduces the treatment failure rate.

scholarly journals Unilateral percutaneous vertebroplasty for symptomatic osteoporotic vertebral compression fractures -evaluation of radiological and clinical outcomes

2018 ◽  
Vol 5 (1) ◽  
pp. 19
Author(s):  
Shanmuga Sundaram Pooswamy ◽  
Niranjanan Raghavn Muralidharagopalan
Keyword(s):  
Vertebral Fractures ◽  
Local Anaesthesia ◽  
Percutaneous Vertebroplasty ◽  
Compression Fracture ◽  
Osteoporotic Fractures ◽  
Early Mobilization ◽  
Vertebral Compression Fractures ◽  
Vas Score ◽  
Osteoporotic Vertebral Fractures

<p class="abstract"><strong>Background:</strong> Vertebral fractures are the most common type of osteoporotic fractures. These are developing into a significant health problem worldwide as about 30% of the patients above 50 years suffer from a fracture secondary to osteoporosis. Osteoporotic vertebral fractures may be treated with rest and analgesics. Some fractures may also require surgery. Percutaneous procedure like vertebroplasty and kyphoplasty done under local anaesthesia can reduce the pain and restore height of vertebral body without need for an open surgery. The aim of the study was to assess the clinical and radiological outcomes following unilateral percutaneous vertebroplasty under local anaesthesia.</p><p class="abstract"><strong>Methods:</strong> 21 patients who underwent unilateral vertebroplasty for symptomatic osteoporotic compression fracture between 2012 and 2015 were included in the study. Unilateral vertebroplasty using an 11-gauge trocar through transpedicular technique was performed under c-arm guidance. Patient was mobilized as soon as tolerated. Oswestry disability index and visual analogue scale were assessed pre-operatively, in the immediate post-op and at 1-year follow up.<strong></strong></p><p class="abstract"><strong>Results:</strong> There were 15 females and 6 males. The mean age was 70.04±6.07 years. The pre-op ODI score was 76.8±7.6. The pre-op VAS score was 7.66±0.71. The average time period from fracture to vertebroplasty is 4.19±3.19 days. The immediate post-operative VAS score was 5.76±0.8 and the ODI score was 62.85±7.17.  The VAS at final follow up was 1.23±1.19. ODI at final follow up was 9.04±3.19. There was a showed a significant improvement when preoperative, immediate post-operative ODI and VAS scores and final follow up (p&lt;0.001).</p><p class="abstract"><strong>Conclusions:</strong> In our study unilateral percutaneous vertebroplasty has provided pain relief, early mobilization of the patient with less complication without the requirement of general anaesthesia.</p>

scholarly journals Differentiation of Traumatic Osteoporotic and Non-Osteoporotic Vertebral AO A3 Fractures by Analyzing the Posterior Edge Morphology—A Retrospective Feasibility Study

2020 ◽  
Vol 9 (12) ◽  
pp. 3910
Author(s):  
Thomas Vordemvenne ◽  
Dirk Wähnert ◽  
Sebastian Klingebiel ◽  
Jens Lohmaier ◽  
René Hartensuer ◽  
...  
Keyword(s):  
Vertebral Body ◽  
Vertebral Fractures ◽  
Osteoporotic Fractures ◽  
Hounsfield Units ◽  
Posterior Edge ◽  
Simple Method ◽  
Dorsal Edge ◽  
Osteoporotic Vertebral Fractures ◽  
Edge Fragment ◽  
Edge Morphology

Background: Differentiation between traumatic osteoporotic and non-osteoporotic vertebral fractures is crucial for optimal therapy planning. We postulated that the morphology of the posterior edge of the cranial fragment of A3 vertebral fractures is different in these entities. Therefore, the purpose of this study is to develop and validate a simple method to differentiate between osteoporotic and non-osteoporotic A3 vertebral fractures by morphological analysis. Methods: A total of 86 computer tomography scans of AO Type A3 (cranial burst) vertebral body fractures (52 non-osteoporotic, 34 osteoporotic) were included in this retrospective study. Posterior edge morphology was analyzed using the sagittal paramedian slice with the most prominent shaped bulging. Later, the degree of bulging of the posterior edge fragment was quantified using a geometric approach. Additionally, the Hounsfield units of the broken vertebral body, the vertebra above, and the vertebra below the fracture were measured. Results: We found significant differences in the extent of bulging comparing osteoporotic and non-osteoporotic fractures in our cohort. Using the presented method, sensitivity was 100%, specificity was 96%. The positive predictive value (PPV) was 94%. In contrast, by evaluating the Hounsfield units, sensitivity was 94%, specificity 94% and the PPV was 91%. Conclusions: Our method of analysis of the bulging of the dorsal edge fragment in traumatic cranial burst fractures cases allows, in our cases, a simple and valid differentiation between osteoporotic and non-osteoporotic fractures. Further validation in a larger sample, including dual-energy X-ray absorptiometry (DXA) measurements, is necessary.

Sign in / Sign up

Export Citation Format

Share Document