scholarly journals Pulmonary embolism with polymethyl methacrylate (bone cement) after percutaneous vertebroplasty (a review of literature and case reports)

2019 ◽  
Vol 29 (3) ◽  
pp. 353-359
Author(s):  
A. I. Sinopal’nikov ◽  
I. E. Tyurin ◽  
S. N. Shvayko ◽  
Zh. V. Sheykh ◽  
L. V. Morozova ◽  
...  
Keyword(s):  
Pulmonary Embolism ◽  
Minimally Invasive ◽  
Bone Cement ◽  
Polymethyl Methacrylate ◽  
Vertebral Body ◽  
Percutaneous Vertebroplasty ◽  
Case Reports ◽  
Body Height ◽  
Pain Syndrome ◽  
Review Of Literature

Percutaneous vertebroplasty (PVP) is a minimally invasive intervention widely used for relief of pain caused by osteoporotic, traumatic, or neoplastic vertebral fractures. During PVP, polymethyl methacrylate (bone cement) is injected directly into the vertebral body via a vertebral pedicle to partially restore the vertebral body height, to stabilize bone trabeculae and to alleviate pain. Though the procedure is minimally invasive, complications are not rare; however, mostly, they are not clinically significant. Potentially serious complications of PVP include pulmonary embolism with polymethyl methacrylate with variety of manifestations ranging from asymptomatic postoperative x-ray findings to life-threatening extravasation (cement "leakage") which is quite rare and fatal. Epidemiology, pathogenesis, clinical and radiological signs of pulmonary embolism in PVP and approaches to treatment are discussed in this review of literature. The article also describes two clinical cases of pulmonary embolism in patients underwent PVP for hemangioma of the vertebral body with severe pain syndrome are also described.

scholarly journals Vesselplasty for the treatment of osteoporotic vertebral compression fractures with peripheral wall damage: A retrospective study

2020 ◽  
Author(s):  
Chongqing Xu ◽  
Mengchen Yin ◽  
Wen Mo
Keyword(s):  
Cobb Angle ◽  
Bone Cement ◽  
Vertebral Body ◽  
Body Height ◽  
Vertebral Compression Fractures ◽  
Osteoporotic Vertebral Compression Fractures ◽  
Vertebral Body Height ◽  
Compression Fractures ◽  
Time Points ◽  
Postoperative Time

Abstract Background The clinical efficacy of vertebroplasty and kyphoplasty treating osteoporotic vertebral compression fractures (OVCF) has been widely recognized in recent years. However, there are also disadvantages of bone cement leakage (BCL), limited correction of kyphosis and recovery of vertebral height. Nowadays, in view of these shortcomings, vesselplasty has been widely used in clinical practice. The objective of this study is to assess its clinical effect and application value for the treatment of OVCF with peripheral wall damage. Methods/Design: All 62 patients (70 vertebrae) treated for OVCF with peripheral wall damage using vesselplasty were involved and retrospectively analyzed. The data collection included operation time, volume of bone cement, relevant surgical complications, visual analog scale (VAS), Oswestry disability index (ODI), vertebral body height and kyphosis Cobb angle. Results The time of operation was 20–65 (34.5 ± 10.5) minutes. The volume of bone cement was 3–8 (5.3 ± 1.3) ml. VAS and ODI at different time points after operation were decreased compared with before operation (all P < 0.05). There were no statistical differences between VAS or ODI at different postoperative time points (P > 0.05). Vertebral body height and Cobb angle at different time points after operation were improved compared with before operation (all P < 0.05). There were no statistical differences between vertebral body height or Cobb angle at different postoperative time points (all P > 0.05). Conclusion Vesselplasty can reduce the risk of BCL and better control the dispersion of bone cement in the treatment of OVCF. It has a definite effect in relieving pain, restoring the vertebral body height and correcting the kyphosis caused by injured vertebrae, especially in OVCF with peripheral wall damage. Therefore, vesselplasty is safe and worthy of clinical application.

scholarly journals Successful surgical treatment of intracardiac bone cement embolism after vertebroplasty of the L2 vertebral body

2020 ◽  
Vol 8 (4S) ◽  
pp. 130-134
Author(s):  
N. I. Zagorodnikov ◽  
I. K. Halivopulo ◽  
A. V. Sotnikov ◽  
E. I. Ardasheva
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Surgical Treatment ◽  
Bone Cement ◽  
Vertebral Body ◽  
Percutaneous Vertebroplasty ◽  
Treatment Options ◽  
Cord Injury ◽  
Cement Embolism ◽  
Bone Cement Embolism

Percutaneous Vertebroplasty (PVP) is the minimally invasive radiological procedure consisting in the transdermal injection of bone cement into the damaged vertebral body. PVP performing has a high risk of complications including vascular embolism which has value from 3.5 to 30 %. There is an example of cardioembolism with bone cement as a result of PVP complication after surgical treatment of a patient with a spinal cord injury after ancar accident and the successful extraction of this embolus is given in this clinical case.The authors describe the approaches to this problem, including the diagnosis of the condition and treatment options.

scholarly journals Vertebral body reconstruction using antibiotic impregnated bone cement (PMMA) in osteomyelitis of lumbar spine: Case reports

2015 ◽  
Vol 6 (2) ◽  
pp. 191
Author(s):  
J.Praneeth Kumar Reddy ◽  
Paparaja Murthy ◽  
B. S. Nazeer ◽  
Manohar P. V. ◽  
Anil Kumar S. V.
Keyword(s):  
Lumbar Spine ◽  
Bone Cement ◽  
Vertebral Body ◽  
Case Reports ◽  
Spine Case

scholarly journals Percutaneous vertebroplasty

2003 ◽  
Vol 7 (3) ◽  
pp. 5-8
Author(s):  
Ivann F. Van der Merwe
Keyword(s):  
Polymethyl Methacrylate ◽  
Vertebral Body ◽  
Selection Criteria ◽  
Multidisciplinary Approach ◽  
Percutaneous Vertebroplasty ◽  
Osteoporotic Fractures ◽  
Percutaneous Injection ◽  
Strict Adherence ◽  
Successful Method ◽  
Metastatic Lesions

Percutaneous vertebroplasty is a safe and successful method for the treatment of vertebral lesions due to osteoporotic fractures, metastatic lesions or haemangiomas. The procedure involves the percutaneous injection of polymethyl methacrylate (PMMA) into a pathological vertebral body. The technique is described in detail together with potential complications. Strict adherence to selection criteria, a multidisciplinary approach and the need for excellent imaging equipment are stressed.

Percutaneous vertebroplasty for compression fracture: analysis of vertebral body volume by CT volumetry

2005 ◽  
Vol 46 (3) ◽  
pp. 276-279 ◽  
Author(s):  
A. Komemushi ◽  
N. Tanigawa ◽  
S. Kariya ◽  
H. Kojima ◽  
Y. Shomura ◽  
...  
Keyword(s):  
Bone Cement ◽  
Vertebral Body ◽  
Percutaneous Vertebroplasty ◽  
Compression Fracture ◽  
Body Volume ◽  
Ct Volumetry ◽  
Percutaneous Injection ◽  
Positive Correlation ◽  
Before And After ◽  
Effect Of Treatment

Purpose: To evaluate the relationships between volume of vertebral bodies with compression fracture (measured by CT volumetry) before percutaneous vertebroplasty, the amount of bone cement injected, and the effect of treatment. Material and Methods: We examined 49 consecutive patients, with 104 vertebral body compression fractures, who underwent percutaneous injection of bone cement. Vertebral body volume was measured by CT volumetry. The patient's pain level was assessed using a visual analog scale (VAS) before and after the procedure. Improvement in VAS was defined as the decrease in VAS after the procedure. Relationships between vertebral body volume, the amount of bone cement, and the effect of treatment were evaluated using Pearson's correlation coefficient test. Results: Average vertebral body volume was 26.3±8.1 cm3; average amount of bone cement was 3.2±1.1 ml; and average improvement in VAS was 4.9±2.7. The vertebral body volume was greater if a larger amount of bone cement was injected. There was a significant positive correlation between vertebral body volume and amount of bone cement ( r = 0.44; P<0.0001). However, there was no correlation between vertebral body volume and improvement in VAS, or between amount of bone cement and improvement in VAS. Conclusion: In percutaneous vertebroplasty for vertebral body compression fracture, there is a positive correlation between vertebral body volume and amount of bone cement, but improvement in VAS does not correlate with vertebral body volume or amount of bone cement.

Vertebral Augmentation for Compression Fractures Caused by Malignant Disease

2010 ◽  
Vol 8 (9) ◽  
pp. 1095-1102 ◽  
Author(s):  
Rahul Rastogi ◽  
Trusharth Patel ◽  
Robert A. Swarm
Keyword(s):  
Pain Relief ◽  
Bone Cement ◽  
Vertebral Body ◽  
Malignant Disease ◽  
Body Height ◽  
Vertebral Compression Fractures ◽  
Intractable Pain ◽  
Vertebral Augmentation ◽  
Vertebral Body Height ◽  
Compression Fractures

Vertebral compression fractures are common in malignant disease and frequently cause severe back pain. However, management of that pain with conventional medical, radiotherapy, or surgical modalities is often inadequate. Vertebral augmentation techniques, such as vertebroplasty and kyphoplasty, are minimally invasive techniques in which methylmethacrylate bone cement is percutaneously injected into compressed vertebral bodies. Vertebral augmentation often improves mechanical stability of compressed vertebrae, provides pain relief, and may prevent progression of vertebral collapse. Kyphoplasty may provide increased chance for vertebral body height restoration, but the clinical importance of slight change in vertebral body height is unclear. Vertebral augmentation can be used in conjunction with other treatment modalities, and associated pain relief may improve patient tolerance of needed antitumor therapies, such as radiation therapy. Vertebral augmentation is generally very well tolerated, and complications associated with bone cement extravasation beyond the vertebral body have rarely been reported. Because it often provides good to excellent relief of otherwise intractable pain and is generally well tolerated, vertebral augmentation is becoming a first-line agent for management of painful vertebral compression fractures, especially in the setting of malignant disease.

scholarly journals Tridimensional Study of the Vertebral Body in Osteoporotic Vertebral Fractures Treated with Percutaneous Vertebroplasty.

2021 ◽  
Author(s):  
Jesús Payo-Ollero ◽  
Rafael Llombart-Blanco ◽  
Carlos Villas ◽  
Matías Alfonso
Keyword(s):  
Vertebral Body ◽  
Sagittal Plane ◽  
Percutaneous Vertebroplasty ◽  
Body Height ◽  
Three Dimensional ◽  
Dimensional Structure ◽  
Volume Loss ◽  
Volume Percentage ◽  
Post Surgery ◽  
Osteoporotic Vertebral Fractures

Abstract Many studies analyze the increase in vertebral body height after percutaneous vertebroplasty (PVP) in the sagittal plane. However, the vertebral body is a three-dimensional structure. The aim of this study is to determine if there is a volume change in the vertebral body after PVP, and to determine possible differences according to the spine segment treated. This prospective study included 25 patients (51 vertebrae, BMI 26.4kg/m2, T-score − 2.6) treated with PVP. The volumetric study was performed with MRI pre and post-surgery. We studied the amount of injected cement, the volume of cement inside the vertebral body, the fractured vertebra volume, percentage of volume loss, percentage of volume restoration and percentage of bone filling. Thoracolumbar fractures predominated. The average volume of injected cement was 3.6ml (range, 0.9–6.5). The volume loss was 4.1±3.3ml (16.2%). In the vertebral body, there was an increase in volume after PVP (difference + 1.6±1.6ml, 95% CI 1.1–2.03). Volume restoration was 1.6±1.6ml. Percentage of bone cement filling was 13.3%±4.5. There were no differences between the spine segments treated (P > 0.05). PVP increases the volume of the fractured vertebra approximately 40% of the volume loss. The volumetric changes after PVP were similar in the different spine segments treated.

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