scholarly journals Percutaneous vertebroplasty (PVP) to treat specialized type of endplate fractures around the Schmorl's node: a prospective study of 65 patients

2020 ◽  
Author(s):  
Yaoshen Zhang ◽  
Peng Yin ◽  
Jincai Yang ◽  
Yong Hai
Keyword(s):  
Back Pain ◽  
Prospective Study ◽  
Surgical Complications ◽  
Percutaneous Vertebroplasty ◽  
Vertebral Compression Fractures ◽  
Adjacent Segment ◽  
Safe Procedure ◽  
Disc Space ◽  
Schmorl's Node ◽  
Schmorl’S Node

Abstract Background: The Schmorl's nodes (SNs) is defined as the herniation of the intervertebral disc into the vertebral body. Endplate fractures around the schmorl's node could result in severe back pain that is similar to vertebral compression fractures. The objective of this study was to prospectively analyze the surgical effectiveness and safety of percutaneous vertebroplasty (PVP) for endplate fractures around the SNs. Methods: Clinical data and medical records of 65 patients with the fresh endplate fracture aroud SNs who underwent single level (PVP) from October 2017 to February 2018 were enrolled in this study. The visual analog scale (VAS) and Oswestry disability index (ODI) scores of low back pain were evaluated in all patients preoperatively, postoperatively, and at 1 month, 6 months, and 1 year after primary surgery. Surgery related data including duration of the operation, injected cement volumes and surgical complications were recorded. Results: Sixty-five patients with fresh endplate fractures around the SNs were treated successfully via percutaneous vertebroplasty. Our study showed that the VAS scores and ODI scores of patients were obviously improved after operation. Cement leakage into the disc space occurred in 5 patients (7.7%), and adjacent segment refractures occurred in 2 patients (3.1%). No other surgical complications, including infections or nerve root injuries were encountered. Conclusions: Based on the results of this prospective study, PVP was an effective and safe procedure for endplate fractures around the SNs.

scholarly journals Percutaneous vertebroplasty (PVP) to treat specialized type of endplate fractures around the Schmorl's node: a prospective study of 65 patients

2020 ◽  
Author(s):  
Yaoshen Zhang ◽  
Peng Yin ◽  
Jincai Yang ◽  
Yong Hai
Keyword(s):  
Back Pain ◽  
Prospective Study ◽  
Surgical Complications ◽  
Percutaneous Vertebroplasty ◽  
Vertebral Compression Fractures ◽  
Adjacent Segment ◽  
Safe Procedure ◽  
Disc Space ◽  
Schmorl's Node ◽  
Schmorl’S Node

Abstract Background : The Schmorl's nodes (SNs) is defined as the herniation of the intervertebral disc into the vertebral body. Endplate fractures around the schmorl's node could result in severe back pain that is similar to vertebral compression fractures. The objective of this study was to prospectively analyze the surgical effectiveness and safety of percutaneous vertebroplasty (PVP) for endplate fractures around the SNs. Methods : Seventy-one consecutive patients with the fresh endplate fracture around SNs from October 2017 to February 2018 were enrolled in this study. The visual analog scale (VAS) and Oswestry disability index (ODI) scores of low back pain were evaluated in all patients preoperatively, postoperatively, and at 1 month, 6 months, and 1 year after primary single level PVP . Surgery related data including duration of the operation, injected cement volumes and surgical complications were recorded. Results : Sixty-five patients with fresh endplate fractures around the SNs were treated successfully via percutaneous vertebroplasty. Our study showed that the VAS scores and ODI scores of patients were obviously improved after operation. Cement leakage into the disc space occurred in 5 patients (7.7%), and adjacent segment refractures occurred in 2 patients (3.1%). No other surgical complications, including infections or nerve root injuries were encountered. Conclusions : Based on the results of this prospective study, PVP was an effective and safe procedure for endplate fractures around the SNs.

scholarly journals Percutaneous vertebroplasty (PVP) to treat specialized type of endplate fractures around the Schmorl’s node: a prospective study of 65 patients

2020 ◽  
Vol 15 (1) ◽  
Author(s):  
Yaoshen Zhang ◽  
Peng Yin ◽  
Jincai Yang ◽  
Yong Hai
Keyword(s):  
Back Pain ◽  
Prospective Study ◽  
Surgical Complications ◽  
Percutaneous Vertebroplasty ◽  
Vertebral Compression Fractures ◽  
Adjacent Segment ◽  
Safe Procedure ◽  
Link Type ◽  
Schmorl's Node ◽  
Schmorl’S Node

Abstract Background The Schmorl’s nodes (SNs) are defined as the herniation of the intervertebral disc into the vertebral body. Endplate fractures around the Schmorl’s node could result in severe back pain that is similar to vertebral compression fractures. The objective of this study was to prospectively analyze the surgical effectiveness and safety of percutaneous vertebroplasty (PVP) for endplate fractures around the SNs. Methods Seventy-one consecutive patients with the fresh endplate fracture around SNs from October 2017 to February 2018 were enrolled in this study. The visual analog scale (VAS) and Oswestry disability index (ODI) scores of low back pain were evaluated in all patients preoperatively, postoperatively, and at 1 month, 6 months, and 1 year after primary single level PVP. Surgery-related data including duration of the operation, injected cement volumes, and surgical complications were recorded. Results Sixty-five patients with fresh endplate fractures around the SNs were treated successfully via percutaneous vertebroplasty. Our study showed that the VAS scores and ODI scores of patients were obviously improved after operation. Cement leakage into the disc space occurred in 5 patients (7.7%), and adjacent segment refractures occurred in 2 patients (3.1%). No other surgical complications, including infections or nerve root injuries were encountered. Conclusions Based on the results of this prospective study, PVP was an effective and safe procedure for endplate fractures around the SNs. Trial registration ChiCTR, ChiCTR1800016453. Registered 2 June 2018—retrospectively registered, http://www.chictr.org.cn/com/25/historyversionpuben.aspx?regno=ChiCTR1800017602

scholarly journals Retrospective Review of Procedural Parameters and Outcomes of Percutaneous Vertebroplasty in 673 Patients

2014 ◽  
Vol 20 (5) ◽  
pp. 564-575 ◽  
Author(s):  
Benny S. Kim ◽  
Barbara Hum ◽  
Jung Cheol Park ◽  
In Sup Choi
Keyword(s):  
Back Pain ◽  
Percutaneous Vertebroplasty ◽  
Lumbar Vertebrae ◽  
Invasive Procedure ◽  
Vertebral Compression Fractures ◽  
Thoracic Vertebrae ◽  
Pain Outcomes ◽  
Pain Outcome ◽  
Cement Extravasation

Percutaneous vertebroplasty (PVP) is a minimally invasive procedure to treat back pain secondary to osteoporotic vertebral compression fractures (VCF). This study aims to review our techniques and outcomes in patients with VCF. Outcomes of all patients who underwent PVP at our institution from 1998 to 2014 were retrospectively collected from medical records and follow-up telephone interviews. 1174 PVP procedures for VCF in 673 patients were identified to have complete follow-up data. Patients with inadequate data were excluded from the analysis. Procedural aspects such as unipedicular or bipedicular access, vertebral region treated, amount of cement injected into vertebrae, number of levels treated at a single session, refracture rates and location, presence of a necrotic cavity, and pain outcomes were examined. Excellent rates of improvement of back pain for both single level and multilevel PVP were achieved in 92% of patients. Unipedicular or bipedicular approach, cement volume, vertebral region treated, cement extravasation, and presence of a necrotic cavity did not affect pain outcomes or refracture rates. Fractures that did develop after PVP were often adjacent and occurred earlier than distant level fractures. Lumbar vertebrae required more cement than thoracic vertebrae. PVP provides excellent rates of pain relief in both single and multilevel procedures. The procedural aspects evaluated did not affect pain outcome or refracture rates. Adjacent refractures tended to occur sooner than distant ones.

Surgical management of a Schmorl's node in an Airedale Terrier and review of the literature

2012 ◽  
Vol 25 (02) ◽  
pp. 167-171 ◽  
Author(s):  
L. Hillebrand ◽  
T. J. Smith ◽  
S. M. Stieger-Vanegas ◽  
W. I. Baltzer
Keyword(s):  
Surgical Management ◽  
Lumbar Vertebra ◽  
Spinal Pain ◽  
Review Of The Literature ◽  
Disc Space ◽  
Term Outcome ◽  
Hindlimb Muscle ◽  
Dorsal Laminectomy ◽  
Schmorl's Node ◽  
Schmorl’S Node

SummaryObjective: To describe a clinical case of Schmorl's node affecting the lumbosacral disc in an Airedale Terrier including surgical management, short-term outcome, and review of the literature.Methods: A five-year-old male Airedale Terrier with signs of chronic spinal pain and right hindlimb muscle fasciculation was diagnosed with a Schmorl's node with computed tomography. Repeat imaging performed two months later identified enlargement of the defect in the seventh lumbar vertebra (L7) and herniation of the lumbosacral disc into the spinal canal.Results: Dorsal laminectomy and discectomy were performed and the defect was treated with curettage and stabilization of the L7 and first sacral vertebra disc space with pins and bone cement. Immediately postoperatively, the patient had proprioception deficits in the hindlimbs and decreased right patellar reflex. Over the next four months the dog's neurological condition improved and no neurological or gait deficits were present six months postoperatively.Clinical significance: Schmorl's node may be a cause of signs of chronic pain in dogs. Successful management may be achieved surgically, although in the case reported here, recovery was prolonged. To the authors' knowledge, this is the first report of progressive enlargement of a Schmorl's node in a dog.

scholarly journals CEMENT LEAKAGE FOLLOWING PERCUTANEOUS VERTEBRAL AUGMENTATION: CASE REPORT

2021 ◽  
Vol 506 (1-2) ◽  
Author(s):  
Tran Huy Hung ◽  
Nguyen Minh Tien
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Percutaneous Vertebroplasty ◽  
Clinical Signs ◽  
Cement Leakage ◽  
Vertebral Compression Fractures ◽  
Low Back ◽  
Urine Retention ◽  
Compression Fractures ◽  
Second Surgery

Background: Percutaneous vertebroplasty (PV) has become an important minimally invasive surgical technique for vertebral compression fractures. However, indications for PV in these cases due to trauma had many rivals and unclearly. These complications, especially cement leakage still common, has many severe consequent. Object and method research: A 60-years-old man, who underwent vertebroplasty in low medical level. He had complete paralised of two leg, urine retention, and severe low back pain. We examined clinical signs, imaging, find and compared with literatures. Case presentation and discussion: We present a case, 60-years-old man, had labor accident, after that he could returned to state of normality. At the second day, he went to local hospital, had diagnosis: compression fractures of L1-L2. He underwent percutaneous vertebroplasty of L1-2 under local anesthesia. Post-operative, he had complete paralised of two leg, urine retention, and severe low back pain. He had exmined again, MRI and took second surgery to removed part of cement leakage. After the second surgery, radiological showed they had complete removed cement leakage, but the patient’s recovery was uneventful and stable. The patient was hospitalized at our instituation after 03 day with complaints of severe low back pain, urine retention and complete paralised of two leg. Conclusion: This is basic technique, widely and rewarding; also has many severe incident, complications. Consequently, we suggest that this technique have to perform in right indications, in the modern medical centre and fully trained surgeon.

scholarly journals Application of the IntraSPINE® interlaminar device in patients with osteoporosis and spinal stenosis: two case reports

2021 ◽  
Vol 49 (10) ◽  
pp. 030006052110499
Author(s):  
Kuei-Lin Yeh ◽  
Szu-Hsien Wu ◽  
Shing-Sheng Wu
Keyword(s):  
Back Pain ◽  
Surgical Outcomes ◽  
Spinal Surgery ◽  
Case Reports ◽  
World Health ◽  
Vertebral Compression Fractures ◽  
Adjacent Segment ◽  
Mineral Density ◽  
Local Injections ◽  
Health Organization

Osteoporosis is a rising concern in the aging population and should be considered before performing spinal surgery for older patients. Nonfusion surgery using interlaminar or interspinous devices is gradually gaining acceptance because adjacent segment disease seldom occurs postoperatively; however, other complications may occur. This report discusses the surgical outcomes of two women with osteoporosis treated by laminectomy and interlaminar device (IntraSPINE®) placement. Both patients had experienced low back pain for several years and had developed vertebral compression fractures. Several conservative treatments, including rehabilitation and local injections, were ineffective. Their bone mineral density levels were −3.0 and −2.8, indicating severe osteoporosis according to the definition established by the World Health Organization. They chose to undergo nonfusion surgery with IntraSPINE® interlaminar device placement. Their pain significantly decreased postoperatively, and their visual analog scale scores decreased from 8 to 2 and 3. Their extremity numbness and back pain resolved within 3 months. Both patients were satisfied with the surgical outcomes. No complications had occurred by 1 year postoperatively. These cases indicate that osteoporosis may not be an absolute contraindication for nonfusion spinal surgery. This report suggests a possible alternative surgical treatment for patients with osteoporosis that is refractory to conservative treatments.

scholarly journals Microsurgical Discectomy: A Prospective Study of 200 Patients

1987 ◽  
Vol 14 (S1) ◽  
pp. 81-83 ◽  
Author(s):  
H. Schutz ◽  
C.P.N. Watson
Keyword(s):  
Back Pain ◽  
Prospective Study ◽  
Complication Rate ◽  
Pain Clinic ◽  
Rate Of Return ◽  
Leg Pain ◽  
Safe Procedure ◽  
Operative Morbidity ◽  
Almost All ◽  
A Prospective Study

ABSTRACT:This report describes the results of microsurgical discectomy in a prospective study of 200 consecutive patients with intractable sciatica, followed independently by a pain clinic. Post operative morbidity was minimal, the complication rate very low, and patients were discharged home early. Leg pain was relieved in almost all patients, but back pain was relieved in only 72% of patients. The rate of return to work at one, three and twelve months post-operatively was 50%, 83% and 95% respectively. Microsurgical discectomy is an effective and safe procedure.

Extrapedicular approach of percutaneous vertebroplasty in the treatment of upper and mid‐thoracic vertebral compression fracture

2005 ◽  
Vol 46 (3) ◽  
pp. 280-287 ◽  
Author(s):  
K.‐R. Han ◽  
C. Kim ◽  
J.‐S. Eun ◽  
Y.‐S. Chung
Keyword(s):  
Vertebral Compression Fracture ◽  
Percutaneous Vertebroplasty ◽  
Compression Fracture ◽  
Vertebral Compression Fractures ◽  
Safe Procedure ◽  
Compression Fractures ◽  
Clinical Complications ◽  
Technical Procedure ◽  
One Year ◽  
Changes Over Time

Purpose: To evaluate the clinical outcome of the extrapedicular approach of percutaneous vertebroplasty (PVP) for upper and mid‐thoracic vertebral compression fractures in patients. Material and Methods: Extrapedicular vertebroplasty was performed in painful compression fractures at T4–T8 levels. The assessment criteria were changes over time in visual analog scale (VAS) and mobility score. We evaluated the volume of cement injected, the size of needle required, and complications. Results: Procedures were performed in 27 patients with a total of 34 affected vertebral bodies. Early (within a week) and one year later, clinical follow‐ups showed that pain intensity had decreased by 50% one day after operation and later by 70–80%. Mobility scores of all patients were improved immediately after the procedure. Average volume of polymethylmethacrylate (PMMA) per vertebral body was 3.8±1.2 ml. Leakage of PMMA occurred in one vertebral level (intradiskal space), but did not cause clinical complications. Conclusion: PVP of upper and mid‐thoracic spine with an extrapedicular approach is an efficient and safe procedure for treating painful thoracic vertebral compression fracture under a cautious patient selection and meticulous technical procedure.

Sign in / Sign up

Export Citation Format

Share Document