vertebroplasty
Gallbladder gangrene
after percutaneous vertebroplasty, an uncommon presentation of vascular complication: a case report and analysis of the causes(mié, 31 mar 2021)
We present a case of an 81-year-old man with gallbladder gangrene after percutaneous vertebroplasty (PV) that was successfully treated via laparoscopic cholecystectomy (LC). The patient underwent
multilevel, thoracic PV for painful osteoporotic compression fractures. PV performed at the T6 level was complicated by severe abdominal pain owing to direct embolization of the right T6
segmental artery with penetration of bone cement into the radicular artery beneath the pedicle. Cement leakage,...
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Vertebral Metastasis
Treated by Vertebroplasty, a Cause of Respiratory Failure: Case Report and Literature Review(Mon, 29 Mar 2021)
Bone is a frequent site of metastases in advanced cancers including lung, breast, prostate, kidney, or myeloma. Lesions are commonly located on the spine. Neoplastic invasion of the vertebral
body can result in painful vertebral fractures, leading to disability and substantial morbidity. Percutaneous vertebroplasty is a minimally invasive surgical procedure used to treat spinal
fractures due to osteolytic tumors. It could result in pain reduction or resolution in 80-90% of patients with...
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Minding the Gap in
Vertebroplasty: Vertebral Body Fracture Clefts and Cement Nonunion(Fri, 19 Mar 2021)
CONCLUSIONS: Vertebral body fracture clefts are not uncommon and are related to (but distinct from) cement nonunion and cement fill patterns. Our study shows that, although patients with clefts
will benefit from cement augmentation just as much as patients without a cleft, the performing provider should take note of cement fill and take extra steps to ensure optimal cement fill. These
providers should also identify cement nonunion and associated complications (such as cement migration) on...
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Negative-pressure-related
diffuse alveolar hemorrhage after monitored anesthesia care for vertebroplasty: a case report(Tue, 16 Mar 2021)
CONCLUSIONS: Short duration of airway obstruction may cause DAH, it should be considered in the differential diagnosis of postoperative hemoptysis of unknown etiology.
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Role of Combined
Vertebroplasty and Spinal Decompression in the Management of Aggressive Vertebral Hemangiomas(Fri, 12 Mar 2021)
CONCLUSIONS: The combined use of surgical decompression and vertebroplasty is considered a safe and effective modality in the management of aggressive VHs.
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Perioperative Hidden
Blood Loss in Elderly Osteoporotic Vertebral Compression Fracture Patients With Percutaneous Vertebroplasty and Influencing Factors(Fri, 12 Mar 2021)
CONCLUSIONS: There was obvious HBL during the perioperative period of PVP in elderly patients with OVCF. A fresh fracture, multi-segment vertebral fracture, longer operation time, presence of
Kummell's disease, loss of vertebral height, recovery of vertebral height and cement leakage the increased perioperative HBL during PVP.
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Clinical evaluation of
preoperative embolization, vertebroplasty, and decompression in the treatment of aggressive vertebral hemangiomas(Mon, 01 Mar 2021)
CONCLUSION: Both embolization and vertebroplasty are efficient and safe measures to reduce blood loss in the surgical treatment of aggressive vertebral hemangiomas, combination of all three
methods is also competent.
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Role of percutaneous
vertebroplasty with high-viscosity cement in the treatment of severe osteoporotic vertebral compression fractures(Fri, 26 Feb 2021)
Severe osteoporotic vertebral compression fractures (OVCFs) were considered as relative or even absolute contraindication for vertebroplasty and kyphoplasty and these relevant reports are very
limited. This study aimed to evaluate and compare the efficacy of vertebroplasty with high-viscosity cement and conventional kyphoplasty in managing severe OVCFs. 37 patients of severe OVCFs
experiencing vertebroplasty or kyphoplasty were reviewed and divided into two groups, according to the procedural...
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Clinical Outcome and
Histological Findings After Induced Leakage of PMMA Loaded With Methotrexate and Cisplatin During Vertebroplasty: Experimental Model in Pigs(Fri, 19 Feb 2021)
CONCLUSIONS: Massive cement leak after vertebroplasty with PMMA loaded with cisplatin is extremely toxic to the spinal cord and muscles around the spine. Therefore, its use cannot be recommended
for the treatment of vertebral metastases. Using PMMA loaded with methotrexate seems to be a safe procedure, but further research is needed.
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Tubular laminectomy and
percutaneous vertebroplasty for aggressive vertebral hemangioma(Thu, 18 Feb 2021)
CONCLUSION: Combining minimally invasive techniques consisting of tubular laminectomy and percutaneous vertebroplasty are safe and effective ways for treating AVHs.
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Percutaneous Kyphoplasty
Versus Percutaneous Vertebroplasty for Neurologically Intact Osteoporotic Kummell's Disease: A Systematic Review and Meta-Analysis(Fri, 05 Feb 2021)
CONCLUSIONS: Both procedures are equally effective for neurologically intact KD in terms of the clinical outcomes, with the exception of a lower cement leakage risk and better radiographic
improvement for PKP but greater resource consumption. Based on the evidence available, good clinical judgment should be exercised in the selection of patients for these procedures.
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Percutaneous
vertebroplasty versus kyphoplasty for the treatment of neurologically intact osteoporotic Kummell's disease(Sat, 30 Jan 2021)
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.
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Risk factors for
thoracolumbar pain following percutaneous vertebroplasty for osteoporotic vertebral compression fractures(Fri, 29 Jan 2021)
CONCLUSION: Although prospective controlled studies are required to confirm our results, this review suggests that the above factors should be taken into account when selecting patients for
PV.
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Q Fever Vertebral
Osteomyelitis Complicating Vertebroplasty(Fri, 22 Jan 2021)
Query (Q) fever is a zoonotic bacterial infection caused by Coxiella burnetii. In a minority of patients, chronic disease can occur after acute infection. Endocarditis and infections of aneurysms
or vascular prostheses are the most common forms of chronic Q fever in adults. We report a case of an elderly female patient with chronic Q fever vertebral osteomyelitis at the site of her
previous cement vertebroplasty, complicated by paravertebral abscess. Patient treatment required prolonged drainage...
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Unilateral percutaneous
vertebroplasty for osteoporotic lumbar compression fractures: a comparative study between transverse process root-pedicle approach and conventional transpedicular approach(Fri, 22 Jan
2021)
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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Effectiveness of
Tirobot-assisted vertebroplasty in treating thoracolumbar osteoporotic compression fracture(Wed, 20 Jan 2021)
CONCLUSION: The Tirobot-assisted vertebroplasty can reduce surgery-related trauma, post-operative complications, and patients' and operators' exposure to radiation. As a safe and effective
strategy, this surgery can realize the quick recovery from thoracolumbar osteoporotic compression fracture.
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Pediculoplasty combined
with vertebroplasty for the treatment of Kummell's disease without neurological impairment: robot-assisted and fluoroscopy-guided(Wed, 13 Jan 2021)
With the development of radiology and minimally invasive technology, vertebroplasty has become the mainstream treatment for Kummell's disease. However, the catastrophic complication of bone
cement displacement appears occasionally. We use robot-assisted pediculoplasty combined with vertebroplasty to avoid such complications. From January 2015 to January 2018, 87 patients suffering
from thoracolumbar Kummell's disease without neurological symptoms were treated by robot-assisted pediculoplasty...
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Short-term outcomes of
percutaneous pedicle screw fixation combined with vertebroplasty: A minimally invasive treatment for Kummell's disease with intravertebral instability(Mon, 11 Jan 2021)
CONCLUSION: PPSF combined with VP seems to be an effective surgical option for the treatment of Kümmell's disease with intravertebral instability.
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Analysis of the effect of
percutaneous vertebroplasty in the treatment of thoracolumbar Kummell's disease with or without bone cement leakage(Wed, 06 Jan 2021)
CONCLUSION: Percutaneous vertebroplasty is an effective and minimally invasive treatment for Kümmell's disease. The leakage group had longer course, older age, more serious kyphotic deformity,
vertebral compression and osteoporosis, and higher amount of bone cement injected than these of the non-leakage group. However, there were not significant differences in the rate of adjacent
vertebral refractures, visual analogue scale and Oswestry dysfunction index between the two groups. Therefore, the...
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Risk Factors for Local
Bone Destruction Progression in Palliative Percutaneous Vertebroplasty for Vertebral Metastases and the Significance of Bone Cement Filling Rates(Tue, 05 Jan 2021)
CONCLUSIONS: The cement dose, complete filling of cement, Saliou score, and filling rate were factors negatively related to LBDP occurring in less than 6 months. Patients with lower filling rates
are maybe more likely to have early LBDP compared with those with higher filling rates.
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Percutaneous
Vertebroplasty And Kyphoplasty(Fri, 01 Jan 2021)
Osteoporotic compression fractures are the most common fragility fractures seen today. Osteoporotic individuals may suffer a vertebral compression fracture as a result of seemingly insignificant
trauma, for example, sitting down abruptly. In younger individuals, a higher-energy, axial loading force would be needed to compress the cancellous bone of the vertebral body. Non-osteoporotic
lumbar compression fractures are typically seen in car accidents and fall or jump from a height. Infectious and...
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Incidence and Risk
Factors for Complications and Mortality After Vertebroplasty or Kyphoplasty in the Osteoporotic Vertebral Compression Fracture-Analysis of 1,932 Cases From the American College of Surgeons
National Surgical Quality Improvement(Thu, 31 Dec 2020)
CONCLUSIONS: The major complication and mortality rates associated with VP/KP were 4.9% and 2.1% respectively, higher than previous reports. Increased creatinine and ASA 4 were independently
associated with mortality after VP/KP. Therefore, cautious monitoring and counseling is needed for elderly, patients with preexisting kidney disease or ASA 4 undergoing VP/KP.
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Efficacy of zoledronic
acid with percutaneous kyphoplasty/vertebroplasty in the treatment of osteoporotic vertebral compression fractures: a systematic review and meta-analysis(Fri, 18 Dec 2020)
CONCLUSIONS: Our review indicates that the use of once-yearly zoledronic acid in the peri-operative period of PVP/PKP procedures for patients with OVCF leads to significant improvement of BMD,
reduced pain scores, better ODI scores, and reduced incidence of further vertebral fractures. Our results have clinical significance as it encourages the use of zoledronic acid for such patients
for better clinical outcomes.
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Pain relief and
associated factors in patients undergoing vertebroplasty due to osteoporotic vertebral fracture(Mon, 23 Nov 2020)
CONCLUSION: Vertebroplasty is an effective option in treating patients with OVF who have not respond to conservative treatment. Factors such as younger age, OVFs involving either end-plates, more
than 5 ml of cement injection, segmental kyphosis below 20 degrees and thoracolumbar fractures are associated with better results for pain amelioration.
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Creation of a planned or
central-clefted puncture combined with a second puncture during vertebroplasty to treat osteoporotic vertebral compression fractures with large clefts(Tue, 17 Nov 2020)
CONCLUSION: The two-puncture techniques were initially effective when treating large-clefted OVCFs. However, compared to the central-clefted puncture, the planned puncture improved the success
rate of the second puncture, allowed better cement dispersion, and reduced the incidence of vertebral re-fracture during follow-up.
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Single Level Percutaneous
Vertebroplasty for Vertebral Hemangiomata - A Review of Outcomes(Fri, 13 Nov 2020)
CONCLUSION: Percutaneous vertebroplasty is associated with good post-procedural outcomes in patients with vertebral hermangiomata. Complications such as neurological injury and cement leakages
are rare.
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Gelfoam Embolization
Technique to Prevent Bone Cement Leakage during Percutaneous Vertebroplasty: Comparative Study of Gelfoam only vs. Gelfoam with Venography(Mon, 09 Nov 2020)
CONCLUSION: Complication induced by the bone cement leakage are the most careful point during VP. Gelfoam embolization with venography is very easy and safe method. Gelfoam with venography
technique could make lower the incidence of cement leakage to spinal canal.
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A novel computer
navigation model guided unilateral percutaneous vertebroplasty for vertebral compression fracture: A case report(Sat, 31 Oct 2020)
RATIONAL: Vertebral compression fracture (VCF) is one of the most common diseases in spinal surgery. Traditional percutaneous vertebroplasty (PVP) under fluoroscopy is an effective method to
treat vertebral compression fracture. However, there is still a risk of vascular nerve injury and infection caused by inaccurate or repeated puncture. Therefore, the purpose of this paper was to
assess the accuracy of unilateral PVP guided by screw view model of navigation (SVMN) for VCF.
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Comparison Between
Hyperextension and Neutral Positions for Vertebroplasty and Kyphoplasty: Which is Best for Osteoporotic Vertebral Compression Fractures?(Thu, 29 Oct 2020)
CONCLUSION: HPVP can achieve better pain relief, and similar disability scores, Cobb's angle, AR and MR recovery, with a lower total cost, compared with NPKP. HPVP is the most economically
efficacious treatment for OVCF.
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Biomembrane formation
after radiofrequency ablation prevents bone cement extravasation during percutaneous vertebroplasty for treating vertebral metastases with posterior margin destruction: An animal
study(Fri, 02 Oct 2020)
CONCLUSIONS: The biomembrane barrier formed at the tumor edge after RFA can prevent bone cement leakage into the spinal canal, reducing spinal cord injury and prolonging the survival time.
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Floating Vertebral Body
Cement Ball After High-Viscosity-Cement Vertebroplasty for Lytic Defect: Report of 2 Cases(Mon, 28 Sep 2020)
CONCLUSIONS: High-viscosity-cement vertebroplasty in large lytic defects needs to be done with caution. The potential occurrence of poor cement interdigitation and the following complications can
be catastrophic, and caution must be used.
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Percutaneous
vertebroplasty (PVP) to treat specialized type of endplate fractures around the Schmorl's node: a prospective study of 65 patients(Fri, 11 Sep 2020)
CONCLUSIONS: Based on the results of this prospective study, PVP was an effective and safe procedure for endplate fractures around the SNs.
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Cement Leakage in
Percutaneous Vertebroplasty for Multiple Osteoporotic Vertebral Compression Fractures: A Prospective Cohort Study(Sat, 05 Sep 2020)
CONCLUSION: Cement leаkаge is quite а common complicаtion, but it usuаlly hаs no clinicаl symptoms аnd does not require treаtment. Therefore, PVP is а sаfe аnd successful technique for the
treаtment of multiple osteoporotic vertebrаl compression frаctures.
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Percutaneous
Vertebroplasty and Facet Blocking for Treating Back Pain Caused by Osteoporotic Vertebral Compression Fracture(Fri, 28 Aug 2020)
CONCLUSION: PVP and FB combined therapy could provide better pain relief than PVP alone in short term after operation in patients with OVCFs associated back pains.
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Comparison of targeted
percutaneous vertebroplasty and traditional percutaneous vertebroplasty for the treatment of osteoporotic vertebral compression fractures in the elderly(Fri, 28 Aug 2020)
CONCLUSIONS: Precise puncture and injection of small doses of bone cement can reduce the number of X-ray fluoroscopy, operation time, amount of bone cement injection, reduce the rate of bone
cement leakage and the incidence of adjacent vertebral fractures, which is a safe and effective surgical approach for the treatment for the aged with OVCFs.
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Comparison of a flexible
versus rigid bone cement injection system in unilateral percutaneous vertebroplasty(Thu, 27 Aug 2020)
CONCLUSIONS: Application of flexible cement injector is safe and feasible, compared with the application of straight bone cement injector, without prolonging the operative time, radiation
exposure time and the incidence of bone cement leakage; it has the advantages of good long-term effect and low incidence of vertebral fracture recurrence.
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Effect of Preoperative
Zoledronic Acid Administration on Pain Intensity after Percutaneous Vertebroplasty for Osteoporotic Vertebral Compression Fractures(Tue, 25 Aug 2020)
CONCLUSION: Intravenous infusion of ZOL before PVP can effectively reduce postoperative pain intensity, reduce bone loss, increase bone density, reduce the risk of refracture, and improve patient
quality of life.
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Evaluation of the
analgesic effect of vertebral cancellous bone infiltration anaesthesia during vertebroplasty(Sat, 22 Aug 2020)
CONCLUSIONS: Vertebral cancellous bone infiltration anaesthesia may effectively relieve intraoperative pain and improve the surgical experience of patients without affecting the clinical effect
of surgery.
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The effect of bone cement
distribution on the outcome of percutaneous Vertebroplasty: a case cohort study(Sat, 15 Aug 2020)
CONCLUSIONS: If the bone cement fully contacted both the upper and lower endplates, it can better restore the strength of the vertebral body and maintain the height of the vertebral body, reduce
the risk of the vertebral body recompression and long-term pain.
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Percutaneous
vertebroplasty with high- versus low-viscosity bone cement for osteoporotic vertebral compression fractures(Sun, 09 Aug 2020)
CONCLUSIONS: Low-viscosity cement has comparable incidence of leakage compared to high-viscosity cement in PVP for osteoporotic vertebral compression fractures. It also can better prevent
postoperative loss of fractured vertebral body's height.
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Short- versus
long-segment posterior spinal fusion with vertebroplasty for osteoporotic vertebral collapse with neurological impairment in thoracolumbar spine: a multicenter study(Mon, 03 Aug
2020)
CONCLUSION: Although less invasiveness and validity of pain and neurological relief are secured by short-segment VP + PSF, surgeons should be cautious regarding correction loss.
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Therapeutic Effectiveness
of Percutaneous Endoscopic Spinal Surgery for Intraspinal Cement Leakage Following Percutaneous Vertebroplasty: An Early Clinical Study of 12 Cases(Sun, 26 Jul 2020)
CONCLUSIONS: PESS, as a minimally invasive technique, can achieve targeted spinal cord decompression and may be a safe and effective alternative approach to conventional procedures for cement
leakage after PVP.
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Posterior Decompression
Surgery and Radiofrequency Ablation Followed by Vertebroplasty in Spinal Metastases from Lung Cancer(Sat, 25 Jul 2020)
BACKGROUND Spinal metastases can cause metastatic epidural spinal cord compression (MESCC), which can result in neurological dysfunction and impaired quality of life. This study investigated the
safety and effectiveness of posterior decompression surgery and radiofrequency ablation followed by vertebroplasty in spinal metastasis from lung cancer. MATERIAL AND METHODS From June 2008 to
September 2015, a retrospective analysis was conducted in 15 patients with spinal metastasis from lung cancer....
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Vertebroplasty with
Decompression for Epidural Extending Vertebral Hemangiomas: An Alternative Technique(Sat, 25 Jul 2020)
CONCLUSION: This technique is a safe and minimally invasive approach for vertebral hemangiomas with epidural extension allowing decompression of the spinal cord without massive hemorrhage.
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Cement Emboli Presenting
as Right Atrial Mass Caused by Percutaneous Vertebroplasty(Sat, 18 Jul 2020)
No abstract
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Cost-effectiveness of
balloon kyphoplasty and vertebroplasty versus conservative medical management in the USA(Tue, 14 Jul 2020)
CONCLUSION: While VP and BKP are more expensive treatment options than CMM in the short term, model results suggest interventional treatment is cost-effective, among patients eligible for
surgery, at a US WTP threshold. This conclusion supports those from economic analyses conducted in EU-member countries.
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Effect of unilateral
pulsed jet lavage prior to vertebroplasty on the intravertebral pressure and cement distribution(Mon, 13 Jul 2020)
CONCLUSIONS: Unilateral pulsed jet lavage can reduce intravertebral pressure and lower the incidence of cement leakage during vertebroplasty. An enhanced bone cement distribution can also be
achieved through this lavage system.
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Clinical observation of
two bone cement distribution modes of percutaneous vertebroplasty in the treatment of thoracolumbar Kummell's disease(Sat, 11 Jul 2020)
CONCLUSIONS: The disease was more serious in the blocky group than in the spongy group. The amount of bone cement, correction degrees of postoperative kyphosis and vertebral compression were
significantly higher in the blocky group than in the spongy group, but its postoperative losses of the correction degrees of kyphosis and vertebral compression were also more serious. However,
for pain relief and functional recovery, the spongy group was superior to the blocky group. Therefore, the spongy...
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Percutaneous
Vertebroplasty with Side-Opening Cannula or Front-Opening Cannula in the Treatment of Kummell Disease?(Thu, 09 Jul 2020)
CONCLUSION: Percutaneous vertebroplasty with side-opening cannula is safe and effective in avoiding bone cement leakage, improving bone cement distribution, and restoring vertebral height.
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Association of early
vertebroplasty with risk of hip replacement: A nationwide population-based cohort study in Taiwan(Wed, 08 Jul 2020)
Studies show that vertebral fractures could predict the risk of hip fractures. We aimed to evaluate the potential benefits of whether the timing of vertebroplasty (VP) for vertebral fracture
associated with the risk of hip fracture for hip replacement.We identified 142,782 patients from the Taiwan National Health Insurance Database with thoracolumbar vertebral fracture (International
Classification of Diseases, Ninth Revision, Clinical Modification:805.2-805.9) who were followed up from 2000 to...
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Therapeutic effect of
percutaneous vertebroplasty and nonoperative treatment on osteoporotic vertebral compression fracture: A randomized controlled trial protocol(Wed, 08 Jul 2020)
BACKGROUND: Osteoporosis and related complications have been increasing with the aging population. Osteoporotic vertebral compression fractures (OVCFs) are the most common among all osteoporotic
fractures. The purpose of this study was performed to compare the efficiency and safety of vertebroplasty versus conservative treatment for acute OVCFs.
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The evaluation of the
treatment for old osteoporotic vertebral compression fracture pain by percutaneous vertebroplasty(Wed, 08 Jul 2020)
The aim of the present study was to evaluate the clinical effect of percutaneous vertebroplasty (PVP) in the treatment of old osteoporotic vertebral compression fracture (OVCF) pain.A
retrospective study was conducted on the clinical and imaging data of 31 patients with old OVCF treated by PVP from June 2010 to September 2011. Clinical efficacy was evaluated by the visual
analog scale (VAS) scores, the oswestry disability index (ODI), the Cobb angle, and vertebral kyphotic angle at pre-operation...
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Application of Anchoring
Technique in Unilateral Percutaneous Vertebroplasty for Neurologically Intact Kummell's Disease(Tue, 23 Jun 2020)
CONCLUSIONS: We considered that the anchoring technique in unilateral PVP could provide an effective and safe alternative for neurologically intact Kümmell's disease.
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Vertebroplasty with
posterior spinal fusion for osteoporotic vertebral fracture using computer-assisted rod contouring system: A new minimally invasive technique(Sun, 21 Jun 2020)
CONCLUSION: This technique would be beneficial in the elderly or immunocompromised patients with OVF.
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The First Algorithm
Calculating Cement Injection Volumes in Patients with Spine Metastases Treated with Percutaneous Vertebroplasty(Fri, 12 Jun 2020)
CONCLUSION: An algorithm is proposed and can be used to calculate cement injection volumes in spine metastases treated with PVP. This algorithm can facilitate surgical planning and guide cement
injections. Bilsky scale is an independent risk factor for intra-spinal canal cement leakages. We do not recommend PVP treated in patients with a Bilsky scale of 2 and 3 mainly due to a high rate
of intra-spinal canal cement leakages.
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Effects of Injected
Antiosteoporotic Medication Versus Oral Bisphosphonates on Rates of Repeated Vertebroplasty or Kyphoplasty(Wed, 10 Jun 2020)
PURPOSE: Vertebral compression fractures can recur within a few years after percutaneous vertebroplasty (PVP) or kyphoplasty.
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Efficacy and safety of
high-viscosity cement in percutaneous vertebroplasty for treatment of Osteoporotic vertebral compression fractures: A retrospective cohort study(Sat, 06 Jun 2020)
To evaluate the efficacy and safety of high viscosity bone cement in the percutaneous vertebroplasty (PVP) for treatment of single-level osteoporotic vertebral compression fractures.Eighty
patients were enrolled in this study. All patients were received PVP, and they were divided into 2 groups according to the viscosity of bone cement, either high viscosity bone cement (HV group)
or low viscosity cement (LV group). Oswestry Disability Index questionnaire and visual analog scale as clinical...
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Clinical Effects and
Complications of Pedicle Screw Augmentation with Bone Cement: Comparison of Fenestrated Screw Augmentation and Vertebroplasty Augmentation(Thu, 04 Jun 2020)
CONCLUSIONS: In osteoporotic patients, bone cement augmentation of a pedicle screw decreased the incidence of screw loosening, and fenestrated screw augmentation was more effective than
vertebroplasty augmentation.
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Effects of rosuvastatin
and zoledronic acid in combination on the recovery of senile osteoporotic vertebral compression fracture following percutaneous vertebroplasty(Thu, 28 May 2020)
CONCLUSION: Treatment with a combination of rosuvastatin and zoledronic acid following PVP can improve the condition of senile osteoporotic vertebral compression fracture and patient's functional
status, and it can also alleviate pain.
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Three-dimensional finite
element analysis of optimal distribution model of vertebroplasty(Fri, 22 May 2020)
CONCLUSIONS: A reliable biomechanical model of lumbar vertebral fracture can be established through numerical simulation of CT scanning data. Vertebral fracture and vertebroplasty may cause
biomechanical changes in adjacent vertebrae. The influence of biomechanical changes may notably increase along with the amount of bone cement injected. In this study, PVP revealed 4 mL to be the
optimal amount for cement injection.
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Transoral vertebroplasty
for the C1 lateral mass(Sat, 02 May 2020)
CONCLUSION: TOV of osteolytic lesions of the lateral mass of the atlas is feasible and seems safe and effective, providing pain relief and bone stabilization.
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Resources utilisation and
economic burden of percutaneous vertebroplasty or percutaneous kyphoplasty for treatment of osteoporotic vertebral compression fractures in China: a retrospective claim database study(Sun,
19 Apr 2020)
CONCLUSION: From 2015 to 2017, nearly one-third of OVCF inpatients received PVP/PKP and the re-surgery rate was 7.95%. PVP/PKP procedures for OVCF place a high economic burden for both the
healthcare system and patients. Early detection and treatment of patients with osteoporosis are critical in China.
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Comparison of the
clinical outcomes of percutaneous vertebroplasty vs. kyphoplasty for the treatment of osteoporotic Kummell's disease:a prospective cohort study(Wed, 15 Apr 2020)
CONCLUSION: Both PVP and PKP can achieve similar effects in the treatment of Kümmell's disease. Because the cost, operation time, blood loss, radiation exposure and surgical procedure of PVP are
less than those of PKP, PVP has more clinical priority value.
>> Leer más
Teriparatide Associated
with Fewer Refractures and Higher Body Heights of Cemented Vertebrae after Vertebroplasty: A Matched Cohort Study(Thu, 09 Apr 2020)
Refracture of cemented vertebrae occurs commonly after vertebroplasty (VP) for osteoporotic vertebral compression fracture (OVCF). It can result in severe pain or neurological deficit, but no
preventive medication is available. Owing to the bone anabolic benefits of teriparatide (TP), this study was aimed to compare the outcomes of cemented vertebrae with TP to those without TP.
Patients who received VP for OVCF with at least 1 year follow-up were included. The anterior body height (ABH) and...
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Asymptomatic pulmonary
embolism secondary to cement leakage after vertebroplasty(Thu, 09 Apr 2020)
No abstract
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Optimizing computational
methods of modeling vertebroplasty in experimentally augmented human lumbar vertebrae(Fri, 27 Mar 2020)
Vertebroplasty has been widely used for the treatment of osteoporotic compression fractures but the efficacy of the technique has been questioned by the outcomes of randomized clinical trials.
Finite-element (FE) models allow an investigation into the structural and geometric variation that affect the response to augmentation. However, current specimen-specific FE models are limited
due to their poor reproduction of cement augmentation behavior. The aims of this study were to develop new methods...
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Cortical Bone Trajectory
Instrumentation with Vertebroplasty for Osteoporotic Thoracolumbar Compression Fracture(Sat, 22 Feb 2020)
CONCLUSIONS: Our findings suggest that cortical bone trajectory instrumentation combined with percutaneous vertebroplasty may be a good option for treating osteoporotic thoracolumbar fractures,
as it can prevent recurrent vertebral fractures or related kyphosis in sagittal alignment.
>> Leer más
Efficacy analysis of
percutaneous pedicle screw fixation combined with percutaneous vertebroplasty in the treatment of osteoporotic vertebral compression fractures with kyphosis(Wed, 19 Feb 2020)
CONCLUSION: The efficacy of PVP alone was not satisfactory, and the rate of complications was high for OVCF patients with severe anterior edge compression with kyphosis. PPSF combined with PVP is
recommended, the vertebral height loss was not obvious, the satisfaction was good, and the complication rate was lower during 2 years follow-up.
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The clinical efficacy and
experience of bipedicular percutaneous vertebroplasty combined with postural reduction in the treatment of Kummell's disease(Sun, 09 Feb 2020)
CONCLUSION: Bipedicular percutaneous vertebroplasty combined with postural reduction could achieve satisfactory analgesic effect in the treatment of Kümmell's disease, and restore the height of
the vertebral body and improve kyphosis to some extent.
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The Effect of Early
Limited Activity after Bipedicular Percutaneous Vertebroplasty to Treat Acute Painful Osteoporotic Vertebral Compression Fractures(Wed, 05 Feb 2020)
CONCLUSIONS: LA in the early period after PVP can help patients achieve more pain relief postoperatively and maintain better vertebral shape, especially for low responders.
>> Leer más
VERTEBROPLASTY IN THE
TREATMENT OF VERTEBRAL FRACTURES CAUSED BY PLASMACYTOMA(Fri, 24 Jan 2020)
The aim of this study was to compare and evaluate clinical results before and after vertebroplasty in the treatment of myeloma-induced vertebral fractures. Success of the surgery was defined by
increased or reduced pain intensity before and after the treatment, as assessed using the visual analog scale (VAS). The study was designed as a retrospective-prospective study. The study
included 26 patients, 14 women and 12 men. Data on patients treated for myeloma-induced vertebral fractures were...
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Effect of cementing on
pulmonary arterial pressure in vertebroplasty: A comparison of two techniques(Thu, 23 Jan 2020)
CONCLUSION: The finding of this study showed that high viscosity cement injected through a narrower cannula results in lesser PAP increase and d-dimer levels when compared to low viscosity cement
injected through a wider cannula. Higher PAP and d-dimer level may show possible thromboembolism. This finding may give spine surgeons to reconsider their choice of cement type and cannula
size.
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Risk factors of adjacent
segmental fractures when percutaneous vertebroplasty is performed for the treatment of osteoporotic thoracolumbar fractures(Fri, 17 Jan 2020)
The study aimed to analyze the radiographic and magnetic resonance imaging (MRI) findings that might predict the risk for adjacent segmental fractures (ASFs) when percutaneous vertebroplasty (PV)
is used for the treatment of osteoporotic thoracolumbar fractures (OTFs). A total of 92 OTFs patients who underwent PV between January 2013 and January 2015 were retrospectively reviewed. The
visual analog scale (VAS), Oswestry-Disability Index (ODI) and radiolographic measurements were assessed. The...
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Posterior Fixation
Combined with Vertebroplasty or Vertebral Column Resection for the Treatment of Osteoporotic Vertebral Compression Fractures with Intravertebral Cleft Complicated by Neurological
Deficits(Fri, 10 Jan 2020)
CONCLUSION: Compared with PVCR, PFVP had equivalent short-term clinical outcomes with less blood loss and operative duration which can be very beneficial for treating elderly patients with
extreme comorbidities in this condition. However, based on the long-term efficacy of pain relief, vertebral height maintenance, and deformity correction, PVCR is a more reasonable choice.
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Long Term Survival of
Pathological Thoracolumbar Fractures Treated with Vertebroplasty: Analysis Using a Nationwide Insurance Claim Database(Thu, 02 Jan 2020)
CONCLUSION: Although conventional open surgery would usually be the best choice for the treatment of patients with pathological thoracolumbar fractures, database information from current
real-world practice appears to support vertebroplasty as a viable choice for elderly people over 75 years of age.
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Vertebroplasty-associated
cement leak leading to iatrogenic venous compression and thrombosis(Wed, 25 Dec 2019)
A 91-year-old woman presented with left lower extremity swelling and pain diagnosed as phlegmasia cerulea dolens. Doppler ultrasound and venography revealed extensive left lower extremity deep
venous thrombosis. Review of prior images revealed cement leakage causing compression of the left common iliac vein. She underwent successful mechanical thrombectomy using the ClotTriever device
(Inari Medical, Irvine, Calif) and subsequent stent placement. Phlegmasia cerulea dolens resolved on the...
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Unilateral curved versus
bipedicular vertebroplasty in the treatment of osteoporotic vertebral compression fractures(Sat, 14 Dec 2019)
CONCLUSIONS: Our findings revealed that both CVP and BVP were safe and effective treatments for osteoporotic vertebral compression fractures, and CVP entails a shorter operation time, less
exposure to fluoroscopy, and lower rate of cement leakage.
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Efficacy of
Vertebroplasty in Short-Segment Pedicle Screw Fixation of Thoracolumbar Fractures: A Meta-Analysis(Fri, 13 Dec 2019)
BACKGROUND Short-segment pedicle screw instrumentation provides superior outcomes in treating thoracolumbar fractures. Nevertheless, the effect of intermediate screws on the outcome of
short-segment instrumentation at the fracture level has not been specifically analyzed. We performed an update meta-analysis of the effect of additional vertebroplasty on the outcome of
short-segment instrumentation to determine the role of screws for patients with fractured vertebra. MATERIAL AND METHODS A...
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High rate of vertebral
refracture after vertebroplasty in patients taking glucocorticoids: a prospective two-year study(Wed, 11 Dec 2019)
CONCLUSIONS: Patients under treatment with GC show a two-fold increased risk of new VFx after PVP with respect to patients with primary OP. This should be weighed in the individual risk/benefit
assessment of the procedure.
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Risk factors of
neurological deficit and pulmonary cement embolism after percutaneous vertebroplasty(Sun, 01 Dec 2019)
CONCLUSIONS: Cement leakage is relatively common but mostly of no clinical significance. Percutaneous vertebroplasty in thoracic spine and high amount of PMMA injected should be treated with
caution in clinical practice.
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Vertebroplasty and
vertebroplasty in combination with intermediate bilateral pedicle screw fixation for OF4 in osteoporotic vertebral compression fractures: a retrospective single-Centre cohort study(Thu, 28
Nov 2019)
CONCLUSION: PV with IBPSF could provide effective restoration and maintenance of fractured segment height and segment alignment as well as a lower rate of complications of OF 4 in OVCFs.
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Risk Factors of Secondary
Vertebral Compression Fracture After Percutaneous Vertebroplasty or Kyphoplasty: A Retrospective Study of 650 Patients(Wed, 20 Nov 2019)
BACKGROUND In this study, we aimed to investigate the risk factors contributing to secondary vertebral compression fractures (SVCF) in patients undergoing percutaneous vertebroplasty (PVP) or
kyphoplasty (PKP) due to osteoporotic vertebral compression fracture (OVCF). MATERIAL AND METHODS Between January 2010 and December 2017, 650 patients with regular follow-up were identified and
retrospectively analyzed in this study. Of these patients, 410 patients underwent PVP and 240 patients underwent...
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Effects of teriparatide
versus percutaneous vertebroplasty on pain relief, quality of life and cost-effectiveness in postmenopausal females with acute osteoporotic vertebral compression fracture: A prospective cohort
study(Sun, 17 Nov 2019)
CONCLUSION: TPTD conservative treatment obtained similar therapeutic effects but cost less than PVP in terms of treating acute OVCF.
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Monostotic fibrous
dysplasia at C7 treated with vertebroplasty: a case report and review of the literature(Mon, 11 Nov 2019)
CONCLUSION: VP can relieve pain while stabilizing the spine. Thus, the surgical treatment of MFD vertebral lesions by VP is a valuable option.
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Therapeutic effect of
kyphoplasty and balloon vertebroplasty on osteoporotic vertebral compression fracture: A systematic review and meta-analysis of randomized controlled trials(Sat, 09 Nov 2019)
CONCLUSIONS: Both KP and VP had clinically meaningful beneficial effects on pain and disability, and the effects were stable and similar. KP had significantly fewer cement leakages.
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