Cement injection and postoperative vertebral fractures during vertebroplasty

Vertebroplasty is the most widely used method for treating osteoporotic vertebral compression fractures (OVCF). During this procedure, bone cement is injected into the vertebral body. Fracture and additional f...
Source: Journal of Orthopaedic Surgery and Research - Category: Orthopaedics Authors: Tags: Research article Source Type: research

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Source: BMJ Comments - Category: General Medicine Source Type: forums
This study was designed to reduce the radiation and damage and improve the treatment efficiency of PVP. METHODS: Forty four patients who diagnosed to be acute osteoporotic single vertebral compression fractures were collected and randomly divided into traditional group and improved group, and these two groups were separately treated by the traditional and improved PVP which assisted by the preoperative digital design. The treatment outcome between these two groups was compared and analyzed by Students' t test and χ 2 test. RESULTS: Compared with the traditional PVP, the improved PVP could significantly reduce...
Source: Journal of Orthopaedic Surgery - Category: Orthopaedics Authors: Tags: J Orthop Surg (Hong Kong) Source Type: research
Osteoporotic compression fractures of the vertebral body can result in pain and long-term morbidity, including spinal deformity, with increased risk of mortality resulting from associated complications. Conservative management includes opioids and other analgesics, bed rest, and a back brace. For patients with severe and disabling pain, vertebral augmentation (vertebroplasty and kyphoplasty) is often considered, with these procedures endorsed by multiple professional societies, and provides immediate structural support, and stabilizes and reinforces the weakened bone structure. The purpose of this article is to review the ...
Source: Neuroimaging Clinics - Category: Radiology Authors: Source Type: research
ConclusionsApplication of PVP was effective and safe only in patients with acute OVCFs having persistent and severe pain. No benefits were recorded, among patients with older fractures or those bearing non-severe symptoms.
Source: Osteoporosis International - Category: Orthopaedics Source Type: research
Extrapedicular infiltration anesthesia (EPIA) was reported for percutaneous vertebroplasty (PVP) and percutaneous kyphoplasty (PKP) and provided good local anesthetic effects. Because of differences in anatomical morphology at each lumbar level, the puncture method of EPIA is not uniform in each lumbar vertebrae. To accurately insert the anesthetic needle into the extrapedicular region, we researched the puncture method of EPIA at each lumbar level. We retrospectively analyzed computed tomography (CT) images in 230 patients with lumbar osteoporotic fractures, including 59 L1 fractures, 54 L2 fractures, 50 L3 fractures, 36...
Source: Medicine - Category: Internal Medicine Tags: Research Article: Observational Study Source Type: research
CONCLUSIONS Balloon kyphoplasty proved to be a safe surgical technique and should be considered in patients with an ongoing pain following vertebral insufficiency fractures that do not improve with the initial non-operative treatment. Cement augmentation significantly improves pain levels and as well functional status in elderly patients. Key words:cement augmentation, osteoporotic fracture, kyphoplasty, vertebroplasty, osteoporotic spine fracture. PMID: 31333182 [PubMed - in process]
Source: Acta Orthopaedica - Category: Orthopaedics Authors: Tags: Acta Chir Orthop Traumatol Cech Source Type: research
Conclusion: Significant (90%) pain relief achieved within 24 to 48 hours in eighteen (81.81%) patients. Cath lab-PVP increases safety, early mobility without analgesics. Small volume PMMA is optimal and less prone for complication. Cath lab PVP fluoroscopy with its increased PMMA radio opacity monitors bone filling well. It has less procedural time and better psychological impact on the minds of geriatric. PMID: 31309795 [PubMed - in process]
Source: Journal of the Association of Physicians of India - Category: General Medicine Tags: J Assoc Physicians India Source Type: research
Condition:   Metastasis Interventions:   Device: Conventional Percutaneous Vertebroplasty;   Device: Percutaneous Vertebroplasty with Rotary Cutter Sponsor:   Li Min Recruiting
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
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