Percutaneous Vertebral Body Augmentation: An Updated Review

Omidi-Kashani, Farzad

doi:10.1155/2014/815286

Cited by 3 publications

(1 citation statement)

References 57 publications

(47 reference statements)

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“…Pain and disability are well-known clinical factors that predispose patients to receive surgical intervention [37]. In our study, patients in the surgery group had significantly higher vacuum clefts of fractured vertebrae, preoperative VAS pain scores, and ODI scores (Table 1).…”

Section: Discussionmentioning

confidence: 48%

Factors Predicting the Surgical Risk of Osteoporotic Vertebral Compression Fractures

Kao

Huang

Chiu

et al. 2019

JCM

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The aim of our study was to investigate the association between global spinal alignment, spinopelvic parameters, and outcomes of osteoporotic vertebral compression fractures (OVCF). Patients with vertebral compression fractures seen at our hospital between October 2017 and November of 2018 with a bone mineral density (BMD) T-score < −2.5 were recruited for the study. Surgical intervention was performed after eight weeks of conservative treatment depending on clinical symptoms and the willingness of patients. Spinopelvic and sagittal alignment parameters were compared between patients who had surgery and those that did not. Seventy-nine patients were included in the study. Twenty-five patients (31.6%, mean age: 73.28 ± 9.78 years) received surgery, and 54 (68.3%, mean age: 73 ± 8.58 years) conservative treatment only. Pelvic tilt, pelvic incidence, and local kyphotic angle were statistically different between the groups (all p < 0.05). A sagittal vertical axis ≥ 50 mm, distance between the C7 plumb line and the center of the fractured vertebra (DSVA) ≥ 60 mm, pelvic incidence outside of the range of 44 to 62°), and pelvic tilt ≥ 27° were associted with the need for surgical intervention. Measurement of spinopelvic parameters can predict the need for surgery in patients with OVCF.

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Section: Discussionmentioning

confidence: 48%

Factors Predicting the Surgical Risk of Osteoporotic Vertebral Compression Fractures

Kao

Huang

Chiu

et al. 2019

JCM

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Percutaneous Vertebral Augmentation

Bitar¹,

OʼDonnell²,

Hyman³

2021

Essential Interventional Radiology Review

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Kyphoplasty for thoracic and lumbar fractures with an intravertebral vacuum phenomenon in ankylosing spondylitis patients

et al. 2022

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BackgroundIntravertebral vacuum phenomenon (IVP) is a special sign after vertebral fractures, which is common in patients with ankylosing spondylitis (AS) and may indicate pseudarthrosis and bone nonunion that lead to spinal instability. The objective of this study is to evaluate the efficacy and safety of kyphoplasty (KP) in treating such types of vertebral fractures with AS.MethodsSixteen patients with AS suffering from thoracic or lumbar fractures with IVP received KP from 2015 to 2020 and were monitored for more than 1 year. The visual analog scale (VAS) score was used to evaluate back pain relief. The Oswestry Disability Index (ODI) questionnaire was used to assess the improvement of the patients' living quality. The anterior and middle vertebral height restoration ratio (AVH, MVH) and the kyphotic angle (KA) were used to evaluate the radiographic results.ResultsThe mean follow-up period was 20.8 months (12–28 months). The VAS and ODI significantly reduced at 3 days, 3 months after surgery, and at the last follow-up compared with the preoperative outcomes (p < 0.05). The AVH and MVH were significantly increased compared with the preoperative outcomes (p < 0.05). There was a significant correction in the KA between pre- and postoperative assessments (p < 0.05). Asymptomatic intradiscal polymethylmethacrylate (PMMA) cement leakage was found in two patients.ConclusionsFor thoracic or lumbar fractures with IVP in AS patients, KP may be safe and effective, which achieves pain relief and satisfying functional improvement, restores the anterior and middle height, and corrects the kyphotic angle of the fractured vertebra.

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Percutaneous Vertebral Body Augmentation: An Updated Review

Cited by 3 publications

References 57 publications

Factors Predicting the Surgical Risk of Osteoporotic Vertebral Compression Fractures

Factors Predicting the Surgical Risk of Osteoporotic Vertebral Compression Fractures

Percutaneous Vertebral Augmentation

Kyphoplasty for thoracic and lumbar fractures with an intravertebral vacuum phenomenon in ankylosing spondylitis patients

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