Percutaneous vertebroplasty complications

Al-Nakshabandi, Nizar A.

doi:10.4103/0256-4947.81542

Cited by 48 publications

(31 citation statements)

References 18 publications

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“…The balloon creates a cavity inside the vertebral body into which a more viscous cement can be injected at lower pressure, thus considerably reducing the risk of leakage (5)(6)(7)(8)(9)(10). Reducing the volume of cement as the primary stabilizer in vertebral compression fractures can also reduce the likelihood of cement leakage (11,12). Unfortunately, the recovery of vertebral body height may be only temporary as there is often a total or partial vertebral body collapse after the balloon is deflated (13)(14)(15)(16).…”

Section: Discussionmentioning

confidence: 99%

Third-generation percutaneous vertebral augmentation systems

Vanni¹,

Galzio²,

Казакова³

et al. 2016

J. Spine Surg.

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Section: Discussionmentioning

confidence: 99%

Third-generation percutaneous vertebral augmentation systems

Vanni¹,

Galzio²,

Казакова³

et al. 2016

J. Spine Surg.

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“…Intra-cardiac cement embolism develops very rarely as a complication of PVP, but it can be fatal. 6 It develops when PMMA injected through the transpedicular approach is not sufficiently polymerized, leaks into the external vertebral venous plexuses, and then migrates to the IVC. Since its size is relatively small, pulmonary embolism eventually develops once the PMMA migrates into the pulmonary artery.…”

Section: Discussionmentioning

confidence: 99%

Intra-cardiac Embolism of a Large Bone Cement Material after Percutaneous Vertebroplasty Removed through a Combination of an Endovascular Procedure and an Inferior Vena Cava Exploration: a Case Report

et al. 2018

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Percutaneous vertebroplasty (PVP) is a minimally invasive surgical treatment for patients with osteoporotic vertebral compression fracture (OVCF) and can rapidly alleviate pain, improve mobility, and stabilize the vertebrae. However, it has the potential to cause complications such as cement embolism. A 55-year-old female presented with pain in the lumbar region as a chief complaint. PVP was performed after diagnosis of acute OVCFs at L4 and L5. No abnormal symptoms were reported after surgery, but a large cement embolism was observed in her right atrium and ventricle. After discussion in a multi-disciplinary team, the large cement embolism was successfully removed by a combination of endovascular procedure and an inferior vena cava exploration. Surgeons must consider the possibility of intra-cardiac cement embolism after PVP. A hybrid approach of an endovascular procedure and a vascular surgery may be a reasonable treatment option to minimize the surgical procedure in cases of a large intra-cardiac cement embolism.

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“…[121314151617] Reducing the relevance of cement as the primary stabilizer in vertebral compression fractures may reduce or eliminate concerns about cement leakage. [1819202122] Unfortunately, height recovery is temporary. Infact, as soon as the balloon is deflated, there is often a new total or partial vertebral body collapse.…”

Section: Discussionmentioning

confidence: 99%

New perspective for third generation percutaneous vertebral augmentation procedures: Preliminary results at 12 months

Vanni

Pantalone

Bigossi³

et al. 2012

J Craniovert Jun Spine

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Introduction:The prevalence of osteoporotic vertebral fractures (OVF) increased in the last years. Compression fractures promote a progressive spine kyphosis increase, resulting in a weight shift and anterior column overload, with OVF additional risk (domino effect). The aim of this study is to evaluate the OVF treatment outcome using Spine Jack®, a titanium device for third generation percutaneous vertebral augmentation procedures (PVAPs).Materials and Methods:From February 2010, a prospective randomized study was performed examining 300 patients who underwent PVAP due to OVF type A1 according to Magerl/AO spine classification. Patients enrolled in the study were divided in two homogenous groups with regards to age (65-85 years), sex, and general clinical findings. Group A included 150 patients who underwent PVAP using Spine Jack® system; the second, group B (control group), included 150 patients treated by conventional balloon kyphoplasty. Patients underwent a clinical (visual analogue scale and Oswestry disability index) and radiographic follow-up, with post-operative standing plain radiogram of the spine at 1, 6, and 12 months. The radiographic parameters that were taken into account were: Post-operative anterior vertebral body height, pre-operative anterior vertebral body height, cephalic anterior vertebral body height, and caudal anterior vertebral body height.Results:Compared to the Spine Jack® group, the kyphoplasty group required a little longer operation time (an average of 40 min–group A vs. 45 min–group B, P < 0.05) and a greater amount of polymethylmethacrylate (4.0 mL–group A vs. 5.0 mL–group B, P < 0.05;). The post-operative increase in vertebral body height was greater in the Spine Jack® group than in the kyphoplasty group (P < 0.05).Discussion:PVAP are based on the cement injection into the vertebral body. Vertebroplasty does not allow the vertebral body height recovery. Balloon kyphoplasty allows a temporary height restoration. Spine Jack® has some new features compared to other systems: It is equipped with a mechanical and not a hydraulic opening control; this ensures a gradual and controlled vertebral fracture reduction.Conclusions:In our study, we demonstrated that the third generation PVAP with Spine Jack® is able to determine a safe vertebral body height restoration compared to the conventional balloon kyphoplasty.

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Percutaneous vertebroplasty complications

Cited by 48 publications

References 18 publications

Third-generation percutaneous vertebral augmentation systems

Third-generation percutaneous vertebral augmentation systems

Intra-cardiac Embolism of a Large Bone Cement Material after Percutaneous Vertebroplasty Removed through a Combination of an Endovascular Procedure and an Inferior Vena Cava Exploration: a Case Report

New perspective for third generation percutaneous vertebral augmentation procedures: Preliminary results at 12 months

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