Percutaneous Vertebroplasty in Vertebral Compression Fractures of Benign or Malignant Origin

Mpotsaris, Anastasios; Abdolvahabi, Razmin; Hoffleith, Bastian; Nickel, Janpeter; Harati, Ali; Loehr, Christian; Gerdes, Chun Hee; Hennigs, S; Weber, W.

doi:10.3238/arztebl.2011.0331

Cited by 23 publications

(23 citation statements)

References 34 publications

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“…Boger A. claimed that the injection of bone cement should be delayed as much as possible to prevent leakage and over ow [12] . The incidence rate of bone cement leakage has varied between 5 and 87% [13][14] , most of which was asymptomatic leakage and pulmonary cement embolism or spinal injury was rarely reported [15][16] . Yeom [17] .…”

Section: Discussionmentioning

confidence: 99%

High-viscosity bone cement for vertebral compression fractures: a prospective study on intravertebral diffusion and leakage of bone cement

wang

Jin

2020

Preprint

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Background: Bone cement leakage causes severe complication following percutaneous vertebroplasty. This study probed the diffusion and leakage status of bone cement injected within diverged time duration, so as to find the optimal injection time for bone cement. Methods: A total of 70 patients with osteoporotic vertebral compression fractures with a symptom of low back pain, who underwent treatment at hospital were enrolled in this study. Patients were randomized into three groups: <180 s, 180-300, and >300 s of injection time duration from the beginning to the completion of the injection. The scenarios of vertebral bone cement leakage and diffusion were inspected using postoperative CT.Results: The diffusion coefficient was higher in group A than in group B whereas it was higher in group B than in group C, but without statistical significance among the three groups. The leakage rate was without statistical significance among the three groups. The injection time of bone cement was negatively correlated with the diffusion coefficient, at the correlation coefficient of -0.253. Conclusions: The diffusion coefficient of high-viscosity bone cement is negatively correlated with the injection time, and the leakage rate of high-viscosity bone cement does not reduce with the prolongation of injection time.

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Section: Discussionmentioning

confidence: 99%

High-viscosity bone cement for vertebral compression fractures: a prospective study on intravertebral diffusion and leakage of bone cement

wang

Jin

2020

Preprint

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“…In 1 study without a systematic approach for assessing spread, PMMA spread appearance was interpreted as different in VCFs because of osteoporosis compared with metastatic lesions (13). However, other studies that included patients with VCFs secondary to osteoporosis and osteolytic lesions did not compare appearance (4, 32-34). There have been no in vivo comparisons of PMMA spread within the vertebrae from different levels.…”

Section: Discussionmentioning

confidence: 99%

A Classification System for the Spread of Polymethyl Methacrylate in Vertebral Bodies Treated with Vertebral Augmentation

et al. 2016

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In this study, we develop a classification system for describing polymethyl methacrylate (PMMA) spread in vertebral bodies after kyphoplasty or vertebroplasty for vertebral compression fractures (VCFs) and for assessing whether PMMA spread varies between operators, VCF etiology, or vertebral level. Intraoperative fluoroscopic images of 198 vertebral levels were reviewed in 137 patients (women, 84; men, 53; mean age, 75.8 ± 12.5; and those with a diagnosis of osteoporosis, 63%) treated with kyphoplasty between January 01, 2015 and May 31, 2015 at a single center to create a 5-class descriptive system. PMMA spread patterns in the same images were then classified by 2 board-certified radiologists, and a third board-certified radiologist resolved conflicts. A total of 2 primary PMMA spread patterns were identified, namely, acinar and globular, with subtypes of localized acinar, diffuse globular, and mixed, to describe an equal combination of patterns. Interrater reliability using the system was moderate (κ = 0.47). After resolving conflicts, the most common spread class was globular (n = 63), followed by mixed (n = 58), diffuse globular (n = 30), acinar (n = 27), and localized acinar (n = 20). The spread class after treatment by the 2 most frequent operators differed significantly (n1 = 63, n2 = 70; P < .0001). There was no difference in the spread class between VCF etiologies or vertebral levels. PMMA spread may, therefore, be a modifiable parameter that affects kyphoplasty and vertebroplasty efficacy and adverse events.

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“…Kyphoplasty (KP) is also considered as efficient as VT for tumoral fractures with less risks of leakage 4.5.27.28 . KT provides height restoration and better vertebral filling, but there is no evidence that these two elements are concerned in the mechanisms of pain relief 7,24 .…”

Section: Pain Relief: Vt X Radiotherapy and Review Of The Literaturementioning

confidence: 99%

Percutaneous Vertebroplasty for Tumoral Fractures

Narata¹,

Brina²,

Herbretau³

et al. 2018

jbnc

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The pain management in oncologic patients requires a multidisciplinary approach. Considering bone metastases, multiple myeloma and lymphoma, percutaneous procedures like vertebroplasty can provide rapid pain relief. However, percutaneous vertebroplasty must be placed in order to not delay systemic therapy or other modalities of treatment. In this article, we described our 15 years' experience in collaborating with a multidisciplinary team, reviewing literature and special issues percutaneous vertebroplasty for spinal tumoral fractures. RESUMO O tratamento da dor do paciente oncológico necessita de um acesso multidisciplinar. Se considerarmos metastases ósseas, mieloma múltiplo e linfoma, os procedimentos percutâneos como a vertebroplastia podem gerar um alívio rápido da dor. Entretanto, a vertebroplastia percutânea deve ser colocada de maneira a não retardar o tratamento sistêmico ou outras modalidades de tratamento. Neste artigo, descrevemos nossos 15 anos de experiência com a colaboração de uma equipe multidisciplinar, através de revisão da literatura e pontos especiais da vertebroplastia percutânea para fraturas tumorais da coluna vertebral.Percutaneous vertebroplasty for tumoral fractures. 15 years experience of a multidisciplinary support and review of the literature Original Narata AP, Brina O, Herbretau D, Cottier JP, Dietrich PY, Yilmaz H, Martin JB, Pereira VM. -Percutaneous vertebroplasty for tumoral fractures. 15 years experience of a multidisciplinary support and review of the literature J Bras Neurocirurg 24 (4): 293 -299, 2013

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Percutaneous Vertebroplasty in Vertebral Compression Fractures of Benign or Malignant Origin

Cited by 23 publications

References 34 publications

High-viscosity bone cement for vertebral compression fractures: a prospective study on intravertebral diffusion and leakage of bone cement

High-viscosity bone cement for vertebral compression fractures: a prospective study on intravertebral diffusion and leakage of bone cement

A Classification System for the Spread of Polymethyl Methacrylate in Vertebral Bodies Treated with Vertebral Augmentation

Percutaneous Vertebroplasty for Tumoral Fractures

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