Vertebroplasty

Jay, Bryan S.; Ahn, Sun Ho

doi:10.1055/s-0033-1353483

Cited by 49 publications

(23 citation statements)

References 48 publications

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“…Cement leakage is the most common complication of vertebroplasty, occurring in about 40% of all cases. 1 Cement leakage into the circulation may cause pulmonary embolism; leakage into the spinal canal may lead to cord or nerve root compression. 1 The vast majority of leaks are small and clinically have no impact.…”

Section: Discussionmentioning

confidence: 99%

“…1 Cement leakage into the circulation may cause pulmonary embolism; leakage into the spinal canal may lead to cord or nerve root compression. 1 The vast majority of leaks are small and clinically have no impact. 1 2 Furthermore, leakage is more common in lytic malignant tumors, such as multiple myeloma.…”

Section: Discussionmentioning

confidence: 99%

“…1 2 Furthermore, leakage is more common in lytic malignant tumors, such as multiple myeloma. 1 The risk of cement leakage is thought to decrease when high resolution fluoroscopy and viscous opacified cements are used. Other complications of vertebroplasty include periprocedural fractures from positioning of the patient or infections at the procedure site.…”

Section: Discussionmentioning

confidence: 99%

“…Other complications of vertebroplasty include periprocedural fractures from positioning of the patient or infections at the procedure site. [1][2][3] In our case, the amount of time the cement adjacent to the trocar while performing multiple levels was certainly longer than a single level case. It is common to perform multilevel vertebroplasty and remove the needle at the conclusion of the case.…”

Section: Discussionmentioning

confidence: 99%

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Retained needle after cement injection during vertebral augmentation and its management strategy

et al. 2016

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A middle aged patient with multiple myeloma resulting in numerous pathological fractures underwent an L2, L3, and L5 vertebral cement augmentation for pain relief. After injection, the trocar at L2, the final level, could not be withdrawn despite several attempts of needle rotation, a second needle inserted to distract on, and rocking the needle on the pedicle. After a neurosurgical consultation, the patient was transferred to the operating room for open removal. As the needle protruded approximately 3 inches from the patient's back, the patient could not be positioned supine, and was anesthetized and intubated in the right semi-prone position prior to being placed prone on the operating room table. The needle was surgically exposed, cut off at the pedicular bone edge, and its free component was removed.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Retained needle after cement injection during vertebral augmentation and its management strategy

et al. 2016

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“…Patients with VCF may experience significant morbidity, decreased quality of life, and are also at higher risk for chronic back pain and demonstrate increased mortality rates. 3 VCF is most commonly caused by osteoporosis but can be caused by primary and metastatic malignancies, trauma, haemangioma and osteonecrosis as well.…”

Section: Introductionmentioning

confidence: 99%

Vertebroplasty: For whom and when

2018

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Finite element analysis of vertebroplasty in the osteoporotic T11‐L1 vertebral body: Effects of bone cement formulation

Mondal,

MacManus,

Banche‐Niclot

et al. 2024

J Biomed Mater Res

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Vertebral compression fractures are one of the most severe clinical consequences of osteoporosis and the most common fragility fracture afflicting 570 and 1070 out of 100,000 men and women worldwide, respectively. Vertebroplasty (VP), a minimally invasive surgical procedure that involves the percutaneous injection of bone cement, is one of the most efficacious methods to stabilise osteoporotic vertebral compression fractures. However, postoperative fracture has been observed in up to 30% of patients following VP. Therefore, this study aims to investigate the effect of different injectable bone cement formulations on the stress distribution within the vertebrae and intervertebral discs due to VP and consequently recommend the optimal cement formulation. To achieve this, a 3D finite element (FE) model of the T11‐L1 vertebral body was developed from computed tomography scan data of the spine. Osteoporotic bone was modeled by reducing the Young's modulus by 20% in the cortical bone and 74% in cancellous bone. The FE model was subjected to different physiological movements, such as extension, flexion, bending, and compression. The osteoporotic model caused a reduction in the average von Mises stress compared with the normal model in the T12 cancellous bone and an increment in the average von Mises stress value at the T12 cortical bone. The effects of VP using different formulations of a novel injectable bone cement were modeled by replacing a region of T12 cancellous bone with the materials. Due to the injection of the bone cement at the T12 vertebra, the average von Mises stresses on cancellous bone increased and slightly decreased on the cortical bone under all loading conditions. The novel class of bone cements investigated herein demonstrated an effective restoration of stress distribution to physiological levels within treated vertebrae, which could offer a potential superior alternative for VP surgery as their anti‐osteoclastogenic properties could further enhance the appeal of their fracture treatment and may contribute to improved patient recovery and long‐term well‐being.

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Vertebroplasty

Cited by 49 publications

References 48 publications

Retained needle after cement injection during vertebral augmentation and its management strategy

Retained needle after cement injection during vertebral augmentation and its management strategy

Vertebroplasty: For whom and when

Finite element analysis of vertebroplasty in the osteoporotic T11‐L1 vertebral body: Effects of bone cement formulation

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