2,965 results match your criteria: "Percutaneous Vertebroplasty"
Med Sci Monit
November 2024
Department of Spinal Surgery, Peking University People's Hospital, Beijing, China.
BACKGROUND Bone cement displacement (BCD), which has received increasing attention from scholars, is a serious complication following vertebroplasty in patients with osteoporotic vertebral fractures (OVFs), and percutaneous kyphoplasty (PKP) might promote its occurrence. However, few studies have systematically explored the risk factors of BCD after PKP. This research aimed to study the risk factors for BCD following PKP.
View Article and Find Full Text PDFJ Orthop Surg Res
November 2024
Department of Orthopedics, Beijing Chaoyang Hospital, Capital Medical University, 5 JingYuan Road, Shijingshan District, Beijing, 100043, China.
Orthop Surg
November 2024
Department of Orthopedics, The Second Affiliated Hospital of Xuzhou Medical University, Xuzhou, China.
Objective: Patients with osteoporotic vertebral compression fractures (OVCF) treated with vertebroplasty (PVP) are experiencing an increasing number of problems such as pain recurrence, mainly due to recompression fractures of the operated vertebral body within a certain period of time after the operation, which is closely related to the distribution of intraoperative bone cement. The aim of this study is to investigate the effect of different spacing distributions between the upper boundary of the cement and the upper endplate of the operated vertebra on the biomechanics of the operated vertebra after percutaneous vertebroplasty for OVCF using finite element analysis (FEA).
Methods: One patient with L1 vertebral body OVCF was selected, and computed tomography (CT) of the thoracolumbar segment was performed.
Front Surg
October 2024
Department of Nursing, Shanghai Fengxian District Central Hospital, Shanghai Jiao Tong University Affiliated Sixth People's Hospital South Campus, Shanghai, China.
Percutaneous vertebroplasty (PVP), a minimally invasive surgery technique, has become the common treatment for osteoporotic vertebral compression fractures (OVCF). The complications of PVP will lead to severe damage to spinal neuro systems due to bone cement leakage. A patient tailored preoperative assessment approach was developed to reduce the risks of complications in this study.
View Article and Find Full Text PDFSpine J
November 2024
Department of Orthopedics and Traumatology, Taipei Veterans General Hospital, Taipei, Taiwan, Republic of China; National Yang Ming Chiao Tung University, School of Medicine, Taiwan, Republic of China.
Background Context: Percutaneous vertebroplasty for the treatment of osteoporotic burst fractures remains controversial. A previous study has shown that an osteoporotic burst fracture with asymptomatic spinal canal compromise is not a contraindication for percutaneous vertebroplasty.
Purpose: To determine whether these outcomes persist over a long term, we continued to observe patients in their short-term study over a long-term period.
Spine J
November 2024
Shanghai Key Laboratory of Orthopaedic Implants, Department of Orthopaedic Surgery, Shanghai Ninth People's Hospital, Shanghai JiaoTong University School of Medicine, Shanghai, China. Electronic address:
Background Context: Percutaneous vertebroplasty (PVP) is an effective procedure for treatment of osteoporotic vertebral compression fractures (OVCFs). Recollapse of the cemented vertebrae is not unusual and the thoracolumbar junction is the most common region. Nevertheless, not all patients suffering from OVCFs in this region develop recollapse after PVP.
View Article and Find Full Text PDFTech Vasc Interv Radiol
September 2024
Division of Interventional Radiology, Olean General Hospital, Upper Allegheny Health System. Olean, NY.
Vertebral augmentation consists of minimally invasive techniques indicated in the treatment of vertebral compression fractures (VCFs). These compression fractures cause vertebral body height loss and consequent significant pain and are most frequently the result of osteoporosis, cancer metastasis, or trauma. The deleterious effects of VCFs often compound, as greater load-bearing stress is transferred to the remaining healthy vertebrae.
View Article and Find Full Text PDFTech Vasc Interv Radiol
September 2024
Department of Interventional Radiology, MD Anderson Cancer Center, Houston, TX. Electronic address:
This technical review provides a comprehensive overview of spinal tumor ablation and vertebral augmentation. These percutaneous minimally invasive procedures offer significant survival and palliative pain relief benefits for patients with pathological vertebral fractures. Vertebral augmentation, which includes vertebroplasty and kyphoplasty, involves injecting cement into fractured vertebral bodies to restore height.
View Article and Find Full Text PDFInt Orthop
November 2024
Department of Orthopedics, Shanghai Tenth People's Hospital, Tongji University School of Medicine, No. 301 Yanchang Road, Shanghai, 200072, China.
Purpose: Tissue biopsy is the gold standard for differentiating osteoporotic vertebral compression fractures from malignant lesions. However, the necessity of routine biopsies during percutaneous vertebroplasty and kyphoplasty is debated due to the low malignancy detection rates. This study aims to identify key predictors of positive biopsy outcomes in patients undergoing these procedures, with the goal of refining biopsy selection criteria to enhance diagnostic yield and improve clinical decision-making.
View Article and Find Full Text PDFBMC Musculoskelet Disord
October 2024
Department of Spinal Surgery Ward 1, Hanzhong Central Hospital, 22Kangfu Road, Hanzhong, Shaanxi, 723000, China.
Objective: To design and apply a novel puncture method, named P TO P technique, and to evaluate its efficacy and safety.
Method: The data of patients treated with PVA in medical institution from January 2020 to December 2022 were reviewed and analyzed. The degree of pain relief and recovery from daily activities were evaluated using VAS and LAS scores, and radiological parameters were evaluated using local kyphosis angle and excellent cement distribution.
J Nutr Sci Vitaminol (Tokyo)
October 2024
Department of Anesthesiology, Ganzhou Maternal and Child Health Hospital.
The study aimed at analyzing the therapeutic effect of salmon calcitonin on patients with lumbar spine fracture after operation. Eighty-eight cases with lumbar spine fracture who underwent percutaneous vertebroplasty (PVP) in The Huichang People's Hospital from February 2020 to February 2023 were separated into two groups. The 44 cases in the control group were treated with calcium carbonate and Vitamin D3 tablets, on the basis, the salmon calcitonin was applied to treat the 44 cases in study group.
View Article and Find Full Text PDFAnn Ital Chir
October 2024
Department of Orthopedics, Suzhou Hospital of Integrated Traditional Chinese and Western Medicine, 215000 Suzhou, Jiangsu, China.
Aim: This study aims to evaluate the clinical effectiveness of percutaneous vertebroplasty (PVP) and percutaneous kyphoplasty (PKP) in managing osteoporotic vertebral compression fractures (OVCFs).
Methods: This retrospective study included 268 elderly OVCF individuals, and 144 individuals were selected after propensity score matching. General patient information, perioperative conditions, vertebral height and Cobb angle, lumbar spinal function, degree of pain, incidence of complications, and fracture recurrence rates were compared and analyzed for the patients.
Medicine (Baltimore)
October 2024
Department of Orthopedics, Hangzhou Hospital of Traditional Chinese Medicine, Zhejiang Chinese Traditional Medicine University, Zhejiang, China.
Rationale: Traumatic spinal epidural hematoma (SEH) is a rare clinical condition. Here, we present an extraordinary case of recurrent SEH accompanied by thoracolumbar spine fractures resulting from minor trauma, and provide evidence-based recommendations for the surgical management strategies in this unique scenario.
Patient Concerns: A 71-year-old female patient presented with back pain after a fall.
Medicine (Baltimore)
October 2024
Department of Orthopedics, The First Affiliated Hospital of Guangdong Pharmaceutical University, Guangzhou, China.
Sci Rep
October 2024
Department of Spine Surgery, Honghui Hospital, Xi'an Jiaotong University, Xi'an, Shaanxi, China.
Based on the characteristics of Kummell's disease (KD) and related anatomical structures of the thoracolumbar spine, a novel bone cement screw system has been designed to effectively avoid the cement loosening and displacement. This experiment aimed to assess the biological effects of the novel bone cement screw system in KD on fresh cadaveric thoracolumbar spine specimens, thereby discussing its potential application value and providing a foundation for clinical implementation. This study employed a total of 50 fresh female adult cadaver specimens.
View Article and Find Full Text PDFBMC Anesthesiol
October 2024
Department of Anesthesia, The Affiliated Lihuili Hospital of Ningbo University, NO 1111 Jiangnan Road, Yinzhou District, Ningbo City, Zhejiang Province, 315040, P.R. China.
Background: Elderly patients often experience severe pain during percutaneous kyphoplasty under local anaesthesia. The aim of this work was to evaluate the effect of lidocaine combined with esketamine on pain improvement in elderly patients receiving local anaesthesia via percutaneous kyphoplasty.
Methods: This prospective, randomized comparative trial was conducted on 66 elderly patients, aged 60-80 years, with an American Society of Anaesthesiologists (ASA) grade of I-III, I‒III and a BMI of 18.
BMC Musculoskelet Disord
October 2024
Anhui No. 2 Provincial People's Hospital Clinical College of Anhui Medical University, No. 1868 Dangshan Road, Yaohai District, Hefei, Anhui, 230000, China.
Background: Osteoporotic vertebral compression fractures (OVCF) severely affect the quality of life in the aged population. Percutaneous vertebroplasty (PVP) alleviates pain and stabilizes vertebrae, but suboptimal bone cement distribution can cause complications. Hence, this study aimed to clarify whether a new technique for PVP, using a curved guide wire, enhances the distribution of bone cement and improves clinical outcomes in patients with OVCF.
View Article and Find Full Text PDFWorld Neurosurg
October 2024
Second Department of Spinal Surgery, The Second People's Hospital of Liaocheng, The Second Hospital of Liaocheng Affiliated to Shandong First Medical University, Linqing City, Shandong, China.
Am J Transl Res
September 2024
Department of Orthopaedics, Suzhou Hospital of Integrated Traditional Chinese and Western Medicine No. 39 Xiashatang Road, Mudu Town, Wuzhong District, Suzhou 215101, Jiangsu, China.
Objective: To evaluate the effectiveness of PVP (PVP) in treating osteoporotic spinal fractures in the elderly and analyze the risk factors for postoperative deep vein thrombosis (DVT) in the lower extremities.
Methods: A total of 100 elderly patients with osteoporotic spinal fractures, treated between August 2019 and July 2021, were divided into two groups: PVP (research group, n=50) and conservative treatment (control group, n=50). Outcome measures, including injured vertebrae, pain levels, and treatment outcomes, were retrospectively analyzed.
BMC Musculoskelet Disord
October 2024
Department of Spine Surgery, The Second Hospital of Shandong University, 247 Beiyuan Road, Jinan, 250033, Shandong, China.
Radiol Clin North Am
November 2024
Department of Radiology, Albert Einstein College of Medicine, Jacobi Medical Center, 1400 Pelham Pkwy South, Bronx, NY 10461, USA.
Osteoporotic vertebral compression fractures can be quite challenging to treat, especially since they often occur in older adults and can be associated with significant morbidity and mortality. The standard treatment for these fractures has been medical management, as many of these patients are not candidates for open surgery. Vertebral augmentation procedures have emerged as another treatment option.
View Article and Find Full Text PDFArch Osteoporos
October 2024
Spinal Surgery Department, The Affiliated Traditional Chinese Medicine Hospital, Southwest Medical University, Luzhou, 646000, Sichuan, China.
Cureus
September 2024
Clinical Embryology, School of Allied Health Sciences, Datta Meghe Institute of Higher Education and Research, Wardha, IND.
A 78-year-old woman with vertebral compression fractures (VCFs) and chronic back pain was the subject of this case study. To treat symptomatic VCFs, less invasive procedures such as balloon kyphoplasty and vertebroplasty were developed. Vertebroplasty involves injecting polymethylmethacrylate (PMMA) into the vertebral body to mechanically stabilize it.
View Article and Find Full Text PDFSAGE Open Med Case Rep
October 2024
Department of Vascular Surgery, Taizhou Hospital of Zhejiang Province, Affiliated to Wenzhou Medical University, Linhai, China.
We report a case of endovascular treatment of bone cement embolism after percutaneous vertebroplasty. The patient underwent percutaneous vertebroplasty for acute L1 compression fracture. Two weeks later, the patient developed symptoms of pulmonary embolism.
View Article and Find Full Text PDFSpine J
September 2024
Department of Orthopedics, Luzhou Key Laboratory of Orthopedic Disorders, The Affiliated Traditional Chinese Medicine Hospital, Southwest Medical University, Luzhou 646000, Sichuan Province, PR China. Electronic address:
Background Context: Adjacent vertebral fracture (AVF) is a frequently observed complication after percutaneous vertebroplasty in patients with osteoporotic vertebral compressive fracture (OVCF). Studies have demonstrated that intervertebral cement leakage (ICL) can increase the incidence of AVF, but others have reached opposite conclusions. The stress concentration initially increases the risk of AVF, and dispersive concentrated stress is the main biomechanical function of the intervertebral disc (IVD).
View Article and Find Full Text PDF