2,974 results match your criteria: "Percutaneous Vertebroplasty"

Application of Low-Temperature Ice Saline Bone Cement in Percutaneous Vertebroplasty.

World 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.

Article Synopsis
  • Percutaneous vertebroplasty involves injecting bone cement to treat osteoporotic vertebral compression fractures, with a focus on comparing traditional and a new method using low-temperature ice saline bone cement.
  • The study included 82 patients split into two groups, with outcomes like bone cement leakage rate, pain levels, cement volume, and operation time analyzed.
  • While no significant differences were found in leakage rates or pain scores, the new method had a longer operation time but allowed for more cement to be injected, making it potentially easier for beginners to use.
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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.

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Article Synopsis
  • The study examines the effectiveness of a new procedure combining ultrasonography-guided canal decompression, vertebroplasty, and cement-augmented pedicle screw fixation in treating stage III Kümmell's disease, particularly for patients with neurological deficits.
  • Researchers reviewed data from eleven patients who underwent this procedure, recording surgery details and assessing outcomes through various measurements, including pain levels and spinal alignment.
  • Results showed significant improvements in patient conditions post-surgery, suggesting that this combined approach is a safe and effective option for managing advanced cases of Kümmell's disease.
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Vertebral Augmentation for Osteoporotic Vertebral Compression Fractures: What is the Current Evidence Pro and Con?

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.

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Article Synopsis
  • A study compared the effectiveness of percutaneous kyphoplasty combined with pediculoplasty (PKCPP) versus simple percutaneous kyphoplasty in treating severe osteoporotic vertebral fractures, finding that PKCPP offered better pain relief and spinal stability.
  • The purpose was to evaluate PKCPP’s ability to address complex fractures, reduce refracture risks, and maintain vertebral stability.
  • The study involved 96 patients and tracked clinical outcomes over a year, showing that while simple kyphoplasty had quicker surgeries and less cement used, PKCPP had superior therapeutic benefits.
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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.

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Endovascular treatment of a large bone cement pulmonary embolism: Case report.

SAGE 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.

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Contact between leaked cement and adjacent vertebral endplate induces a greater risk of adjacent vertebral fracture with vertebral bone cement augmentation biomechanically.

Spine 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).

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Article Synopsis
  • Skin adhesive tapes (SATs) are widely used for wound closure in procedures like vertebral body stenting (VBS), which has a higher risk of complications due to larger incisions compared to percutaneous vertebroplasty (PVP).
  • In a study of 36 patients who underwent VBS, 91.6% had their wounds closed with SATs, showing high success with minimal complications; only three patients required conventional suture closure.
  • Follow-up at six weeks revealed that all SAT closures healed completely with no significant cosmetic issues or major postoperative complications.
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Percutaneous vertebroplasty (PVP) is a surgical procedure that involves injecting polymethylmethacrylate (PMMA) bone cement into the diseased vertebrae to rapidly relieve pain and strengthen the vertebrae. We reported a 73-year-old patient who underwent percutaneous vertebroplasty (PVP) surgery for thoracolumbar vertebral compression fracture. After the surgery, the patient experienced symptoms such as chest tightness and dyspnea.

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Evaluation and analysis of risk factors for adverse events of the fractured vertebra post-percutaneous kyphoplasty: a retrospective cohort study using multiple machine learning models.

J Orthop Surg Res

September 2024

Department of Orthopedics, Xuanwu Hospital, National Clinical Research Center for Geriatric Diseases, Capital Medical University, 45 Changchun Street, Xicheng District, Beijing, 100053, China.

Background: Adverse events of the fractured vertebra (AEFV) post-percutaneous kyphoplasty (PKP) can lead to recurrent pain and neurological damage, which considerably affect the prognosis of patients and the quality of life. This study aimed to analyze the risk factors of AEFV and develop and select the optimal risk prediction model for AEFV to provide guidance for the prevention of this condition and enhancement of clinical outcomes.

Methods: This work included 383 patients with primary osteoporotic vertebral compression fracture (OVCF) who underwent PKP.

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Background: Low-dose following up computed tomography (CT) of percutaneous vertebroplasty (PVP) that involves the use of bone cement usually suffers from lightweight metal artifacts, where conventional techniques for CT metal artifact reduction are often not sufficiently effective. This study aimed to validate an artificial intelligence (AI)-based metal artifact correction (MAC) algorithm for use in low-dose following up CT for PVP.

Methods: In experimental validation, an ovine vertebra phantom was designed to simulate the clinical scenario of PVP.

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Objective: To investigate the occurrence and risk factors for low back pain post-percutaneous vertebroplasty (PVP) in osteoporotic vertebral compression fractures (OVCF) patients.

Methods: A retrospective analysis was conducted of 148 OVCF patients treated from March 2020 to 2023. The incidence of low back pain post-PVP was recorded, and logistic regression analysis was used to identify associated risk factors.

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Effect of acupuncture anesthesia on inflammatory response and cellular immunity in patients with osteoporotic fractures.

Cell Mol Biol (Noisy-le-grand)

September 2024

Department of Spine Surgery, Yueyang Hospital of Integrated Traditional Chinese and Western Medicine, Shanghai University of Traditional Chinese Medicine, Shanghai, 200437, China.

Osteoporotic vertebral compression fractures (OVCFs) occur frequently in the elderly, with percutaneous vertebroplasty (PVP) being the major clinical treatment at present. How to improve the patient's surgical cooperation while ensuring surgical safety is the focus of clinical research. This study explores the influence of acupuncture anesthesia (AA) on the safety, inflammatory response, and cellular immunity of OVCF patients undergoing PVP, which may provide a more reliable safety guarantee for future treatment of OVCFs.

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Background: This study aims to systematically evaluate the clinical efficacy and adverse reactions associated with Jintiange capsule (JTG capsule)-assisted percutaneous vertebral augmentation (PVA) in the treatment of osteoporotic vertebral compression fracture (OVCF).

Methods: A comprehensive search was conducted across multiple databases including PubMed, Cochrane Library, EMBASE, Web of Science Database, China Biomedical Database, China VIP Network, China National Knowledge Infrastructure, Wanfang, and VIP Chinese Journal databases until June 1, 2022. Manual searches were also performed in relevant journals.

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Objective: This study aimed to evaluate the clinical effect of different vertebral body heights restoration rate after percutaneous kyphoplasty (PKP) for the treatment of osteoporotic vertebral compression fractures (OVCF).

Methods: The patients were divided into two groups according to the height restoration rate of the anterior edge of the vertebral body fracture after PKP operation using X-Ray imaging. The group A was below 80%, and the group B was above 80%.

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Objective: Evidence regarding percutaneous vertebroplasty (PV) for chronic painful osteoporotic vertebral compression fractures (OVCFs) remains limited. To compare pain relief, quality of life, and disability between PV and active control (anesthetic infiltration) interventions for chronic OVCF.

Design: Randomized controlled trial.

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Purpose: To introduce the surgical methods and clinical results of percutaneous vertebroplasty (PVP) combined with hollow screw placement as a treatment for patients with Kummell's disease and pedicle rupture.

Methods: From January 2020 to January 2023, a total of 10 patients with Kummell's disease and pedicle rupture confirmed via imaging underwent three-column intensive therapy using hollow screws combined with PVP. There were two males and eight females with an average age 75.

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To investigate the relationship between preoperative blood glucose levels and long-term all-cause mortality in patients with osteoporotic vertebral compression fractures (OVCF) who underwent percutaneous vertebroplasty (VP). This single-center retrospective study involved a chart review of patients admitted for VP to treat OVCF between 2013 and 2020. Patients with pathological or multiple fractures or those who did not undergo bone mineral density assessment were excluded.

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Introduction: Osteoporotic vertebral compression fracture (OVCF) is a common complication in elderly patients with osteoporosis. Despite undergoing percutaneous kyphoplasty (PKP) treatment, a significant percentage of OVCF patients (1.8% to 31.

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Article Synopsis
  • This study evaluates the safety and effectiveness of two treatments for Stage III Kummell's disease, percutaneous vertebroplasty (PVP) and percutaneous kyphoplasty (PKP), specifically looking at non-neurological cases.
  • A comparative analysis was performed on 53 patients treated with either PVP (25 patients) or PKP (28 patients), measuring factors like surgery duration, cement volume, and patient pain/disability scores.
  • Results indicated that while both methods improved patient conditions, PKP had longer surgeries and higher cement volumes but lower leakage rates and greater improvements in vertebral height and spinal alignment over time compared to PVP.
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Objectives: The study aimed to compare the efficacy and safety of unilateral versus bilateral percutaneous kyphoplasty (PKP) in treating osteoporotic vertebral compression fractures.

Materials And Methods: Adhering to the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines, three English-language databases were systematically reviewed: PubMed, Web of Science, and the National Library of Medicine. The search was conducted between their inception and January 1, 2023.

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Percutaneous vertebroplasty (PVP) is widely recognized as an efficacious intervention for alleviating low back pain resulting from osteoporotic vertebral compression fractures. The ideal bone puncture point is conventionally situated at the projection "left 10 points, right 2 points" of the pedicle in the lumbar spine. Determining the optimal bone puncture point represents a critical and complex challenge.

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Quasi-static and dynamic mechanical properties of a linoleic acid-modified, low-modulus bone cement for spinal applications.

Open Res Eur

May 2024

Division of Biomedical Engineering, Department of Materials Science and Engineering, Uppsala University, Uppsala, Uppsala County, 75121, Sweden.

Background: Polymethylmethacrylate (PMMA) bone cement is extensively used in spinal procedures such as vertebroplasty and kyphoplasty, while its use in percutaneous cement discoplasty (PCD) is not yet widely spread. A main issue for both application sites, vertebra and disc, is the mismatch in stiffness between cement and bone, potentially resulting in adjacent vertebral fractures and adjacent segment disease. Tailoring the cement modulus using additives is hence an interesting strategy.

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