Interventional spinal procedures

Andreula, C.F.; Muto, Mario; Leonardi, Marco

doi:10.1016/j.ejrad.2003.10.013

Cited by 75 publications

(68 citation statements)

References 10 publications

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“…Patients treated with the procedure reported complete or partial pain relief immediately after the procedure: 24 h after in 88% of cases of osteoporotic fractures and in 84% of cases of neoplastic fractures. These data confirm the high success rates reported by other authors [4,5,[18][19][20][21]. No patient reported pain worsening, whereas patients who failed to benefit significantly from the procedure were affected by fractures more than 6 months old.…”

Section: Fig 3ab Fuga DI Cemento In Una Vena Perivertebrale Immagisupporting

confidence: 90%

“…I pazienti che abbiamo sottoposto alla procedura hanno riferito la scomparsa o la significativa riduzione del dolore immediatamente dopo la procedura e dopo 24 ore nel 88% dei casi quando colpiti da crollo osteoporotico, e nel 84% quando affetti da localizzazione neoplastica. Questi dati confermano quelli di altri autori riportanti alte percentuali di successo [4,5,[18][19][20][21]. In nessun soggetto si è avuto un peggioramento della sintomatologia, mentre i pazienti che non hanno tratto sollievo in maniera significativa dal trattamento erano affetti da fratture datate oltre sei mesi.…”

Section: Fig 3ab Fuga DI Cemento In Una Vena Perivertebrale Immagiunclassified

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Percutaneous vertebroplasty: the follow-up

et al. 2008

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Purpose. This article reports on our experience treating vertebral fractures with percutaneous vertebroplasty. A clinical and imaging follow-up designed to identify the early (especially pulmonary embolism of bone cement) and late complications of the technique is proposed. Material and methods. On the basis of the current guidelines, 101 patients were selected: 64 osteoporotic and 37 neoplastic. A total of 173 vertebrae were treated. Procedures were performed with both computed tomography and fluoroscopic guidance. Residual pain was evaluated with a visual analogue scale score immediately after vertebroplasty and 1, 15, 30, 90, 180 and 270 days later. Spine and chest radiographs were obtained 24 h after vertebroplasty; spine radiography was repeated 30 days later. Results. Therapeutic success was obtained in 88% of osteoporotic patients and in 84% of neoplastic patients. Pulmonary cement emboli were identified in four patients, all of whom were asymptomatic. Conclusions. Percutaneous vertebroplasty is a safe and

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Section: Fig 3ab Fuga DI Cemento In Una Vena Perivertebrale Immagisupporting

confidence: 90%

Section: Fig 3ab Fuga DI Cemento In Una Vena Perivertebrale Immagiunclassified

Percutaneous vertebroplasty: the follow-up

et al. 2008

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“…Placement of the needle inside cervical disc is usually administered under local anesthesia and by an antero-lateral approach with the patient in supine position under CT or fluoroscopic guidance, from the same side as the main location of symptoms. The unstable condition of medical ozone, which starts decaying (2 μg/mL) after about 20 s, allows a limited time for injection of no more than 15 s. Typically, no premedication is given, aseptic techniques are used, and the procedure is performed at an outpatient facility [1,2,25]. While ozone exposure has been linked to a number of adverse health effects [3], complications secondary to oxygen-ozone treatment are rare [5].…”

Section: Discussionmentioning

confidence: 99%

Cervical Spondylodiscitis after Oxygen–Ozone Therapy for Treatment of a Cervical Disc Herniation: A Case Report and Review of the Literature

Cano¹,

Vela²,

Cano³

et al. 2016

HSS Journal®: The Musculoskeletal Journal of Hospital for Speci

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“…Surgical treatments for intervertebral disk herniation consist of open laminectomy, diskectomy, and microdiskectomy. Minimally invasive methods involve automated percutaneous lumbar diskectomy, arthroscopic microdiskectomy, chemonucleolysis, YAG laser diskectomy, intradiskal electrothermal annuloplasty (IDET), oxygen-ozone therapy, and nucleoplasty [24,25]. Surgical treatments such as open laminectomy, diskectomy, and microdiskectomy are often targeted at patients with uncontained or large herniations, and/or sequestered disks.…”

Section: Discussionmentioning

confidence: 99%

Nucleoplasty in the Treatment of Lumbar Diskogenic Back Pain: One Year Follow-Up

Masala

Massari

Fabiano

et al. 2007

Cardiovasc Intervent Radiol

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Purpose: The spine is an important source of pain and disability, affecting two thirds of adults at some time in their lives. Treatment in these patients is mainly conservative medical management, based on medication, physical therapy, behavioral management, and psychotherapy, surgery being limited to elective cases with neurologic deficits. This study was carried out to evaluate the efficacy of percutaneous nucleoplasty in patients affected by painful diskal protrusions and contained herniations. Methods: From February 2004 to October 2005, 72 patients (48 men, 24 women; mean age 48 years) affected by lumbar disk herniation were treated with nucleoplasty coblation. All patients were evaluated clinically and with radiography and MRI in order to confirm the presence of lumbalgic and/or sciatalgic pain, in the absence of major neurologic deficit and with lack of response after 6 weeks of conservative management. Results: Average preprocedural pain level for all patients was 8.2 (on a visual analog scale of 1 to 10), while the average pain level at 12 months follow-up was 4.1. At the 1 year evaluation, 79% of patients demonstrated a statistically significant improvement in numeric pain scores (p < 0.01): 17% (12 patients) were completely satisfied with complete resolution of symptoms, and 62% (43 patients) obtained a good result. Conclusion: Our data indicate that nucleoplasty coblation is a promising treatment option for patients with symptomatic disk protrusion and herniation who present with lumbalgic and/or sciatalgic pain, have failed conservative therapies, and are not considered candidates for open surgery.Key words: Diskogenic back pain-Interventional radiology-Lumbar pain-Nucleoplasty-SpineThe spine is an important source of pain, suffering, and disability, affecting two thirds of adults at some time in their lives [1,2]. In these individuals the treatment remains mainly conservative, including medication, physical therapy, behavioral management, and psychotherapy.In recent years the general trend in spinal surgery has been toward reduction and minimalization. In fact minimally invasive techniques for the treatment of degenerative pathology of the spine have come to be preferred by surgeons since the destructive effect on bony structures is eliminated and scar formation is greatly reduced [3]. Nucleoplasty is new minimally invasive therapeutic option that has been used for spinal procedures since July 2000.The following study was carried out to evaluate the efficacy of nucleoplasty, performed under local anesthesia, in patients affected by diskal protrusions and contained herniations. Materials and MethodsFrom February 2004 to October 2005, a total of 72 patients (48 men, 24 women; age range 32-64 years, mean 48 years) affected by lumbar diskal protrusions and contained herniations were treated with percutaneous nucleoplasty. All patients were evaluated by radiography and MRI in order to confirm the presence of contained disk herniation.Patients had to satisfy specific inclusion and exclusion crite...

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Interventional spinal procedures

Cited by 75 publications

References 10 publications

Percutaneous vertebroplasty: the follow-up

Percutaneous vertebroplasty: the follow-up

Cervical Spondylodiscitis after Oxygen–Ozone Therapy for Treatment of a Cervical Disc Herniation: A Case Report and Review of the Literature

Nucleoplasty in the Treatment of Lumbar Diskogenic Back Pain: One Year Follow-Up

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