Lumbar Nerve Root Compression due to Leakage of Bone Cement after Vertebroplasty

Kim, Doo Soo; Jang, Se Youn; Kong, Min Ho; Song, Kwan Young; Kang, Dong Soo

doi:10.13004/kjnt.2014.10.2.155

Cited by 9 publications

(8 citation statements)

References 12 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…There was no significant difference in the improvement of VAS and ODI scores compared with literature, [ 6 , 31 , 32 ] while the puncture times and the distribution rate of cement were superior to literature. [ 8 , 19 , 32 – 34 ] Concerning the radiation exposure, our fluoroscopy time and dose are consistent with the conclusion of Narain et al, [ 35 ] which is lower than that of conventional fluoroscopy. Such positive result was attributed to the application of the navigation system for preoperative planning and the guidance of puncture needle insertion with SVMN.…”

Section: Discussionsupporting

confidence: 90%

“…Bone cement leakage is considered a serious complication of PVP, [ 8 , 19 , 33 , 34 ] which is likely to cause spinal cord injury [ 33 , 34 ] and even paraplegia. The major factors affecting cement leakage include excessive compression of vertebral body, poor location of puncture needle target, unilateral puncture, repeated insertion of puncture needle, amount of cement injection, and the viscosity of bone cement.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

A novel computer navigation model guided unilateral percutaneous vertebroplasty for vertebral compression fracture

Zheng

Kang

et al. 2020

Medicine

View full text Add to dashboard Cite

Rational: Vertebral compression fracture (VCF) is one of the most common diseases in spinal surgery. Traditional percutaneous vertebroplasty (PVP) under fluoroscopy is an effective method to treat vertebral compression fracture. However, there is still a risk of vascular nerve injury and infection caused by inaccurate or repeated puncture. Therefore, the purpose of this paper was to assess the accuracy of unilateral PVP guided by screw view model of navigation (SVMN) for VCF. Patient concerns: A 59-year-old female patient suffered high falling injury, and with back pain as its main clinical symptom. Diagnoses: The patient was diagnosed with a L1 VCF. Interventions: We placed the puncture needle under the guidance of SVMN to reach the ideal position designed before operation, and then injected the bone cement to complete the percutaneous kyphoplasty (PKP). Outcomes: The operative time was 29.5 minutes, the puncture time was 1 time, the fluoroscopy time was 2.9 minutes, and the bone cement distribution was satisfactory. VAS and ODI scores were significant improved postoperatively. No surgical complications, including neurovascular injury and infection, were observed during 28-month follow up. Lessons: The SVMN guided percutaneous puncture needle insertion in PKP operation for VCF is an effective and safety technique. Besides, the SVMN has also been a contributor to reduce radiation doses and replace conventional fluoroscopy.

show abstract

Section: Discussionsupporting

confidence: 90%

Section: Discussionmentioning

confidence: 99%

A novel computer navigation model guided unilateral percutaneous vertebroplasty for vertebral compression fracture

Zheng

Kang

et al. 2020

Medicine

View full text Add to dashboard Cite

show abstract

“…[26] In order to improve screw fixation in osteoporotic bone, Gruneweller et al [32] proposed that the screws can be implanted with cement augmentation. However, bone cement leakage is considered a serious complication of this operation, [33–36] which is likely to cause spinal cord or nerve root injury. [35,36] So we chose young patients without osteoporosis for our investigation.…”

Section: Discussionmentioning

confidence: 99%

“…However, bone cement leakage is considered a serious complication of this operation, [33–36] which is likely to cause spinal cord or nerve root injury. [35,36] So we chose young patients without osteoporosis for our investigation.…”

Section: Discussionmentioning

confidence: 99%

A novel computer navigation method for accurate percutaneous sacroiliac screw implantation

Yu¹,

Zheng²,

Zhang

et al. 2019

Medicine

View full text Add to dashboard Cite

The purpose of this study was to assess the accuracy of percutaneous sacroiliac screw (PSS) placement assisted by screw view model of navigation system for treatment of sacroiliac fractures. Data pertaining to 18 consecutive patients with posterior pelvic ring fracture who received sacroiliac screw fixation between January 2015 and July 2018 at the Second Hospital of Jilin University were retrospectively analyzed. Kirschner wires were placed under the guidance of navigation's screw view mode. The position of the screws was evaluated by computed tomography (CT) scan postoperatively. Fracture dislocation of sacroiliac joint was measured in axial, sagittal, and coronal views of 3 dimensional (3D) CT images preoperatively, postoperatively and at the last follow-up visit. The duration of trajectory planning, guide wire implantation time, screw placement time, intraoperative blood loss, and incidence of screw loosening and clinical complications were also assessed. A total of 27 screws were placed unilaterally or bilaterally into segments S1 or S2. Screw placement was rated as excellent for 88.9% of screws (n = 24), good for 7.4% (n = 2), and poor for 3.7% (n = 1). Preoperatively, the average fracture dislocation of sacroiliac joint on axial, sagittal, and coronal views was 14.3 mm, 9.6 mm, and 7.4 mm, respectively, and the corresponding postoperative figures were 5.6 mm, 3.2 mm, 4.1 mm, respectively. The corresponding correction rates were 60.8%, 66.7%, and 44.6%, respectively. The mean duration of trajectory planning was 6.5 min (2.7–8.9 min). Mean screw implantation time was 32 min (range, 20–53 min), and the mean guide wire implantation time was 3.7 min (range, 2.1–5.3 min). No clinical complications such as neurovascular injury, infection or screw loosening were observed on follow-up. The PSS placement under guidance of screw view model of navigation is a convenient, safe and reliable method.

show abstract

“…Especially, leakage of cement after VP is one of the most serious complication and it has been reported between 38% and 75%. 3 4 5 6 12 16) To prevent this complication, the technique using gelfoam during VP has been reported. Although gelfoam technique could reduce the cement leakage, it still remains one of the major problems of vertebroplasty.…”

Section: Introductionmentioning

confidence: 99%

Gelfoam Embolization Technique to Prevent Bone Cement Leakage during Percutaneous Vertebroplasty: Comparative Study of Gelfoam only vs. Gelfoam with Venography

Ahn

2020

Korean J Neurotrauma

View full text Add to dashboard Cite

Objective Percutaneous vertebroplasty (VP) has been used for the safe treatment of osteoporotic compression fracture. However, cement leakage is the most common complication. To reduce the leakage of bone cement, we did the gelfoam embolization during VP. The purpose of this study is to compare the safety and feasibility of different two gelfoam embolization technique during VP. Methods Total 127 patients (146 level) who had the thoracolumbar osteoporotic compression fracture were enrolled. Group A was treated by gelfoam-only technique and, Group B was treated by gelfoam with venography technique. We compared the incidence of bone cement leakage between two groups using post-operative computed tomography scan and X-ray. Results Seventy-four patients (81 levels) were treated with gelfoam-only technique (A), and 53 patients (65 levels) were treated with gelfoam with venography technique (B). There were 22 leakages on group A, and 19 leakages on group B. There was no statistical significant difference between two groups (Chi-square test, p -value =0.958). Incidence of leakage to spinal canal was 11 levels in Group A, 3 levels in group B, and there was statistical significant difference (Fisher's exact test, p -value=0.027). Conclusion Complication induced by the bone cement leakage are the most careful point during VP. Gelfoam embolization with venography is very easy and safe method. Gelfoam with venography technique could make lower the incidence of cement leakage to spinal canal.

show abstract

Lumbar Nerve Root Compression due to Leakage of Bone Cement after Vertebroplasty

Cited by 9 publications

References 12 publications

A novel computer navigation model guided unilateral percutaneous vertebroplasty for vertebral compression fracture

A novel computer navigation model guided unilateral percutaneous vertebroplasty for vertebral compression fracture

A novel computer navigation method for accurate percutaneous sacroiliac screw implantation

Gelfoam Embolization Technique to Prevent Bone Cement Leakage during Percutaneous Vertebroplasty: Comparative Study of Gelfoam only vs. Gelfoam with Venography

Contact Info

Product

Resources

About