Percutaneous Vertebroplasty Performed with an 18-Gauge Needle for Treatment of Metastatic Severe Compression Fracture of the Cervical Vertebral Body

Chen, Long; Su, I‐Chang; Chen, Ni; Wang, Zhentang

doi:10.1016/j.jvir.2014.05.004

Cited by 4 publications

(6 citation statements)

References 12 publications

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“…In cVP, only scant complications have been reported in the literature. Procedure-related deaths have been reported ranging from 0 to 9% [5][6][7][8][9][10][11][12][13][14][15][16][17][18][19][20]. One pulmonary decompensation secondary to cVP has been reported by Sebaaly et al [15] in their cases series, leading to a 9% death rate.…”

Section: Complicationsmentioning

confidence: 99%

“…In 10.5% of the cases, pain was stable. In the literature, pain relief is reported varying from 80 to 100% [5][6][7][8][9][10][11][12][13][14][15][16][17][18][19][20] ( Table 2). The pain relief rate in this series was slightly lower than the ones reported in the literature, which may be explained by the fact that very challenging lesions were included in this series (17.3% of the lesions presented a posterior wall disruption and 26.5% had a contact with the transverse canal).…”

Section: Pain Reliefmentioning

confidence: 99%

“…Additionally, potential bone cement migration posteriorly into the spinal canal during cVP may lead to devastating sequelae like tetraparesis or even death in case of cervical spinal cord compression. Only limited data, mainly short case series [5][6][7][8][9][10][11][12][13][14][15][16][17][18][19][20], are available in the literature on the safety and effectiveness of cVP.…”

Section: Introductionmentioning

confidence: 99%

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Safety and effectiveness of cervical vertebroplasty: report of a large cohort and systematic review

et al. 2019

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Purpose To evaluate retrospectively safety and effectiveness of cervical vertebroplasty (cVP) based on a single centre large cohort. Materials and Methods All cVP performed at single centre from January 2001 to October 2014 were included and reviewed. Procedure-related complications (minor and major) were systematically recorded. Effectiveness in terms of analgesia was evaluated using a semi-quantitative grading scale at one-month follow-up. Risk factors for the occurrence of a procedure-related complication or cement leakage, as well as factors influencing pain relief at one-month follow-up were evaluated using a multivariate analysis. Results One hundred and forty cVP procedures (176 vertebrae) were performed in 130 consecutive patients (88 female, 42 male; mean age = 56y) during the inclusion period. Among the treated lesions, 80% were bone metastases (mostly from breast cancer), 8% were related to haematological malignancies and 12% were nonmalignant lesions. One fatal complication (0.7%) was related to cement migration in the vertebrobasilar system. Three cervical hematomas were recorded, one of them requiring prolonged oral intubation. Overall rate of major complications was 1.5%. At one month, pain reduction was observed in 76% of the cases. Additional surgical fixation was required in 6.1% of the cases. cVP of more than one vertebra during the same session was an independent risk factor for procedure-related complication. Conclusion Cervical vertebroplasty is a safe technique with an acceptable major complication rate. Its effectiveness in terms of pain relief is good at mid-term follow-up.

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Section: Complicationsmentioning

confidence: 99%

Section: Pain Reliefmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Safety and effectiveness of cervical vertebroplasty: report of a large cohort and systematic review

et al. 2019

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“…In recent years, the technology has been gradually extended to treat spinal metastases worldwide, and has been recognized and approved by clinicians and patients for the superior effect (24). Currently, posterior edge defect is considered as the PVP surgery contraindication by the majority of investigators, as vertebral defects are prone to induce bone cement leakage leading to the narrow spinal canal or intervertebral foramen stenosis, and even certain serious consequences, such as spinal cord or nerve root compression (25). Thus, there are a significant number of patients for whom it will be difficult to avoid the unbearable pain and paralysis.…”

Section: Minimally Invasive Surgery On Posterior Edge Defects Of the mentioning

confidence: 99%

Advances in the clinical research of the minimally invasive treatment for the posterior edge of vertebral-body defects by spinal metastases

et al. 2015

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Abstract.Spinal metastasis is one of the commonly observed complications in the advanced stages of cancer patients, and is a serious threat to human life and health. Malignant tumor invasion usually leads to defects in the posterior margins of the vertebral body, which caused significant cancer pains to patients and increased the risk of surgery. Currently, minimally invasive treatments of vertebral defects caused by spinal metastases include percutaneous vertebroplasty (PVP) combined with radiofrequency ablation and PVP combined with 125 I seed implantation. These minimally invasive techniques have particular superiority to control pain in patients with spinal metastases, improve nerve function, reduce the incidence of fractures and surgical risk, and improve the quality of life. The present study reviewed the progress in clinical research on vertebral defects caused by spinal metastases, and the mechanisms and minimally invasive treatment.

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“…Studies specifically addressing to severe compression fractures of the cervical spine are quite rare and only one article once reported five cervical vertebrae to be best knowledge of the authors. 20 There is an urgent need for more experience and technology modification and updating of cementoplasty. 15 In recent years, a new minimally invasive approach of vertebral augmentation using Vessel-X Bone-Filling Mesh Container System has been developed and applied.…”

Section: Introductionmentioning

confidence: 99%

Vessel-Plasty Using Bone-Filling Mesh Container for Treatment of Malignant Severe Compression Fractures in Cervical Vertebrae

Yang¹,

Tian²,

Wang³

et al. 2022

JPR

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Objective To evaluate the feasibility, safety, and efficacy of vessel-plasty using bone-filling mesh container (BFMC) for malignant severe compression fractures of cervical vertebra. Methods This study prospectively recruited fifteen consecutive patients (eight men, seven women; mean age, 57.4 years) with severe malignant compression fractures of cervical vertebrae for vessel-plasty. Procedure duration, incidence of cement leakage and other complications, pain relief and improvement of neck function were analyzed. Pain was assessed using a visual analog scale (VAS) and function by the neck disability index (NDI), with scores recorded before the procedure and at 3 days and 1, 3, 6 and 12 months after the procedure. Results A total of 16 vertebrae were treated. All vertebrae had destruction of bone in more than one place as well as broken bone walls. Mean procedure duration was 42.9±13.6 minutes. Bone cement leakage occurred in two vertebrae without any symptoms. No procedure-related complications occurred. Mean VAS and NDI declined from 7.1 ± 1.4 and 63.6 ± 16.3, respectively, before the procedure to 3.5 ± 1.1 and 37.4 ± 11.0, respectively, at three days after the procedure ( P < 0.01). CT images at three months after the procedure confirmed that there were no cases of refractures at the treated or adjacent levels, recurrence of vertebral collapse and mobilization of bone cement block. Conclusion Vessel-plasty using BFMC appears to be effective and safe for malignant severe compression fractures in cervical vertebrae. It is effective in stabilizing vertebral body, relieving pain.

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Percutaneous Vertebroplasty Performed with an 18-Gauge Needle for Treatment of Metastatic Severe Compression Fracture of the Cervical Vertebral Body

Cited by 4 publications

References 12 publications

Safety and effectiveness of cervical vertebroplasty: report of a large cohort and systematic review

Safety and effectiveness of cervical vertebroplasty: report of a large cohort and systematic review

Advances in the clinical research of the minimally invasive treatment for the posterior edge of vertebral-body defects by spinal metastases

Vessel-Plasty Using Bone-Filling Mesh Container for Treatment of Malignant Severe Compression Fractures in Cervical Vertebrae

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