Percutaneous vertebroplasty with a high-quality rotational angiographic unit

Pedicelli, Alessandro; Rollo, Massimo; Piano, Mariangela; Re, Thomas J.; Cipriani, Maria Camilla; Colosimo, Cesare; Bonomo, Lorenzo

doi:10.1016/j.ejrad.2007.10.017

Cited by 13 publications

(14 citation statements)

References 17 publications

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“…Furthermore, bipedicular kyphoplasty was statistically significantly more successful in height restoration compared with the other groups. Pedicelli et al preferred a unilateral procedure for 250 patients with VCF despite the cardiotoxic effect in the elderly and cardiopulmonary risk, and aggressive vertebral collapse reported by some authors (5). In our study, the mean age was high, and the medical situation according to the American Society of Anesthesiology (ASA) score was 2 in 37 patients and ASA 3 in 5 patients.…”

Section: Resultsmentioning

confidence: 52%

“…Percutaneous vertebroplasty was first performed in France in 1987 for the treatment of aggressive vertebral hemangioma. It has been improved and used to reduce pain, increase quality of life and functional capacity, and restore height of vertebra in vertebral compression fractures (5). In recent years percutaneous balloon kyphoplasty, a modification of percutaneous vertebroplasty has been performed.…”

Section: Introductionmentioning

confidence: 99%

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Vertebroplasty in vertebral compression fractures one institute experience with 49 cases

Altınel¹,

Söylev²,

Tuncalı³

et al. 2016

J Neurol Sci Turk

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Objective: Percutaneous vertebroplasty (PVP) is the preferred treatment option for vertebral compression fractures (VCF). In this study, the efficacy and complications of PVP were investigated among 49 patients with VCF. Methods: Forty-nine patients with VCF due to osteoporosis, trauma, osteolytic bone tumors, metastases or leukemia who were admitted to our hospital between 2012 and 2015 and treated with PVP were included in the study. In patients' preoperative and postoperative evaluation, a visual analogue scale (VAS) was used to assess back and leg pain, preoperative routine lumbar vertebral radiography was used for fracture morphology, lumbar magnetic resonance imaging was performed, and the segmental kyphotic angle, vertebral corpus compression rate, polymethylmethacrylate (PMMA) cement volume, and diffusion of PMMA were recorded. Results: Preoperative and postoperative VAS scores were 8.6±0.9 vs. 1.13±1.1 (p<0.01). The approximate compression rate was 24.72±13.99 %, the ratio of approximate restoration height was 3.47±5.36, and the mean kyphosis angle was 7.35±6.81 °. The mean pre-and postoperative values of vertebral height were 1.83±0.39 cm vs1.88±0.36 cm (P<.01). Conclusion: In this study, preoperative pain in patients with VCF prominently diminished in the postoperative early and late phase. After PVP, vertebral height showed a subtle increase.

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Section: Resultsmentioning

confidence: 52%

Section: Introductionmentioning

confidence: 99%

Vertebroplasty in vertebral compression fractures one institute experience with 49 cases

Altınel¹,

Söylev²,

Tuncalı³

et al. 2016

J Neurol Sci Turk

View full text Add to dashboard Cite

show abstract

“…Percutaneous vertebroplasty is characterized by a very low complication rate in the majority of reports, but a small number of serious complications are described and all authors agree about the fact that such events can be minimized by using appropriate high-quality guiding systems [ 3 , 6 – 8 ].…”

Section: Discussionmentioning

confidence: 99%

“…Rotational acquisition is a useful supplementary tool to classic PVP and may contribute to patient safety. It is reported that the radiation exposure to the patient with a single rotational acquisition seems to be reduced compared to a standard CT study with quality of images similar to CT scans [ 3 ].…”

Section: Introductionmentioning

confidence: 99%

Vertebral Stenting and Vertebroplasty Guided by an Angiographic 3D Rotational Unit

Hugo

Luis

Felipe

et al. 2015

Case Reports in Orthopedics

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Introduction. Use of interventional imaging systems in minimally invasion procedures such as kyphoplasty and vertebroplasty gives the advantage of high-resolution images, various zoom levels, different working angles, and intraprocedure image processing such as three-dimensional reconstructions to minimize complication rate. Due to the recent technological improvement of rotational angiographic units (RAU) with flat-panel detectors, the useful interventional features of CT have been combined with high-quality fluoroscopy into one single machine. Intraprocedural 3D images offer an alternative way to guide needle insertion and the safe injection of cement to avoid leakages. Case Report. We present the case of a 72-year-old female patient with insidious lumbar pain. Computed tomography revealed a wedge-shaped osteoporotic compression fracture of T10 vertebrae, which was treated successfully with the installation of vertebral stenting system and vertebroplasty with methacrylate guided with a rotational interventional imaging system. Conclusion. Rotational angiographic technology may provide a suitable place for the realization of high-quality minimally invasive spinal procedures, such as kyphoplasty, vertebroplasty, and vertebral stenting. New software programs available nowadays offer the option to make three-dimensional reconstructions with no need of CT scans with the same degree of specificity.

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“…Die FD-CT brachte 40 Zementleckagen zur Darstellung, in der konventionellen CT wurden 42 Leckagen gesehen. Die Autoren kommen zum Schluss, dass die Kombination von hochwertiger Durchleuchtung mit der Möglichkeit der FD-CT eine effiziente Methode ist, die eine multimodale Bildgebung mit 2 unterschiedlichen Geräten ersetzen kann [22]. Ähnliche Ergebnisse publizierten Kang et al für die FD-CT-gestützte Sakroplastie [23].…”

Section: Fd-ct In Der Muskuloskelettalen Radiologieunclassified

Klinische Anwendung der Flachdetektor-CT im Angio-OP

Hausegger¹,

Fürstner²,

Hauser³

et al. 2011

Fortschr Röntgenstr

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The introduction of flat-panel detectors in modern angiographic C-arm systems makes it possible to acquire CT-like images in the angiographic suite (flat-panel CT; FD-CT). In this review, after a short technical introduction of FD-CT including the discussion of the advantages and disadvantages of this new imaging modality, the most commonly and best evaluated indications for FD-CT will be described. FD-CT has become an important adjunctive imaging modality in neurointerventional procedures and embolizations, especially during liver embolization. Another attractive indication for FD-CT is musculoskeletal interventions. FD-CT may provide important additional information in complicated peripheral vascular interventions and stent-graft procedures. FD-CT has a broad spectrum of possible applications, which finally depends on the experience and innovative thinking of the operator. However, it has to be kept in mind that FD-CT causes additional radiation exposure. Roughly, it can be assumed that currently one FD-CT sequence causes at least the same radiation exposure as one spiral CT sequence of the corresponding body region.

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Percutaneous vertebroplasty with a high-quality rotational angiographic unit

Cited by 13 publications

References 17 publications

Vertebroplasty in vertebral compression fractures one institute experience with 49 cases

Vertebroplasty in vertebral compression fractures one institute experience with 49 cases

Vertebral Stenting and Vertebroplasty Guided by an Angiographic 3D Rotational Unit

Klinische Anwendung der Flachdetektor-CT im Angio-OP

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