American Journal of Neuroradiology, Vol 18, Issue 10 1897-1904, Copyright © 1997 by American Society of Neuroradiology
ARTICLES |
Percutaneous polymethylmethacrylate vertebroplasty in the treatment of osteoporotic vertebral body compression fractures: technical aspects
ME Jensen, AJ Evans, JM Mathis, DF Kallmes, HJ Cloft and JE Dion
Department of Radiology, University of Virginia Health Sciences Center, Charlottesville 22908, USA.
PURPOSE: To describe a technique for percutaneous vertebroplasty of osteoporotic vertebral body compression fractures and to report early results of its use. METHODS: The technique was used over a 3-year period in 29 patients with 47 painful vertebral fractures. The technique involves percutaneous puncture of the involved vertebra(e) via a transpedicular approach followed by injection of polymethylmethacrylate (PMMA) into the vertebral body. RESULTS: The procedure was technically successful in all patients, with an average injection amount of 7.1 mL PMMA per vertebral body. Two patients sustained single, nondisplaced rib fractures during the procedure; otherwise, no clinically significant complications were noted. Twenty- six patients (90%) reported significant pain relief immediately after treatment. CONCLUSION: Vertebroplasty is a valuable tool in the treatment of painful osteoporotic vertebral fractures, providing acute pain relief and early mobilization in appropriate patients.
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D. H. Choe, E. M. Marom, K. Ahrar, M. T. Truong, and J. E. Madewell Pulmonary Embolism of Polymethyl Methacrylate During Percutaneous Vertebroplasty and Kyphoplasty Am. J. Roentgenol., October 1, 2004; 183(4): 1097 - 1102. [Abstract] [Full Text] [PDF]
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M. J. Provenzano, K. P. J. Murphy, and L. H. Riley III Bone Cements: Review of Their Physiochemical and Biochemical Properties in Percutaneous Vertebroplasty AJNR Am. J. Neuroradiol., August 1, 2004; 25(7): 1286 - 1290. [Abstract] [Full Text] [PDF]
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E. P. Lin, S. Ekholm, A. Hiwatashi, and P.-L. Westesson Vertebroplasty: Cement Leakage into the Disc Increases the Risk of New Fracture of Adjacent Vertebral Body AJNR Am. J. Neuroradiol., February 1, 2004; 25(2): 175 - 180. [Abstract] [Full Text] [PDF]
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M. M. H. Teng, C.-J. Wei, L.-C. Wei, C.-B. Luo, J.-F. Lirng, F.-C. Chang, C.-L. Liu, and C.-Y. Chang Kyphosis Correction and Height Restoration Effects of Percutaneous Vertebroplasty AJNR Am. J. Neuroradiol., October 1, 2003; 24(9): 1893 - 1900. [Abstract] [Full Text] [PDF]
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D. F. Kallmes, E. O, S. S. Roy, R. G. Piccolo, W. F. Marx, J. K. Lee, and M. E. Jensen Radiation Dose to the Operator during Vertebroplasty: Prospective Comparison of the Use of 1-cc Syringes versus an Injection Device AJNR Am. J. Neuroradiol., June 1, 2003; 24(6): 1257 - 1260. [Abstract] [Full Text] [PDF]
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A. J. Evans, M. E. Jensen, K. E. Kip, A. J. DeNardo, G. J. Lawler, G. A. Negin, K. B. Remley, S. M. Boutin, and S. A. Dunnagan Vertebral Compression Fractures: Pain Reduction and Improvement in Functional Mobility after Percutaneous Polymethylmethacrylate Vertebroplasty--Retrospective Report of 245 Cases Radiology, February 1, 2003; 226(2): 366 - 372. [Abstract] [Full Text] [PDF]
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 W C G Peh and L A Gilula Percutaneous vertebroplasty: indications, contraindications, and technique Br. J. Radiol., January 1, 2003; 76(901): 69 - 75. [Abstract] [Full Text] [PDF]
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A. A. Uppin, J. A. Hirsch, L. V. Centenera, B. A. Pfiefer, A. G. Pazianos, and I. S. Choi Occurrence of New Vertebral Body Fracture after Percutaneous Vertebroplasty in Patients with Osteoporosis Radiology, January 1, 2003; 226(1): 119 - 124. [Abstract] [Full Text] [PDF]
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J. I. Lane, T. P. Maus, J. T. Wald, K. R. Thielen, S. Bobra, and P. H. Luetmer Intravertebral Clefts Opacified during Vertebroplasty: Pathogenesis, Technical Implications, and Prognostic Significance AJNR Am. J. Neuroradiol., November 1, 2002; 23(10): 1642 - 1646. [Abstract] [Full Text] [PDF]
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S. M. Belkoff, J. M. Mathis, and L. E. Jasper Ex Vivo Biomechanical Comparison of Hydroxyapatite and Polymethylmethacrylate Cements for Use with Vertebroplasty AJNR Am. J. Neuroradiol., November 1, 2002; 23(10): 1647 - 1651. [Abstract] [Full Text] [PDF]
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J. R. Gaughen Jr, M. E. Jensen, P. A. Schweickert, W. F. Marx, and D. F. Kallmes The Therapeutic Benefit of Repeat Percutaneous Vertebroplasty at Previously Treated Vertebral Levels AJNR Am. J. Neuroradiol., November 1, 2002; 23(10): 1657 - 1661. [Abstract] [Full Text] [PDF]
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 P. Tozzi, Y. Abdelmoumene, A. F. Corno, P. A. Gersbach, H.-M. Hoogewoud, and L. K. von Segesser Management of pulmonary embolism during acrylic vertebroplasty Ann. Thorac. Surg., November 1, 2002; 74(5): 1706 - 1708. [Abstract] [Full Text] [PDF]
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 H.-L. Chen, C.-S. Wong, S.-T. Ho, F.-L. Chang, C.-H. Hsu, and C.-T. Wu A Lethal Pulmonary Embolism During Percutaneous Vertebroplasty Anesth. Analg., October 1, 2002; 95(4): 1060 - 1062. [Abstract] [Full Text] [PDF]
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D. F. Kallmes, P. A. Schweickert, W. F. Marx, and M. E. Jensen Vertebroplasty in the Mid- and Upper Thoracic Spine AJNR Am. J. Neuroradiol., August 1, 2002; 23(7): 1117 - 1120. [Abstract] [Full Text] [PDF]
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R. Scroop, J. Eskridge, and G. W. Britz Paradoxical Cerebral Arterial Embolization of Cement during Intraoperative Vertebroplasty: Case Report AJNR Am. J. Neuroradiol., May 1, 2002; 23(5): 868 - 870. [Abstract] [Full Text] [PDF]
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H. M. Do Intraosseous Venography during Percutaneous Vertebroplasty: Is It Needed? AJNR Am. J. Neuroradiol., April 1, 2002; 23(4): 508 - 509. [Full Text] [PDF]
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J. R. Gaughen Jr, M. E. Jensen, P. A. Schweickert, T. J. Kaufmann, W. F. Marx, and D. F. Kallmes Relevance of Antecedent Venography in Percutaneous Vertebroplasty for the Treatment of Osteoporotic Compression Fractures AJNR Am. J. Neuroradiol., April 1, 2002; 23(4): 594 - 600. [Abstract] [Full Text] [PDF]
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T. J. Kaufmann, M. E. Jensen, G. Ford, L. L. Gill, W. F. Marx, and D. F. Kallmes Cardiovascular Effects of Polymethylmethacrylate Use in Percutaneous Vertebroplasty AJNR Am. J. Neuroradiol., April 1, 2002; 23(4): 601 - 604. [Abstract] [Full Text] [PDF]
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M. J. Botte, D. D. D'Lima, M. J. Meunier, J. D. Bruffey, M. E. Brage, and C. W. Colwell Jr. What's New in Orthopaedic Rehabilitation J. Bone Joint Surg. Am., December 1, 2001; 83(12): 1920 - 1926. [Full Text] [PDF]
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N. B. Appel and L. A. Gilula "Bull's-Eye" Modification for Transpedicular Biopsy and Vertebroplasty Am. J. Roentgenol., December 1, 2001; 177(6): 1387 - 1389. [Full Text] [PDF]
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T. J. Kaufmann, M. E. Jensen, P. A. Schweickert, W. F. Marx, and D. F. Kallmes Age of Fracture and Clinical Outcomes of Percutaneous Vertebroplasty AJNR Am. J. Neuroradiol., November 1, 2001; 22(10): 1860 - 1863. [Abstract] [Full Text] [PDF]
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S. M. Belkoff, J. M. Mathis, H. Deramond, and L. E. Jasper An Ex Vivo Biomechanical Evaluation of a Hydroxyapatite Cement for Use with Kyphoplasty AJNR Am. J. Neuroradiol., June 1, 2001; 22(6): 1212 - 1216. [Abstract] [Full Text] [PDF]
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J. M. Mathis, J. D. Barr, S. M. Belkoff, M. S. Barr, M. E. Jensen, and H. Deramond Percutaneous Vertebroplasty: A Developing Standard of Care for Vertebral Compression Fractures AJNR Am. J. Neuroradiol., February 1, 2001; 22(2): 373 - 381. [Full Text] [PDF]
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 F. Grados, C. Depriester, G. Cayrolle, N. Hardy, H. Deramond, and P. Fardellone Long-term observations of vertebral osteoporotic fractures treated by percutaneous vertebroplasty Rheumatology, December 1, 2000; 39(12): 1410 - 1414. [Abstract] [Full Text] [PDF]
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