AJDRAJNR - American Journal of Neuroradiology

Published ahead of print on April 16, 2008
doi: 10.3174/ajnr.A1066

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Significance and Targeting of Small, Central Clefts in Severe Fractures Treated With Vertebroplasty

A. Ehteshami Rada, L.A. Graya and D.F. Kallmesa

a From the Department of Radiology, Mayo Clinic, Rochester, Minn


Figure 1
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Fig 1. Anteroposterior and lateral plain radiographs during vertebroplasty at L3 show the tip of the 11-gauge cannula in the ventral aspect of the midline of the vertebral body. Barium-opacified cement fills a small ventral cleft and a small portion of the right lateral aspect of the vertebral body, with a small amount of extravasation through the superior endplate.


Figure 2
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Fig 2. A, Sagittal T2-weighted MR imaging of the lumbar spine shows severe fractures at T12 and L2 with fluid-filled clefts. B, lateral plain radiographs after vertebroplasty show cement-filled clefts corresponding with clefts seen on preprocedure MR imaging shown in A.


Figure 3
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Fig 3. A, Sagittal T2-weighted MR imaging shows severe fracture at T8 without evidence of a cleft. B and C, Anteroposterior and lateral plain radiographs after vertebroplasty show cement filling a linear cleft.


Figure 4
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Fig 4. A, Sagittal T2-weighted image shows small cleft within the severe fracture at T12. B, Lateral plain radiograph after vertebroplasty shows filling of a large cleft.