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

A. Ehteshami Rad, L.A. Gray and D.F. Kallmes
American Journal of Neuroradiology August 2008, 29 (7) 1285-1287; DOI: https://doi.org/10.3174/ajnr.A1066
A. Ehteshami Rad
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L.A. Gray
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D.F. Kallmes
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  • Fig 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.

  • Fig 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.

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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.

  • Fig 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.

Tables

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  • Pain relief after vertebroplasty procedure

    WorseNo ChangeDecreasedCompletely Improved
    Pain at rest
        Postoperative (11)0164
        1 week (11)1154
        1 month (9)0135
        6 months (6)0024
    Pain with activity
        Postoperative (11)0074
        1 week (11)0083
        1 month (9)0063
        6 months (6)0051
    • Note:—Numbers in parentheses indicate number of patients available at each follow-up time point, and numbers in each column indicate severity of pain on the basis of a semiquantitative pain scale (0–10).

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American Journal of Neuroradiology: 29 (7)
American Journal of Neuroradiology
Vol. 29, Issue 7
August 2008
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Significance and Targeting of Small, Central Clefts in Severe Fractures Treated With Vertebroplasty
A. Ehteshami Rad, L.A. Gray, D.F. Kallmes
American Journal of Neuroradiology Aug 2008, 29 (7) 1285-1287; DOI: 10.3174/ajnr.A1066

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Significance and Targeting of Small, Central Clefts in Severe Fractures Treated With Vertebroplasty
A. Ehteshami Rad, L.A. Gray, D.F. Kallmes
American Journal of Neuroradiology Aug 2008, 29 (7) 1285-1287; DOI: 10.3174/ajnr.A1066
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Cited By...

  • Asymptomatic and Unrecognized Cement Pulmonary Embolism Commonly Occurs with Vertebroplasty
  • Injury to the Vertebral Endplate-Disk Complex Associated with Osteoporotic Vertebral Compression Fractures
  • Clinical Outcomes with Hemivertebral Filling during Percutaneous Vertebroplasty
  • Efficacy of Percutaneous Vertebroplasty for Multiple Synchronous and Metachronous Vertebral Compression Fractures
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