Document Detail


Kyphosis reduction and the rate of cement leaks after vertebroplasty of intravertebral clefts.
MedLine Citation:
PMID:  16314915     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
To assess the results of vertebroplasty in patients with intravertebral clefts compared to patients with normal osteoporotic fractures, we evaluated the pre- and postoperative images and pain scores (VAS) of 114 patients with 192 vertebroplasty procedures treated between March 2002 and February 2005. Intravertebral clefts were identified on conventional radiographs, MR or CT images as gas- or fluid-filled spaces adjacent to an endplate of a fractured vertebra. Forty-four vertebrae showed intravertebral clefts. All clefts were filled with PMMA showing a typical filling pattern. Due to the prone positioning of the patient during vertebroplasty, a significant reduction of the kyphosis angle was achieved in the cleft group. Cement leakage occurred in 18.2% of clefts and 46% of regular osteoporotic fractures. In all patients, good filling of the cleft was achieved no matter where the needle tip was placed in the vertebra. The VAS score was 9.1 preoperatively, 3.6 before discharge and 3.9 6 months postoperatively, showing no significant difference between both groups. Patients with intravertebral clefts show a significant reduction of the kyphosis angle compared to non-cleft patients and have a significantly lower risk of experiencing cement leakage during vertebroplasty. Pain reduction is the same in both groups.
Authors:
Martin Krauss; Horst Hirschfelder; Bernd Tomandl; Gabriele Lichti; Ingrid Bär
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Publication Detail:
Type:  Comparative Study; Journal Article     Date:  2005-11-29
Journal Detail:
Title:  European radiology     Volume:  16     ISSN:  0938-7994     ISO Abbreviation:  Eur Radiol     Publication Date:  2006 May 
Date Detail:
Created Date:  2006-04-11     Completed Date:  2006-12-12     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9114774     Medline TA:  Eur Radiol     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  1015-21     Citation Subset:  IM    
Affiliation:
Institute for Diagnostic and Interventional Radiology, Klinikum Sued, Breslauer Str. 201, 90471 Nuernberg, Germany. Martin.Krauss@klinikum-nuernberg.de
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MeSH Terms
Descriptor/Qualifier:
Aged
Bone Cements / adverse effects*
Female
Fractures, Compression / radiography,  surgery
Fractures, Spontaneous / radiography,  surgery
Humans
Incidence
Kyphosis / pathology,  radiography,  surgery*
Lumbar Vertebrae / pathology,  radiography,  surgery
Magnetic Resonance Imaging
Male
Osteoporosis / complications*,  radiography
Pain / etiology,  radiography
Pain Measurement
Spinal Fractures / etiology*,  pathology,  radiography,  surgery*
Surgical Procedures, Minimally Invasive
Thoracic Vertebrae / pathology,  radiography,  surgery
Tomography, X-Ray Computed
Treatment Outcome
Chemical
Reg. No./Substance:
0/Bone Cements

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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