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Abstract Obsection Objectives After bilateral percutaneous kyphoplasty, the aim of this paper is to determine the role of several bone cement delivery patterns in patients with metastatic vertebral lesions. Methods were retrospectively reviewed of fifty-nine patients with single-level metastatic vertebral lesions who underwent bilateral PKP. Patients were divided into confluent and separated groups according to the various bone cement distribution methods. Conclusions: In PKP for patients with metastatic vertebral lesions, more rapid pain relief was obtained with confluent rather than distinct bone cement distribution patterns.
Source link: https://doi.org/10.1186/s12891-022-05680-4
Although reports regarding kyphoplastyu2019's impact on pain scores are mixed, no comprehensive studies regarding opioid use exist before and after the procedure exist. METHODS This retrospective cohort analysis used insurance claims from a single, large private insurer in the United States from 2001 to 2014 for various healthcare settings. CONCLUSIONS New persistent opioid prescribing occurred in nearly one-third of patients undergoing kyphoplasty following vertebral fracture, but early intervention was associated with a decrease in this risk. Early kyphoplasty was associated with less frequent rise in opioid overdose risk for patients who were not nau00efve to opioids prior to fracture treatment. Subsequent trials must examine opioid use by vertebral fracture patients treated by surgical and nonoperative methods before concluding that kyphoplasty lacks value, and prompt referral for kyphoplasty may be helpful to avoid missing a window of efficacy.
Source link: https://doi.org/10.3171/2020.5.focus20226
Objective Patients with symptomatic pathological compression fractures require a stabilization procedure for mechanical management of back pain as well as radiation therapy for the underlying malignant process. Methods Twenty-six patients with histologically confirmed pathological compression fractures were prospectively evaluated. At the time of the kyphoplasty procedure, fiducial markers that allow image guidance for CyberKnife radiosurgery were introduced into the pedicles at the same rates. Treated tumor volume ranged from 12. 7 to 37. 1 cm 3. During the follow-up period of 7 to 20 months, Axial pain improved in 24 of 26 patients. Conclusions The combined kyphoplasty-radiological radiosurgery treatment scheme was found to be safe and clinically beneficial for patients with pathological fractures that did not have a single spinal canal compromise. This treatment incorporates two minimally invasive surgical procedures, thereby avoiding morbidity associated with open surgery while still providing immediate fracture fixation as well as a single-fraction tumoricidal radiation dose.
Source link: https://doi.org/10.3171/foc.2005.18.3.9
Three elderly women with chronic pain from sacral insufficiency fractures were treated with polymethyl methacrylate injections into the sacrum by a modified balloon kyphoplasty procedure. In both cases, the visual analog scale pain score increased by four points. In selected patients with sacral insufficiency fractures, Balloon kyphoplasty may be a treatment alternative. Images from BrainLAB may have some advantages over conventional fluoroscopy in terms of instrument placement and PMMA injection monitoring.
Source link: https://doi.org/10.3171/foc.2005.18.3.8
Vertebroplasty and kyphoplasty are two of the few new procedures used to treat painful vertebral compression fractures. Vertebroplasty is the injection of bone cement, mainly polymethyl methacrylate, into a vertebral body. The injection of balloons into the VB is the first step in a cavity prior to the cement injection, followed by an inflation/deflation cycle to produce a cavity. Surgical treatment is recommended for painful VCFs due to osteoporosis or malignancy, as well as painful hemangiomas. These procedures may be helpful in treating painful vertebral metastasis and traumatic VCFs. Many studies support the use of these procedures for pain associated with the aforementioned disorders. These dangers include spinal cord compression, nerve root compression, venous embolism, and respiratory embolism, which includes cardiovascular arrest. In carefully chosen patients, the risk/benefit ratio seems to be very favorable. The procedures' scientific aspects of the tests are discussed in detail, as well as patient selection guidelines.
Source link: https://doi.org/10.3171/foc.2005.18.3.2
Object Vertebral body deformities have been correlated with increased patient morbidity and mortality rates. The aim of this retrospective, consecutive single-center cohort study was to determine the effectiveness of kyphoplasty in reducing morphometrically defined VB deformity, including deformity shape types and grade. Methods The authors found 100 patients in whom 138 vertebral fractures were treated between May 2000 and December 2001 were radiographically evaluated preoperatively and at the last follow-up visit. On lateral radiographs, Anterior, mid-line, posterior, and predicted posterior vertebral heights for fractured and adjacent unfractured reference vertebrae were determined. The number of the more prominent Grade 2 deformities has decreased. In both vertebral level groups, Kyphoplasty has reduced the number of deformed fractures in all vertebral group groups. Conclusions Kyphoplasty resulted in significant normalization of vertebral profiles in patients with symptomatic vertebral fractures, reducing the number and severity of deformed fractures postoperatively.
Source link: https://doi.org/10.3171/foc.2005.18.3.5
Object Percutaneous kyphoplasty is a well-established treatment for pathological vertebral compression fractures that have been missed for many years. Methods The kyphoplasty procedure was performed in a prospective clinical study in which 11 patients with painful pathological VCFs who did not respond to conservative therapy underwent the kyphoplasty procedure. This group's operating time and intraoperative fluoroscopy time was measured against a cohort of nine patients who underwent the procedure before the introduction of isocentric fluoroscopy. The mean fluoroscopy exposure time was 41. 3 seconds in the isocentric fluoroscopy-assisted experiments, with an additional 40 seconds of fluoroscopy time used for the 3D fluoroscopy u201d as compared to 293. 2 seconds in the biplanar fluoroscopy-assisted procedures. Conclusions are drawn from isocentric fluoroscopy's significant reduction in radiation exposure for the patient and surgical staff without an increase in the mean operating time.
Source link: https://doi.org/10.3171/foc.2005.18.3.4
Object Organ transplant recipients are vulnerable to vertebral compression fractures, according to Organ transplant recipients. Methods Six consecutive patients who had undergone organ transplantation had a total of 13 symptomatic VCFs treated with balloon kyphoplasty. Before treatment, the mean visual analog scale pain score was 9. 3 and dropped to 1. 8 after therapy. Conclusions Kyphoplasty can be carried out safely in organ transplant recipients with VCF, in whom the results are just as good as those seen in patients with no history of organ transplantation.
Source link: https://doi.org/10.3171/foc.2005.18.3.7
Object Painful osteoporotic vertebral compression fractures are a common cause of disability in the elderly population. The authors discuss their experience with the early management of VCFs with kyphoplasty in this retrospective review. The time between the onset of signs and surgical intervention varied from 4 to 9 weeks. Pain scores, endurance and height restoration of vertebral body height were evaluated for immediate and early postoperative visual analog scale pain scores, fitness levels, and vertebral body height. The mean preoperative VAS score was 8 u00b1 1; the immediate and early postoperative scores were 1 u00b1 1. However, both patients returned to normal activities within hours after the surgery, although no progress was made in this cohort. Conclusions Kyphoplasty is a safe and effective treatment of osteoporotic VCFs. The failure to recover VB height does not appear to have anything to do with the excellent pain management and positive functional outcome that were expected by this procedure.
Source link: https://doi.org/10.3171/foc.2005.18.3.6
Object : For patients with neurological deficits and/or signs of significant spinal instability, surgical intervention for thoracolumbar burst fractures is recommended. A 20 to 50% chance of pedicle screw failure and progressive spinal deformity is associated with short-segment pedicle screw fixation. Initial biomechanical and clinical studies have shown that vertebroplasty pre-segment screw fixation improves spinal stability and reduces instrument failure rates. In this retrospective review of patients treated for this condition at the University of California, San Diego, and University of California, San Francisco, 2002-2004, five patients with traumatic burst fractures of the lumbar spine were included. Conclusions based on the authors' initial experiences, kyphoplasty supplementation could enhance the long-term stability of short-segment screw constructs, as well as reduced rates of fusion and improved clinical outcomes in patients with traumatic lumbar burst fractures.
Source link: https://doi.org/10.3171/foc.2005.18.3.10
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