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Purpose The purpose of this study is to compare TiRobot-assisted kyphoplasty's effectiveness with that of the more common fluoroscopy-assisted therapy for multilevel osteoporotic vertebral compression fractures. Methods describing the study We obtained results from 71 patients with multilevel osteoporotic vertebral compression fracture treated with unilateral or fluoroscopy-assisted percutaneous kyphoplasty in this retrospective review. The typical amount of bone cement injected in the TiRobot-assisted and fluoroscopy-assisted groups was 4. 6 mL and 4. 5 mL, respectively, in the 257 treated vertebrae. In comparison to the operative time, cumulative radiation dose for the surgeon and patient was much lower in the TiRobot-assisted group. In 18 and 29 cases in the TiRobot- and fluoroscopy-assisted groups, respectively, leaking cement leakage was discovered in 18 and 29 cases. Conclusions TiRobot-assisted percutaneous multilevel kyphoplasty is more accurate and has less radiometry, a more uniform bone cement distribution, and reduced bone cement leakage, according to TiRobot-assisted bone cement.
Source link: https://doi.org/10.1007/s00264-022-05580-1
BACKGROUND Early balloon kyphoplasty repair for acute osteoporotic vertebral fracture has been shown to be more effective than conservative treatment. OBSERVATIONS BKP 2 weeks after symptoms onset in a 71-year-old patient with OVF of L2 was diagnosed. The new L2 OVF's preoperative magnetic resonance imaging and radiograph were compatible with preoperative magnetic resonance imaging and radiograph. Although computed tomography photographs revealed the atypical loss of lower endplate of L2 as OVF, L2 BKP was predicted. LESSONS Signal changes on the fractured vertebral bodies during initial MRI and fractured vertebral asymmetry on radiograph can lead to misleading diagnose the condition as a benign compression fracture.
Source link: https://doi.org/10.3171/case2135
OBJECT Vertebral fractures are the most common osteoporotic fracture. Any patients with an osteoporotic fracture diagnosis are recommended with bone density testing and medical therapy with bisphosphonates or parathormone. Patients with vertebral compression fractures evaluated by the authors'u2019 academic neurosurgery service showed improved compliance, as well as patient variable and health-systems variables associated with improved compliance. METHODS was a retrospective analysis of patients who underwent percutaneous kyphoplasty for compression fractures. Patients undergoing preoperative inspection by their primary care physician were significantly more likely to experience bisphosphonates than those that were not evaluated by a hospitalist. Patients with unprovoked fractures were more likely to have multiple surgeries than those with minor injuries. CONCLUSIONS These findings suggest poor compliance with the new standard of care for medical therapies in patients with osteoporotic compression fractures undergoing kyphoplasty under the care of an academic neurosurgery service.
Source link: https://doi.org/10.3171/2015.9.focus15375
OBJECTIVE Approximately 550,000 Americans experience vertebral fracture annually, and the majority suffer opioids to relieve the resulting pain. Although studies of kyphoplasty's impact on pain scores are mixed, no large-scale studies exist on opioid prescribing before and after the procedure. METHODS This retrospective cohort study used 2001-2013 insurance claims data from a single, major private insurer in the United States, in various health care settings. CONCLUSIONS In nearly one-third of patients undergoing kyphoplasty after vertebral fracture, a fractured vertebral fracture, the most common risk was found, but early intervention was also associated with a decrease in this risk. Early kyphoplasty was correlated with less frequent rises in opioid overdose risk for patients not nau00ef to opioids prior to fracture diagnosis. Subsequent trials must examine opioid use by vertebral fracture patients treated by operative and nonoperative techniques before finding that kyphoplasty lacks value, and prompt referral for kyphoplasty can be helpful in avoiding missing a window of efficacy.
Source link: https://doi.org/10.3171/2020.5.focus20226
In the first 96 patients at their hospital, the authors investigated the effectiveness of balloon kyphoplasty in the reduction and repair of osteopenic vertebral compression fractures, as well as reporting functional outcomes. Balloon kyphoplasty safely raises vertebral body height, decreases chronic back pain, and promptly returns geriatric patients to higher activity levels, leading to increased independence and quality of life.
Source link: https://doi.org/10.3171/spi.2003.98.1.0036
This review was conducted to determine the safety and effectiveness of these procedures in cancer patients with painful vertebral body fractures. All patients complained of chronic back pain as a result of VB fractures, but the majority of them were intractable spinal pain. After 49 procedures, patients complained marked or complete pain relief, and no improvement after five procedures; early postoperative Visual Analog Scale pain scores were not available in four patients. Pain scores in VAS decreased significantly from 1 year to one year. During vertebroplasty at six out of six levels, Asymptomatic cement leakage occurred; no cement extravasation was seen during kyphoplasty. Patients in a large number of patients received relief from pain after percutaneous vertebro- and kyphoplasty, and this seemed to be an ongoing problem. In certain situations, 1 high-viscosity cement; 2 kyphoplasty; and 3 a very small 3volume injection may have contributed to the absence of cement leakage problems.
Source link: https://doi.org/10.3171/spi.2003.98.1.0021
Abstract Background: Vertebral compression fractures occur most frequently on the thoracolumbar junction, which is one of the most fragile biomechanical regiments at the thoracolumbar junction between the thoracic kyphosis and lumbar lordosis. versus a 6-month follow-up, the primary aim of this research is to compare the clinical effectiveness of percutaneous balloon kyphoplasty and SpineJacku00ae procedures in the treatment of thoracolumbar VCFs by comparing the risk factors for early-onset adjacent level fractures. In our analysis, the timing of kyphoplasty therapy for acute VCFs within 1 month and patients with advance age were both risk factors for early-onset ALFs. The factors, including pre-OP anterior-type and severe VCFs, patients with advanced ages, and kyphoplasty timing within one month after the onset of symptoms, are the key risk factors for subsequent early-onset ALFs after kyphoplasty to thoracolumbar VCFs.
Source link: https://doi.org/10.21203/rs.3.rs-2440667/v1
OBJECTIVE Percutaneous vertebroplasty and balloon kyphoplasty are two minimally invasive methods used to treat mechanical pain related to spinal compression fractures. The authors carried out a systematic review of the available literature to find differences in interventionalist radiation exposure between PV and BK and differences in BK's patient radiation exposure between PV and BK, as well as differences in patient radiation exposure between PV and BK. One of the primary endpoints in u2265 5 unique patients treated with PV or BK of the mobile spine was included in full-text articles in English, describing one of the main endpoints. The mean fluoroscopy times for PV were 4. 9 3. 2 minutes per level without protective equipment and 5. 2 3. 4 minutes with protective steps. The mean operator radiation exposures per square inch in mrem were 4. 6 u00b1 5. 4 at the eye, 8. 8 u00b1 62. 4 at the neck, 28. 2 u00b1 62. 2 at the wrist, and 49. 2 0. 1 at the hand with shields, and 95. 5 u00b1 62. 2 at the hand with shields, with protection at the hand and 95. 5 at the hand with protection. With such steps, BK's mean fluoroscopy times per hour were 6. 1 u00b1 2. 5 minutes without protective gear and 6. 0 u00b1 3. 2 minutes. Patients were exposed to PV as a result of flank-mounted dosimeters, entrance skin dose, and dose area product, resulting in less exposure with PV than BK. CONCLUSIONS The use of protective equipment has greatly reduced operator radiation exposure. PV is less common than BK for both the operator and patient. According to NNH results, radiation to the hand limits the number of procedures an operator can safely perform.
Source link: https://doi.org/10.3171/2020.9.spine201525
OBJECTIVE: The aim of the study was to comprehensively compare the medical safety of unilateral percutaneous kyphoplasty and bilateral percutaneous kyphoplasty in treating OVCFs and determining their ability to maintain the results in a 2-year follow-up. In the BPKP group, the duration of operations and injected cement volume were much greater than those in the UPKP group. BPKP achieved a significant rise in middle height and volume of the fractured vertebral body in comparison to UPKP's. In the UPKP's second-year sequel to the BPKP group, there were significant reductions of anterior, middle height, and volume of the fractured vertebral body in the fractured vertebral body. At the final follow-up, the Oswestry Disability Index of the BPKP group was lower than that of the UPKP group. CONCLUSION: When treating OVCFs, both UPKP and BPKP achieve excellent radiological and clinical results.
Source link: https://doi.org/10.3233/bmr-210225
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