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Midterm Follow-Up of Vertebral Geometry and Remodeling of the Vertebral Bidisk Unit (VDU) After Percutaneous Vertebroplasty of Osteoporotic Vertebral Fractures
The purpose of this study was to investigate geometrical stability and preservation of height gain of vertebral bodies after percutaneous vertebroplasty during 2 years’ follow-up and to elucidate the geometric remodeling process of the vertebral bidisk unit (VDU) of the affected segment. Patients wi...
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| Published in: | Cardiovascular and interventional radiology 2009-09, Vol.32 (5), p.1004-1010 |
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| creator | Pitton, Michael Bernhard Koch, Ulrike Drees, Philip Düber, Christoph |
| description | The purpose of this study was to investigate geometrical stability and preservation of height gain of vertebral bodies after percutaneous vertebroplasty during 2 years’ follow-up and to elucidate the geometric remodeling process of the vertebral bidisk unit (VDU) of the affected segment. Patients with osteoporotic vertebral compression fractures with pain resistant to analgetic drugs were treated with polymethylmethacrylate vertebroplasty. Mean ± standard error cement volume was 5.1 ± 2.0 ml. Vertebral geometry was documented by sagittal and coronal reformations from multidetector computed tomography data sets: anterior, posterior, and lateral vertebral heights, end plate angles, and compression index (CI = anterior/posterior height). Additionally, the VDU (vertebral bodies plus both adjacent disk spaces) was calculated from the multidetector computed tomography data sets: anterior, posterior, and both lateral aspects. Patients were assigned to two groups: moderate compression with CI of >0.75 (group 1) and severe compression with CI of |
| doi_str_mv | 10.1007/s00270-009-9521-y |
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P
< 0.001), better reduction of end plate angle (−4.9 ± 4.8° vs. −1.0 ± 2.7°,
P
< 0.01), and improved CI (+0.12 ± 0.13 vs. +0.02 ± 0.07,
P
< 0.01) and demonstrated preserved anterior height gain at 2 years (+1.2 ± 3.2 mm,
P
< 0.01) as well as improved end plate angles (−5.2 ± 5.0°,
P
< 0.01) and compression indices (+0.11 ± 0.15,
P
< 0.01). Thus, posterior height loss of vertebrae and adjacent intervertebral disk spaces contributed to a remodeling of the VDU, resulting in some compensation of the kyphotic malposition of the affected vertebral segment. Vertebroplasty improved vertebral geometry during midterm follow-up. In severe vertebral compression, significant height gain and improvement of end plate angles were achieved. The remodeling of the VDUs contributes to reduction of kyphosis and an overall improvement of the statics of the spine.]]></description><identifier>ISSN: 0174-1551</identifier><identifier>EISSN: 1432-086X</identifier><identifier>DOI: 10.1007/s00270-009-9521-y</identifier><identifier>PMID: 19221837</identifier><language>eng</language><publisher>New York: Springer-Verlag</publisher><subject>Adult ; Aged ; Aged, 80 and over ; BODY ; Bone Cements - therapeutic use ; Cardiology ; Clinical Investigation ; COMPUTERIZED TOMOGRAPHY ; DIAGNOSTIC TECHNIQUES ; ESTERS ; FAILURES ; Female ; Follow-Up Studies ; FRACTURES ; Fractures, Compression - diagnosis ; Fractures, Compression - etiology ; Fractures, Compression - surgery ; Humans ; Imaging ; INJECTION ; INTAKE ; Magnetic Resonance Imaging ; Male ; Medicine ; Medicine & Public Health ; Middle Aged ; Nuclear Medicine ; ORGANIC COMPOUNDS ; ORGANIC POLYMERS ; ORGANS ; Osteoporosis - complications ; PMMA ; POLYACRYLATES ; POLYMERS ; Polymethyl Methacrylate - therapeutic use ; POLYVINYLS ; Prospective Studies ; Radiology ; RADIOLOGY AND NUCLEAR MEDICINE ; SKELETON ; Spinal Fractures - diagnosis ; Spinal Fractures - etiology ; Spinal Fractures - surgery ; TOMOGRAPHY ; Tomography, X-Ray Computed ; Treatment Outcome ; Ultrasound ; VERTEBRAE ; Vertebroplasty - methods</subject><ispartof>Cardiovascular and interventional radiology, 2009-09, Vol.32 (5), p.1004-1010</ispartof><rights>Springer 2009</rights><rights>Springer Science+Business Media, LLC and the Cardiovascular and Interventional Radiological Society of Europe (CIRSE) 2009</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c429t-caa5c44de74b0dea0b09340810fddf1ab643c9d3c2266a6aa9f2391c3cd952143</citedby><cites>FETCH-LOGICAL-c429t-caa5c44de74b0dea0b09340810fddf1ab643c9d3c2266a6aa9f2391c3cd952143</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,780,784,885,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19221837$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink><backlink>$$Uhttps://www.osti.gov/biblio/21429120$$D View this record in Osti.gov$$Hfree_for_read</backlink></links><search><creatorcontrib>Pitton, Michael Bernhard</creatorcontrib><creatorcontrib>Koch, Ulrike</creatorcontrib><creatorcontrib>Drees, Philip</creatorcontrib><creatorcontrib>Düber, Christoph</creatorcontrib><title>Midterm Follow-Up of Vertebral Geometry and Remodeling of the Vertebral Bidisk Unit (VDU) After Percutaneous Vertebroplasty of Osteoporotic Vertebral Fractures</title><title>Cardiovascular and interventional radiology</title><addtitle>Cardiovasc Intervent Radiol</addtitle><addtitle>Cardiovasc Intervent Radiol</addtitle><description><![CDATA[The purpose of this study was to investigate geometrical stability and preservation of height gain of vertebral bodies after percutaneous vertebroplasty during 2 years’ follow-up and to elucidate the geometric remodeling process of the vertebral bidisk unit (VDU) of the affected segment. Patients with osteoporotic vertebral compression fractures with pain resistant to analgetic drugs were treated with polymethylmethacrylate vertebroplasty. Mean ± standard error cement volume was 5.1 ± 2.0 ml. Vertebral geometry was documented by sagittal and coronal reformations from multidetector computed tomography data sets: anterior, posterior, and lateral vertebral heights, end plate angles, and compression index (CI = anterior/posterior height). Additionally, the VDU (vertebral bodies plus both adjacent disk spaces) was calculated from the multidetector computed tomography data sets: anterior, posterior, and both lateral aspects. Patients were assigned to two groups: moderate compression with CI of >0.75 (group 1) and severe compression with CI of <0.75 (group 2). A total of 83 vertebral bodies of 30 patients (7 men, 23 women, age 70.7 ± 9.7 years, range 40–82 years) were treated with vertebroplasty and prospectively followed for 24 months. In the moderate compression group (group 1), the vertebral heights were stabilized over time at the preinterventional levels. Compared with group 1, group 2 showed a greater anterior height gain (+2.8 ± 2.2 mm vs. +0.8 ± 2.0 mm,
P
< 0.001), better reduction of end plate angle (−4.9 ± 4.8° vs. −1.0 ± 2.7°,
P
< 0.01), and improved CI (+0.12 ± 0.13 vs. +0.02 ± 0.07,
P
< 0.01) and demonstrated preserved anterior height gain at 2 years (+1.2 ± 3.2 mm,
P
< 0.01) as well as improved end plate angles (−5.2 ± 5.0°,
P
< 0.01) and compression indices (+0.11 ± 0.15,
P
< 0.01). Thus, posterior height loss of vertebrae and adjacent intervertebral disk spaces contributed to a remodeling of the VDU, resulting in some compensation of the kyphotic malposition of the affected vertebral segment. Vertebroplasty improved vertebral geometry during midterm follow-up. In severe vertebral compression, significant height gain and improvement of end plate angles were achieved. The remodeling of the VDUs contributes to reduction of kyphosis and an overall improvement of the statics of the spine.]]></description><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>BODY</subject><subject>Bone Cements - therapeutic use</subject><subject>Cardiology</subject><subject>Clinical Investigation</subject><subject>COMPUTERIZED TOMOGRAPHY</subject><subject>DIAGNOSTIC TECHNIQUES</subject><subject>ESTERS</subject><subject>FAILURES</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>FRACTURES</subject><subject>Fractures, Compression - diagnosis</subject><subject>Fractures, Compression - etiology</subject><subject>Fractures, Compression - surgery</subject><subject>Humans</subject><subject>Imaging</subject><subject>INJECTION</subject><subject>INTAKE</subject><subject>Magnetic Resonance Imaging</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Nuclear Medicine</subject><subject>ORGANIC COMPOUNDS</subject><subject>ORGANIC POLYMERS</subject><subject>ORGANS</subject><subject>Osteoporosis - complications</subject><subject>PMMA</subject><subject>POLYACRYLATES</subject><subject>POLYMERS</subject><subject>Polymethyl Methacrylate - therapeutic use</subject><subject>POLYVINYLS</subject><subject>Prospective Studies</subject><subject>Radiology</subject><subject>RADIOLOGY AND NUCLEAR MEDICINE</subject><subject>SKELETON</subject><subject>Spinal Fractures - diagnosis</subject><subject>Spinal Fractures - etiology</subject><subject>Spinal Fractures - surgery</subject><subject>TOMOGRAPHY</subject><subject>Tomography, X-Ray Computed</subject><subject>Treatment Outcome</subject><subject>Ultrasound</subject><subject>VERTEBRAE</subject><subject>Vertebroplasty - methods</subject><issn>0174-1551</issn><issn>1432-086X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><recordid>eNp90stu1TAQBmALgehp4QHYIAskLouAL7l5WQqnIBUVIU7FznLsSeuSxMF2VOVpeFUc5aBWSLDywt_8o7EHoSeUvKGEVG8DIawiGSEiEwWj2XwPbWjOWUbq8vt9tCG0yjNaFPQAHYZwTQgtalY8RAdUMEZrXm3Qr8_WRPA93rquczfZbsSuxRfgIzRedfgUXA_Rz1gNBn-F3hno7HC5oHgFd-A7a2z4gXeDjfjVxfvda3zcpmD8BbyeohrATeEPd2OnQpyXkPMQwY3Ou2j1nbStVzpOHsIj9KBVXYDH-_MI7bYfvp18zM7OTz-dHJ9lOmciZlqpQue5gSpviAFFGiJ4TmpKWmNaqpoy51oYrhkrS1UqJVrGBdVcm-Xlcn6Enq-5LkQrg7YR9JV2wwA6ygSYoIwk9XJVo3c_JwhR9jZo6Lp1PlmlnrxiQiT54r-SUcZqLqoEn_0Fr93khzSrZKzidc6rMiG6Iu1dCB5aOXrbKz9LSuSyCnJdBZlWQS4DyTnVPN0HT00P5rZi__cJsBWEdDVcgr_t_O_U3100wJI</recordid><startdate>20090901</startdate><enddate>20090901</enddate><creator>Pitton, Michael Bernhard</creator><creator>Koch, Ulrike</creator><creator>Drees, Philip</creator><creator>Düber, Christoph</creator><general>Springer-Verlag</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7TO</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>H94</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>7QP</scope><scope>7X8</scope><scope>OTOTI</scope></search><sort><creationdate>20090901</creationdate><title>Midterm Follow-Up of Vertebral Geometry and Remodeling of the Vertebral Bidisk Unit (VDU) After Percutaneous Vertebroplasty of Osteoporotic Vertebral Fractures</title><author>Pitton, Michael Bernhard ; Koch, Ulrike ; Drees, Philip ; Düber, Christoph</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c429t-caa5c44de74b0dea0b09340810fddf1ab643c9d3c2266a6aa9f2391c3cd952143</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2009</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>BODY</topic><topic>Bone Cements - therapeutic use</topic><topic>Cardiology</topic><topic>Clinical Investigation</topic><topic>COMPUTERIZED TOMOGRAPHY</topic><topic>DIAGNOSTIC TECHNIQUES</topic><topic>ESTERS</topic><topic>FAILURES</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>FRACTURES</topic><topic>Fractures, Compression - diagnosis</topic><topic>Fractures, Compression - etiology</topic><topic>Fractures, Compression - surgery</topic><topic>Humans</topic><topic>Imaging</topic><topic>INJECTION</topic><topic>INTAKE</topic><topic>Magnetic Resonance Imaging</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Nuclear Medicine</topic><topic>ORGANIC COMPOUNDS</topic><topic>ORGANIC POLYMERS</topic><topic>ORGANS</topic><topic>Osteoporosis - complications</topic><topic>PMMA</topic><topic>POLYACRYLATES</topic><topic>POLYMERS</topic><topic>Polymethyl Methacrylate - therapeutic use</topic><topic>POLYVINYLS</topic><topic>Prospective Studies</topic><topic>Radiology</topic><topic>RADIOLOGY AND NUCLEAR MEDICINE</topic><topic>SKELETON</topic><topic>Spinal Fractures - diagnosis</topic><topic>Spinal Fractures - etiology</topic><topic>Spinal Fractures - surgery</topic><topic>TOMOGRAPHY</topic><topic>Tomography, X-Ray Computed</topic><topic>Treatment Outcome</topic><topic>Ultrasound</topic><topic>VERTEBRAE</topic><topic>Vertebroplasty - methods</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Pitton, Michael Bernhard</creatorcontrib><creatorcontrib>Koch, Ulrike</creatorcontrib><creatorcontrib>Drees, Philip</creatorcontrib><creatorcontrib>Düber, Christoph</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>ProQuest Nursing and Allied Health Source</collection><collection>Oncogenes and Growth Factors Abstracts</collection><collection>ProQuest Health and Medical</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>PML(ProQuest Medical Library)</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>MEDLINE - Academic</collection><collection>OSTI.GOV</collection><jtitle>Cardiovascular and interventional radiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Pitton, Michael Bernhard</au><au>Koch, Ulrike</au><au>Drees, Philip</au><au>Düber, Christoph</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Midterm Follow-Up of Vertebral Geometry and Remodeling of the Vertebral Bidisk Unit (VDU) After Percutaneous Vertebroplasty of Osteoporotic Vertebral Fractures</atitle><jtitle>Cardiovascular and interventional radiology</jtitle><stitle>Cardiovasc Intervent Radiol</stitle><addtitle>Cardiovasc Intervent Radiol</addtitle><date>2009-09-01</date><risdate>2009</risdate><volume>32</volume><issue>5</issue><spage>1004</spage><epage>1010</epage><pages>1004-1010</pages><issn>0174-1551</issn><eissn>1432-086X</eissn><abstract><![CDATA[The purpose of this study was to investigate geometrical stability and preservation of height gain of vertebral bodies after percutaneous vertebroplasty during 2 years’ follow-up and to elucidate the geometric remodeling process of the vertebral bidisk unit (VDU) of the affected segment. Patients with osteoporotic vertebral compression fractures with pain resistant to analgetic drugs were treated with polymethylmethacrylate vertebroplasty. Mean ± standard error cement volume was 5.1 ± 2.0 ml. Vertebral geometry was documented by sagittal and coronal reformations from multidetector computed tomography data sets: anterior, posterior, and lateral vertebral heights, end plate angles, and compression index (CI = anterior/posterior height). Additionally, the VDU (vertebral bodies plus both adjacent disk spaces) was calculated from the multidetector computed tomography data sets: anterior, posterior, and both lateral aspects. Patients were assigned to two groups: moderate compression with CI of >0.75 (group 1) and severe compression with CI of <0.75 (group 2). A total of 83 vertebral bodies of 30 patients (7 men, 23 women, age 70.7 ± 9.7 years, range 40–82 years) were treated with vertebroplasty and prospectively followed for 24 months. In the moderate compression group (group 1), the vertebral heights were stabilized over time at the preinterventional levels. Compared with group 1, group 2 showed a greater anterior height gain (+2.8 ± 2.2 mm vs. +0.8 ± 2.0 mm,
P
< 0.001), better reduction of end plate angle (−4.9 ± 4.8° vs. −1.0 ± 2.7°,
P
< 0.01), and improved CI (+0.12 ± 0.13 vs. +0.02 ± 0.07,
P
< 0.01) and demonstrated preserved anterior height gain at 2 years (+1.2 ± 3.2 mm,
P
< 0.01) as well as improved end plate angles (−5.2 ± 5.0°,
P
< 0.01) and compression indices (+0.11 ± 0.15,
P
< 0.01). Thus, posterior height loss of vertebrae and adjacent intervertebral disk spaces contributed to a remodeling of the VDU, resulting in some compensation of the kyphotic malposition of the affected vertebral segment. Vertebroplasty improved vertebral geometry during midterm follow-up. In severe vertebral compression, significant height gain and improvement of end plate angles were achieved. The remodeling of the VDUs contributes to reduction of kyphosis and an overall improvement of the statics of the spine.]]></abstract><cop>New York</cop><pub>Springer-Verlag</pub><pmid>19221837</pmid><doi>10.1007/s00270-009-9521-y</doi><tpages>7</tpages></addata></record> |
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| identifier | ISSN: 0174-1551 |
| ispartof | Cardiovascular and interventional radiology, 2009-09, Vol.32 (5), p.1004-1010 |
| issn | 0174-1551 1432-086X |
| language | eng |
| recordid | cdi_osti_scitechconnect_21429120 |
| source | Springer Link |
| subjects | Adult Aged Aged, 80 and over BODY Bone Cements - therapeutic use Cardiology Clinical Investigation COMPUTERIZED TOMOGRAPHY DIAGNOSTIC TECHNIQUES ESTERS FAILURES Female Follow-Up Studies FRACTURES Fractures, Compression - diagnosis Fractures, Compression - etiology Fractures, Compression - surgery Humans Imaging INJECTION INTAKE Magnetic Resonance Imaging Male Medicine Medicine & Public Health Middle Aged Nuclear Medicine ORGANIC COMPOUNDS ORGANIC POLYMERS ORGANS Osteoporosis - complications PMMA POLYACRYLATES POLYMERS Polymethyl Methacrylate - therapeutic use POLYVINYLS Prospective Studies Radiology RADIOLOGY AND NUCLEAR MEDICINE SKELETON Spinal Fractures - diagnosis Spinal Fractures - etiology Spinal Fractures - surgery TOMOGRAPHY Tomography, X-Ray Computed Treatment Outcome Ultrasound VERTEBRAE Vertebroplasty - methods |
| title | Midterm Follow-Up of Vertebral Geometry and Remodeling of the Vertebral Bidisk Unit (VDU) After Percutaneous Vertebroplasty of Osteoporotic Vertebral Fractures |
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