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Vertebroplasty in the Mid- and Upper Thoracic Spine
Vertebroplasty performed in the mid- and upper thoracic spine presents technical challenges that differ from those in the lower thoracic and lumbar region. We herein report results of percutaneous vertebroplasty for treatment of painful, osteoporotic compression fractures in the mid- and upper thora...
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| Published in: | American journal of neuroradiology : AJNR 2002-08, Vol.23 (7), p.1117-1120 |
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| container_title | American journal of neuroradiology : AJNR |
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| creator | Kallmes, David F Schweickert, Patricia A Marx, William F Jensen, Mary E |
| description | Vertebroplasty performed in the mid- and upper thoracic spine presents technical challenges that differ from those in the lower thoracic and lumbar region. We herein report results of percutaneous vertebroplasty for treatment of painful, osteoporotic compression fractures in the mid- and upper thoracic spine.
Retrospective chart review identified vertebroplasty treatments performed for painful osteoporotic compression fractures at T4-T8. The following were catalogued: percentage of vertebral body compression, needle size, surgical approach, clinical outcome, volume of cement injected, and complications.
Sixty-three vertebral bodies were treated in 41 patients. Mean percentage of compression was 44%. Bipediculate injections were used in 12 (19%) of 63 treatment levels, and unipediculate injections were used in 51 (81%) of treatments (75 injections performed). Eleven-gauge needles were used for 55 (73%) of the 75 injections, and 13-gauge needles were used for 20 (27%). Clinical follow-up was available for 76% of the patients. Mean pre- and postoperative pain intensity was 9.7 +/- 1.0 and 1.7 +/- 1.9, respectively (P |
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Retrospective chart review identified vertebroplasty treatments performed for painful osteoporotic compression fractures at T4-T8. The following were catalogued: percentage of vertebral body compression, needle size, surgical approach, clinical outcome, volume of cement injected, and complications.
Sixty-three vertebral bodies were treated in 41 patients. Mean percentage of compression was 44%. Bipediculate injections were used in 12 (19%) of 63 treatment levels, and unipediculate injections were used in 51 (81%) of treatments (75 injections performed). Eleven-gauge needles were used for 55 (73%) of the 75 injections, and 13-gauge needles were used for 20 (27%). Clinical follow-up was available for 76% of the patients. Mean pre- and postoperative pain intensity was 9.7 +/- 1.0 and 1.7 +/- 1.9, respectively (P <.0001). Mean pre- and postoperative medication scores were 3.4 +/- 0.7 and 1.7 +/- 1.7, respectively (P =.075). Fracture involving the pedicle used for needle access was noted in one (1.3%) of 75 injections; this pedicle had been traversed using a 13-gauge needle. Staphylococcus epidermidis infection occurred in one case. No cases of pneumothorax were noted.
Transpedicular vertebroplasty is readily and safely performed using 11-gauge needles in the mid- and upper thoracic regions, yielding excellent pain relief and low complication rates.</description><identifier>ISSN: 0195-6108</identifier><identifier>EISSN: 1936-959X</identifier><identifier>PMID: 12169467</identifier><identifier>CODEN: AAJNDL</identifier><language>eng</language><publisher>Oak Brook, IL: Am Soc Neuroradiology</publisher><subject>Aged ; Biological and medical sciences ; Diseases of the osteoarticular system ; Follow-Up Studies ; Humans ; Injections, Spinal ; Medical sciences ; Minimally Invasive Surgical Procedures ; Osteoporosis - complications ; Osteoporosis - therapy ; Osteoporosis. Osteomalacia. Paget disease ; Pain - etiology ; Pain Management ; Postoperative Complications - etiology ; Postoperative Complications - therapy ; Recurrence ; Retrospective Studies ; Severity of Illness Index ; Spinal Fractures - etiology ; Spinal Fractures - therapy ; Spine ; Thoracic Vertebrae - surgery ; Treatment Outcome ; Virginia</subject><ispartof>American journal of neuroradiology : AJNR, 2002-08, Vol.23 (7), p.1117-1120</ispartof><rights>2002 INIST-CNRS</rights><rights>Copyright © American Society of Neuroradiology 2002</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8185712/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8185712/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,727,780,784,885,53791,53793</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=13850118$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/12169467$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kallmes, David F</creatorcontrib><creatorcontrib>Schweickert, Patricia A</creatorcontrib><creatorcontrib>Marx, William F</creatorcontrib><creatorcontrib>Jensen, Mary E</creatorcontrib><title>Vertebroplasty in the Mid- and Upper Thoracic Spine</title><title>American journal of neuroradiology : AJNR</title><addtitle>AJNR Am J Neuroradiol</addtitle><description>Vertebroplasty performed in the mid- and upper thoracic spine presents technical challenges that differ from those in the lower thoracic and lumbar region. We herein report results of percutaneous vertebroplasty for treatment of painful, osteoporotic compression fractures in the mid- and upper thoracic spine.
Retrospective chart review identified vertebroplasty treatments performed for painful osteoporotic compression fractures at T4-T8. The following were catalogued: percentage of vertebral body compression, needle size, surgical approach, clinical outcome, volume of cement injected, and complications.
Sixty-three vertebral bodies were treated in 41 patients. Mean percentage of compression was 44%. Bipediculate injections were used in 12 (19%) of 63 treatment levels, and unipediculate injections were used in 51 (81%) of treatments (75 injections performed). Eleven-gauge needles were used for 55 (73%) of the 75 injections, and 13-gauge needles were used for 20 (27%). Clinical follow-up was available for 76% of the patients. Mean pre- and postoperative pain intensity was 9.7 +/- 1.0 and 1.7 +/- 1.9, respectively (P <.0001). Mean pre- and postoperative medication scores were 3.4 +/- 0.7 and 1.7 +/- 1.7, respectively (P =.075). Fracture involving the pedicle used for needle access was noted in one (1.3%) of 75 injections; this pedicle had been traversed using a 13-gauge needle. Staphylococcus epidermidis infection occurred in one case. No cases of pneumothorax were noted.
Transpedicular vertebroplasty is readily and safely performed using 11-gauge needles in the mid- and upper thoracic regions, yielding excellent pain relief and low complication rates.</description><subject>Aged</subject><subject>Biological and medical sciences</subject><subject>Diseases of the osteoarticular system</subject><subject>Follow-Up Studies</subject><subject>Humans</subject><subject>Injections, Spinal</subject><subject>Medical sciences</subject><subject>Minimally Invasive Surgical Procedures</subject><subject>Osteoporosis - complications</subject><subject>Osteoporosis - therapy</subject><subject>Osteoporosis. Osteomalacia. Paget disease</subject><subject>Pain - etiology</subject><subject>Pain Management</subject><subject>Postoperative Complications - etiology</subject><subject>Postoperative Complications - therapy</subject><subject>Recurrence</subject><subject>Retrospective Studies</subject><subject>Severity of Illness Index</subject><subject>Spinal Fractures - etiology</subject><subject>Spinal Fractures - therapy</subject><subject>Spine</subject><subject>Thoracic Vertebrae - surgery</subject><subject>Treatment Outcome</subject><subject>Virginia</subject><issn>0195-6108</issn><issn>1936-959X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2002</creationdate><recordtype>article</recordtype><recordid>eNpVkEtLw0AURoMotlb_gmSju0BuJjOT2QhSfEHFha24G24yN81ImsSZ1NB_b8D6Wt3FdzgH7kEwBcVEpLh6PQymMSgeCYizSXDi_Vscx1zJ5DiYQAJCpUJOA_ZCrqfctV2Nvt-Ftgn7isJHa6IQGxOuuo5cuKxah4UtwufONnQaHJVYezrb31mwur1Zzu-jxdPdw_x6EVUsYX2UIaVKlIaRFLmSRkqFnAlElcs054YYR14azkgZxUFK4BmVkCYCEh7HxGbB1Ze32-YbMgU1vcNad85u0O10i1b_Xxpb6XX7oTPIuIRkFFzuBa5935Lv9cb6guoaG2q3XktQGWdJOoLnf0s_ie8_jcDFHkBfYF06bArrfzmW8Rgg-y1Wdl0N1pH2G6zrUQt6GIaEaakBQLJPGZN-9g</recordid><startdate>20020801</startdate><enddate>20020801</enddate><creator>Kallmes, David F</creator><creator>Schweickert, Patricia A</creator><creator>Marx, William F</creator><creator>Jensen, Mary E</creator><general>Am Soc Neuroradiology</general><general>American Society of Neuroradiology</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20020801</creationdate><title>Vertebroplasty in the Mid- and Upper Thoracic Spine</title><author>Kallmes, David F ; Schweickert, Patricia A ; Marx, William F ; Jensen, Mary E</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-h323t-8ae496fd3e76b97d779a536aa9b74b5de35a5fd53e9d95177158ef142612500e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2002</creationdate><topic>Aged</topic><topic>Biological and medical sciences</topic><topic>Diseases of the osteoarticular system</topic><topic>Follow-Up Studies</topic><topic>Humans</topic><topic>Injections, Spinal</topic><topic>Medical sciences</topic><topic>Minimally Invasive Surgical Procedures</topic><topic>Osteoporosis - complications</topic><topic>Osteoporosis - therapy</topic><topic>Osteoporosis. Osteomalacia. Paget disease</topic><topic>Pain - etiology</topic><topic>Pain Management</topic><topic>Postoperative Complications - etiology</topic><topic>Postoperative Complications - therapy</topic><topic>Recurrence</topic><topic>Retrospective Studies</topic><topic>Severity of Illness Index</topic><topic>Spinal Fractures - etiology</topic><topic>Spinal Fractures - therapy</topic><topic>Spine</topic><topic>Thoracic Vertebrae - surgery</topic><topic>Treatment Outcome</topic><topic>Virginia</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kallmes, David F</creatorcontrib><creatorcontrib>Schweickert, Patricia A</creatorcontrib><creatorcontrib>Marx, William F</creatorcontrib><creatorcontrib>Jensen, Mary E</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>American journal of neuroradiology : AJNR</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kallmes, David F</au><au>Schweickert, Patricia A</au><au>Marx, William F</au><au>Jensen, Mary E</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Vertebroplasty in the Mid- and Upper Thoracic Spine</atitle><jtitle>American journal of neuroradiology : AJNR</jtitle><addtitle>AJNR Am J Neuroradiol</addtitle><date>2002-08-01</date><risdate>2002</risdate><volume>23</volume><issue>7</issue><spage>1117</spage><epage>1120</epage><pages>1117-1120</pages><issn>0195-6108</issn><eissn>1936-959X</eissn><coden>AAJNDL</coden><abstract>Vertebroplasty performed in the mid- and upper thoracic spine presents technical challenges that differ from those in the lower thoracic and lumbar region. We herein report results of percutaneous vertebroplasty for treatment of painful, osteoporotic compression fractures in the mid- and upper thoracic spine.
Retrospective chart review identified vertebroplasty treatments performed for painful osteoporotic compression fractures at T4-T8. The following were catalogued: percentage of vertebral body compression, needle size, surgical approach, clinical outcome, volume of cement injected, and complications.
Sixty-three vertebral bodies were treated in 41 patients. Mean percentage of compression was 44%. Bipediculate injections were used in 12 (19%) of 63 treatment levels, and unipediculate injections were used in 51 (81%) of treatments (75 injections performed). Eleven-gauge needles were used for 55 (73%) of the 75 injections, and 13-gauge needles were used for 20 (27%). Clinical follow-up was available for 76% of the patients. Mean pre- and postoperative pain intensity was 9.7 +/- 1.0 and 1.7 +/- 1.9, respectively (P <.0001). Mean pre- and postoperative medication scores were 3.4 +/- 0.7 and 1.7 +/- 1.7, respectively (P =.075). Fracture involving the pedicle used for needle access was noted in one (1.3%) of 75 injections; this pedicle had been traversed using a 13-gauge needle. Staphylococcus epidermidis infection occurred in one case. No cases of pneumothorax were noted.
Transpedicular vertebroplasty is readily and safely performed using 11-gauge needles in the mid- and upper thoracic regions, yielding excellent pain relief and low complication rates.</abstract><cop>Oak Brook, IL</cop><pub>Am Soc Neuroradiology</pub><pmid>12169467</pmid><tpages>4</tpages></addata></record> |
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| ispartof | American journal of neuroradiology : AJNR, 2002-08, Vol.23 (7), p.1117-1120 |
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| subjects | Aged Biological and medical sciences Diseases of the osteoarticular system Follow-Up Studies Humans Injections, Spinal Medical sciences Minimally Invasive Surgical Procedures Osteoporosis - complications Osteoporosis - therapy Osteoporosis. Osteomalacia. Paget disease Pain - etiology Pain Management Postoperative Complications - etiology Postoperative Complications - therapy Recurrence Retrospective Studies Severity of Illness Index Spinal Fractures - etiology Spinal Fractures - therapy Spine Thoracic Vertebrae - surgery Treatment Outcome Virginia |
| title | Vertebroplasty in the Mid- and Upper Thoracic Spine |
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