Percutaneous vertebroplasty: a comparison between the procedure using the traditional and the new side-opening cannula for osteoporotic vertebral fracture

Author:

Figueiredo Nicandro1,Barra Filipe2,Moraes Laryssa2,Rotta Roger2,Casulari Luiz Augusto3

Affiliation:

1. Federal University of Mato Grosso, Brazil

2. University of Cuiabá, Brazil

3. University of Brasília, Brazil

Abstract

A total of 47 percutaneous vertebroplasties (PVs) were performed for osteoporotic vertebral fractures in 31 patients, 25 PVs were performed using the frontal-opening cannula (FOC) and 22 using the new side-opening cannula (SOC), randomly distributed. The incidence of cement extrusion was 27% with the SOC, and 68% with the FOC, all asymptomatic (p<0.01). The pain control was similar for both groups, with good improvement of pain in most of the patients, and there were no clinical relevant complications. The cement leakage can be significantly reduced with this new SOC, which allows for a better cement injection toward the center of the vertebral body, increasing the safety of the procedure, with no increase in cost.

Publisher

FapUNIFESP (SciELO)

Subject

Neurology,Clinical Neurology

Reference25 articles.

1. Guest editors note: First Annual Symposium on Curriculum Development in Osteoporosis;Giovenell AJ;Drug Inf J,1997

2. Physical reabilitation of the osteoporotic patient;Fitzsimmons A;Drug Inf J,1997

3. Current concepts and techniques in percutaneous vertebroplasty;Heran MKS;Orthop Clin N Am,2006

4. Medical expenditures for the treatment of osteoporotic fractures in the United States in 1995: report from the National Osteoporosis Foundation;Ray NF;J Bone Mineral Res,1997

5. Current medical, rehabilitation, and surgical management of vertebral compression fractures;Wu SS;J Womens Health,2003

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