Vertebral Augmentation : The Comprehensive Guide to Vertebroplasty, Kyphoplasty, and Implant Augmentation / by: Beall, Douglas P..

Format:

Book

Author/Creator:

Amburgy, John W., Author.

Andreshak, Thomas Guido., Author.

Asadi, Hamed., Author.

Barbera, Luigi La., Author.

Barr, John D., Author.

Becker, Stephan., Author.

Brook, Andrew., Author.

Brook, Allan L., Author.

Carter, Nicole S., Author.

Chambers, M. R., Author.

Chandra, Ronil V., Author.

Cianfoni, Alessandro., Author.

Clerk-Lamalice, Olivier., Author.

Coupal, Tyler M., Author.

Cross, Aaron L., Author.

Deer, Timothy., Author.

DePalma, Michael J., Author.

Dunleavy, J. Dana., Author.

Echt, Murray., Author.

Filippiadis, Dimitrios K., Author.

Georgy, Bassem., Author.

Gitkind, Andrew I., Author.

Hamze, Bassam., Author.

Henick, Steven M., Author.

Hirsch, Joshua A., Author.

Kelekis, Alexios., Author.

Khan, Danyal., Author.

Khan, Majid., Author.

Kim, Young Hoon., Author.

Kim, Yong-Chul., Author.

Kim, Jae Hun., Author.

Kim, Kyung-Hoon., Author.

Kok, Hong Kuan., Author.

Kramer, David., Author.

Kreiner, Scott., Author.

Lacasse, Marie-Constance., Author.

Laredo, Jean-Denis., Author.

Lee, Pyung-Bok., Author.

Leslie-Mazwi, Thabele., Author.

Maingard, Julian., Author.

Mallinson, Paul I., Author.

Maloney, Grace., Author.

Manchikanti, Laxmaiah., Author.

Manfre, Luigi., Author.

Marcia, Stefano., Author.

Mooney, James., Author.

Morgan, Sarah., Author.

Munk, Peter L., Author.

Murphy, Kieran., Author.

Nussbaum, David., Author.

Olan, Wayne J., Author.

Parnes, Gregory., Author.

Pinho, Marco C., Author.

Pritchard, Patrick R., Author.

Ryan, Susannah., Author.

Schnell, Amanda., Author.

Schoel, Leah J., Author.

Self, D. Mitchell., Author.

Sherman, Andrew L., Author.

Shonnard, Neal H., Author.

Slater, Lee-Anne., Author.

Thakore, Adam., Author.

Theiss, Steven M., Author.

Tracy, Deborah H., Author.

Wagoner, Derrick D., Author.

Webb, James R., Author.

Yoon, Edward., Author.

Contributor:

Society of Interventional Radiology.

Beall, Douglas P., Editor.

Language:

English

Subjects (All):

Spine--Fractures--Surgery.

Spine.

Spine--Instability--Surgery.

Spinal Fractures--surgery.

Fractures, Compression--surgery.

Vertebroplasty.

Kyphoplasty.

Bone Cements--therapeutic use.

Medical Subjects:

Spinal Fractures--surgery.

Fractures, Compression--surgery.

Vertebroplasty.

Kyphoplasty.

Bone Cements--therapeutic use.

Physical Description:

1 online resource (xviii, 282 pages) : illustrations.

Edition:

1st ed.

Place of Publication:

New York : Thieme, [2020]

Summary:

"Vertebral compression fractures (VCFs) result from trauma or pathologic weakening of the bone and are associated with conditions such as osteoporosis or malignancy. Worldwide, VCFs impact one in three women and one in eight men aged 50 and older, with more than 8.9 million fractures incurred annually. Copublished by Thieme and the Society of Interventional Radiology, Vertebral Augmentation: The Comprehensive Guide to Vertebroplasty, Kyphoplasty, and Implant Augmentation provides a practical, clinical discussion of these minimally invasive spine interventions"-- Provided by publisher.

Contents:

Vertebral Augmentation: The Comprehensive Guide to Vertebroplasty, Kyphoplasty, and Implant Augmentation

Title Page

Copyright

Contents

Videos

Preface

Contributors

1 History and Introduction to Vertebral Augmentation

1.1 Introduction

1.2 Mechanisms of Pain Relief

1.3 Procedures

1.3.1 Vertebroplasty

1.3.2 Kyphoplasty

1.3.3 Radiofrequency Kyphoplasty

1.3.4 Percutaneous Radiofrequency Ablation

1.3.5 Vertebral Augmentation with Implants

1.4 Indications and Contraindications

1.5 Risks and Complications

1.6 Clinical Applications and Evidence

1.6.1 Osteoporosis

1.6.2 Trauma

1.6.3 Bone Disease, Cancer, Metastases, and Multiple Myeloma

1.6.4 Langerhans Cell Vertebral Histiocytosis

1.6.5 Osteogenesis Imperfecta

1.7 Conclusion

2 Vertebral Compression Fractures

2.1 Introduction

2.2 Presentation and Diagnosis

2.3 Epidemiology

2.3.1 Osteoporosis

2.3.2 Cancer

2.3.3 Trauma

2.4 Vertebral Fracture Classification Systems

2.5 Treatment

2.5.1 Osteoporotic Vertebral Compression Fractures

2.5.2 Pathologic Vertebral Fractures due to Neoplasia

2.5.3 Traumatic Vertebral Fractures

2.6 Public Health and Economic Impact

2.6.1 Osteoporosis

2.6.2 Cancer

2.6.3 Trauma

2.6.4 Cost-Effectiveness

2.7 Conclusion

3 Preprocedure Assessment Prior to Vertebral Augmentation

3.1 Introduction

3.2 Anatomy, Radiologic Imaging, Identification, and Interpretation of Vertebral Compression Fractures

3.3 Preprocedure Assessment

3.4 General Indications, Contraindications, and Procedure Complications

3.5 Equipment and Room Setup

3.6 Procedure

3.7 Postprocedure Management

4 Physical Examination Findings in Patients with Vertebral Compression Fractures

4.1 Introduction

4.2 Presentation of Vertebral Compression Fractures

4.3 Risk Factors.

4.4 Red Flags

4.5 Observational Findings Suggesting Compression Fracture

5 Medical Pain Management in Patients with Vertebral Compression Fractures

5.1 Introduction

5.2 Nonsteroidal Anti-Inflammatory Drugs

5.3 Acetaminophen

5.4 Opioid Analgesics

5.5 Muscle Relaxants

5.6 Calcitonin

5.7 Transdermal Lidocaine

5.8 Bisphosphonate

5.9 Anticonvulsants

5.10 Conclusion

6 Approaches to the Vertebral Body

6.1 Introduction

6.2 Indications

6.3 Anatomy

6.3.1 Planning the Trajectory

6.4 Bilateral versus Unilateral Approach

6.5 Imaging and Equipment

6.6 Procedure

6.6.1 Potential Risks and Management of Complications

6.6.2 Transpedicular Approach

6.6.3 Extrapedicular and Parapedicular Approaches

6.6.4 Extrapedicular Modified Inferior End Plate Access

6.6.5 Parapedicular Approach

6.6.6 Parapedicular Approach to the Vertebral Body

6.6.7 Approaches to the Cervical Spine

6.7 Vertebral Body Biopsy

6.8 Conclusion

7 Properties of Bone Cements and Vertebral Fill Materials: Implications for Clinical Use in Image-Guided Therapy and Vertebral Augmentation

7.1 Introduction

7.2 Bone Cement Types

7.2.1 Polymer Chemistry

7.2.2 PMMA-Based Bone Cements

7.3 Cement Properties

7.3.1 Liquid-to-Powder Ratio

7.3.2 Initiator-to-Activator Ratio

7.3.3 Radiopacifiers

7.3.4 Polymethyl Methacrylate Bead Size

7.4 Mixing Method

7.5 Antibiotics

7.6 Pain Relief

7.7 Bone Adherence

7.8 Bone Formation and Other New Developments

7.9 The Future

7.10 Conclusion

7.11 Pearls

8 Vertebroplasty

8.1 Introduction

8.2 Anatomic Features

8.3 The Procedure

8.3.1 Procedure Materials

8.3.2 Sedation and Anesthetic Preparation

8.3.3 Positioning

8.3.4 Antibiotic Prophylaxis and Skin Preparation

8.3.5 Needle Placement

8.3.6 Image Guidance.

8.3.7 Needle Insertion

8.3.8 Fill Materials

8.3.9 Cement Injection

8.3.10 Volume of Cement Injected

8.4 Considerations in Cervical Vertebroplasty

8.5 Postprocedure Care

8.5.1 Initial Postprocedure Care

8.5.2 Discharge and Follow-Up

8.6 Conclusion

8.7 Key Points

9 Sacroplasty: Management of Sacral Insufficiency Fractures

9.1 Introduction

9.2 Fractures of the Sacrum: Anatomy

9.3 Sacral Insufficiency Fractures: Causes and Natural History

9.4 History and Examination

9.5 Imaging

9.6 Treatment

9.6.1 Conservative Treatment

9.6.2 Osseous Augmentation

9.7 Techniques

9.7.1 Short-Axis Technique

9.7.2 Long-Axis Technique

9.7.3 Lateral Approach Technique

9.8 Outcomes

10 Cervical and Posterior Arch Augmentation

10.1 Cervical Augmentation

10.1.1 Introduction

10.1.2 Historical Perspective

10.1.3 Image Guidance

10.1.4 Procedural Approaches

10.1.5 Prevention of Infection

10.1.6 Complications

10.1.7 Conclusion

10.2 Posterior Arch Augmentation

10.2.1 Introduction

10.2.2 Pediculoplasty

10.2.3 Laminoplasty and Spinoplasty

10.2.4 Key Points

11 Balloon Kyphoplasty

11.1 Introduction

11.2 Materials

11.2.1 Bone Access Tools

11.2.2 Balloons Tamps and Inflation Devices

11.2.3 Bone Cement

11.3 Diagnosis and Preoperative Preparation

11.4 Indications and Contraindications

11.5 Procedure

11.5.1 Bilateral versus Unilateral Approach

11.6 Risks and Benefits

11.7 Importance of Sagittal Balance Restoration and Kyphosis Correction

11.8 Adjacent Fractures

11.9 Postoperative Care

11.10 Conclusion

12 Vertebral Augmentation with Implants

12.1 Introduction

12.2 The Implants

12.3 The Procedures

12.4 Bilateral versus Unilateral Approach

12.5 Advantages and Disadvantages of Vertebral Implants

12.6 Postprocedure Care.

13 Radiation Exposure and Protection: A Conversation Beyond the Inverse Square Law, Thermoluminescent Dosimeters, and Lead Aprons

13.1 Introduction

13.2 Gene Mutation and Radiation Effects on DNA Leading to the Development of Cancer

13.3 Radiation Dose to the Operator and Patient During Vertebroplasty/Kyphoplasty

14 Appropriateness Criteria for Vertebral Augmentation

14.1 Introduction

14.2 Indications, Guidelines, and Recommendations

14.3 Appropriateness Criteria

15 Literature Analysis of Vertebral Augmentation

15.1 Introduction

15.2 Early Data

15.3 Evidence for Efficacy

15.3.1 Vertebroplasty

15.3.2 Kyphoplasty

15.3.3 Vertebroplasty Compared with Kyphoplasty

15.3.4 The Kiva System

15.4 Evidence for Safety

15.4.1 Overall Complications

15.4.2 Cement Leakage

15.4.3 Subsequent Fractures

15.5 Mortality Benefit

15.6 Conclusion

15.7 Key Points

16 Cost-Effectiveness of Vertebral Augmentation

16.1 Introduction

16.2 Cost-Effectiveness

17 Additional and Adjacent Level Fractures after Vertebral Augmentation

17.1 Introduction

17.2 Risk Factors for Additional or Adjacent-Level Fractures

17.3 Possible Influences of Vertebral Augmentation Technique

18 Predisposing Factors to Vertebral Fractures

18.1 Introduction

18.2 Current Information Based on Recent Literature and State-of-the-Art Practice

18.2.1 Osteoporosis

18.2.2 Pathologic Fractures

18.2.3 Fractures Secondary to Infection

18.2.4 Traumatic Fractures

18.3 Key Points

19 Bracing for Spinal Fractures

19.1 Introduction

19.2 Cervical Fracture Bracing

19.3 Lumbar and Thoracic Compression Fracture Bracing

19.3.1 Introduction

19.3.2 Types of Thoracolumbar Braces

19.3.3 Concepts on the Use of the TLSO Braces

19.3.4 Bracing for Traumatic Burst Fractures of the Lumbar and Thoracic Spine.

19.4 Osteoporotic Lumbar and Thoracic Fractures

20 Amount of Cement or Vertebral Fill Material for Optimal Treatment and Pain Relief

20.1 Introduction

20.2 What are the Mechanisms of Pain Relief in Vertebral Augmentation?

20.2.1 Mechanical Stability

20.2.2 Denervation of the Vertebra and the Role of C Fibers and the Basivertebral Nerve

20.3 Treatment of Degenerative End Plate Changes with Osseous Augmentation

20.4 Conclusion

20.5 Pearls

21 Clinical Presentation and the Response to Vertebral Augmentation

21.1 Clinical Presentation

21.2 Response to Vertebral Augmentation

22 Effect of Vertebral Augmentation on Morbidity and Mortality

22.1 Introduction

22.2 Nonsurgical Management vs. Vertebral Augmentation

22.3 Outcome of Patients with Vertebral Fractures Not Treated with Vertebral Augmentation

23 Number of Levels Appropriately Treated with Vertebral Augmentation

23.1 Introduction

23.2 Neoplastic Vertebral Fractures

23.3 Risk Factors for Vertebral Compression Fractures

23.4 Number of Levels to Treat with Vertebral Augmentation

23.5 Diagnosis of Painful Vertebral Compression Fractures

23.6 Safety of Treating Multiple Vertebral Compression Fractures

23.7 Conclusion

24 Pain after Vertebral Augmentation

24.1 Introduction

24.2 Complications from Procedure

24.3 Recurrent Fracture

24.4 Facet-Mediated Pain

24.5 Sagittal Imbalance

25 Postural Fatigue Syndrome

25.1 Introduction

25.2 Clinical Presentation

25.3 Pathophysiology

25.4 Treatment

25.5 Key Points

26 Physical Therapy after Vertebral Augmentation

26.1 Introduction

26.2 Rehabilitation as Part of Routine Anti-Osteoporosis Care

26.3 Rehabilitation after Osteoporotic Vertebral Compression Fractures

26.4 Rehabilitation as Part of Postinterventional Care

26.5 Conclusion.

27 Sham vs. Vertebral Augmentation.

Notes:

Includes bibliographical references and index.

"Society of Interventional Radiology, Thieme"--Preliminaries.

Print version record.

ISBN:

9781638536260

1638536260

9781684203826

1684203821

9781684200160

1684200164