The effect of pulsed jet lavage in vertebroplasty on injection forces of polymethylmethacrylate bone cement, material distribution, and potential fat embolism: A cadaver study

Spine

Volumn 33, Issue 23, 2008, Pages

  Benneker, Lorin M ^a,c   Heini, Paul F ^a   Suhm, Norbert ^b   Gisep, Armando ^b  

^a UNIVERSITY OF BERN   (Switzerland)

^b AO Development Institute   (Switzerland)

^c UNIVERSITY OF BERN   (Switzerland)

Author keywords

[No Author keywords available]

Indexed keywords

BONE CEMENT; POLY(METHYL METHACRYLATE);

ARTICLE; BIOPSY TECHNIQUE; BONE DENSITY; BONE MARROW; CADAVER; COMPUTER ASSISTED TOMOGRAPHY; CONTROLLED STUDY; DILATATION; EXTRAVASATION; FAT EMBOLISM; HUMAN; LAVAGE; OSTEOPOROSIS; PERCUTANEOUS VERTEBROPLASTY; PRIORITY JOURNAL; PULSED JET LAVAGE; SYRINGE; VERTEBRA; X RAY FILM; DRUG INSTILLATION; HYDROSTATIC PRESSURE; LUMBAR VERTEBRA; MATERIALS TESTING; METABOLIC BONE DISEASE; METABOLISM; METHODOLOGY; POSTOPERATIVE COMPLICATION;

BONE CEMENTS; BONE DENSITY; BONE DISEASES, METABOLIC; CADAVER; EMBOLISM, FAT; HUMANS; HYDROSTATIC PRESSURE; INSTILLATION, DRUG; LUMBAR VERTEBRAE; MATERIALS TESTING; POLYMETHYL METHACRYLATE; POSTOPERATIVE COMPLICATIONS; THORACIC VERTEBRAE; VERTEBROPLASTY;

EID: 59649106155     PISSN: 03622436     EISSN: 15281159     Source Type: Journal    
DOI: 10.1097/BRS.0b013e318183bb6d     Document Type: Article

References (20)

1. Lad SP. Trends in pathological vertebral fractures in the United States: 1993 to 2004. Neurosurg Spine 2007;7:305-10.
2. Heini PF. The current treatment-a survey of osteoporotic fracture treatment. Osteoporotic spine fractures: the spine surgeon's perspective. Osteoporos Int 2005;16(suppl 2):S85-92.
3. Belkoff SM, Maroney M, Fenton DC, et al. An in vitro biomechanical evaluation of bone cements used in percutaneous vertebroplasty. Bone 1999;25: 23S-6S.
4. Jensen ME, Evans AJ, Mathis JM, et al. Percutaneous polymethylmethacrylate vertebroplasty in the treatment of osteoporotic vertebral body compression fractures: technical aspects. Am J Neuroradiol 1997;18:1897-904.
5. Liebschner MA, Rosenberg WS, Keaveny TM. Effects of bone cement volume and distribution on vertebral stiffness after vertebroplasty. Spine 2001; 26:1547-54.
6. Heini PF, Berlemann U, Kaufmann M, et al. Augmentation of mechanical properties in osteoporotic vertebral bones-a biomechanical investigation of vertebroplasty efficacy with different bone cements. Eur Spine J 2001;10: 164-71.
7. Higgins KB, Harten RD, Langrana NA, et al. Biomechanical effects of unipedicular vertebroplasty on intact vertebrae. Spine 2003;28:1540-8.
8. Sun K, Liebschner MA. Biomechanics of prophylactic vertebral reinforcement. Spine 2004;29:1428-35.
9. Fribourg D, Tang C, Sra P, et al. Incidence of subsequent vertebral fracture after kyphoplasty. Spine. 2004;29:2270-6.
10. Kayanja MM, Togawa D, Lieberman IH. Biomechanical changes after the augmentation of experimental osteoporotic vertebral compression fractures in the cadaveric thoracic spine.Spine J. 2005;5:55- 63.
11. Lindsay R, Silverman SL, Cooper C, et al. Risk of new vertebral fracture in the year following a fracture. JAMA 2001;285:320-3.
12. Heini PF, Orler R. [Vertebroplasty in severe osteoporosis. Technique and experience with multi-segment injection]. Orthopade 2004;33:22-30.
13. Aebli N, Krebs J, Davis G, et al. Fat embolism and acute hypotension during vertebroplasty: an experimental study in sheep. Spine 2002;27:460-6.
14. Hulme PA, Krebs J, Ferguson SJ, et al. Vertebroplasty and kyphoplasty: a systematic review of 69 clinical studies. Spine. 2006;31:1983-2001.
15. Lin EP, Ekholm S, Hiwatashi A, et al. Vertebroplasty: cement leakage into the disc increases the risk of new fracture of adjacent vertebral body. Am J Neuroradiol 2004;25:175-80.
16. Berlemann U, Franz T, Orler R, et al. Kyphoplasty for treatment of osteoporotic vertebral fractures: a prospective non-randomized study. Eur Spine J 2004;13:496-501.
17. Yeom JS, Kim WJ, Choy WS, et al. Leakage of cement in percutaneous transpedicular vertebroplasty for painful osteoporotic compression fractures. J Bone Joint Surg Br 2003;85:83-9.
18. Breusch SJ, Reitzel T, Schneider U, et al. [Cemented hip prosthesis implantation- decreasing the rate of fat embolism with pulsed pressure lavage]. Orthopade 2000;29:578-86.
19. Aebli N, Krebs J, Schwenke D, et al. Cardiovascular changes during multiple vertebroplasty with and without vent-hole: an experimental study in sheep. Spine 2003;28:1504-11; discussion 1511-2.
20. Bohner M, Gasser G, Baroud G, et al. Theoretical and experimental model to describe the injection of a polymethylmethacrylate cement into a porous structure. Biomaterials 2003;24:2721-30.