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Spine (Phila Pa 1976) 2019 Jan;44(2):123-133

Department of Radiology, Section of Interventional Radiology, Rush University Medical Center, Chicago, IL.

Study Design: Retrospective analysis of Medicare data OBJECTIVE.: To analyze trends of vertebral augmentation in the elderly Medicare population in the context of evolving evidence and varied medical society opinions.

Summary Of Background Data: Percutaneous vertebral augmentation offers a minimally invasive therapy for vertebral compression fractures. Read More

Malays Orthop J 2018 Nov;12(3):6-13

*Emergency Room Department, Jombang General Hospital, Jombang, Indonesia.

Percutaneous vertebroplasty (PV) is one of the available treatments for vertebral compression fracture (VCF). Polymethylmethacrylate (PMMA) is the most common bone substitute used in the procedure, but it has several disadvantages. Bioceramic material, such as hydroxyapatite (HA), has better biological activity compared to PMMA. Read More

J Neurointerv Surg 2018 Dec 14. Epub 2018 Dec 14.

Department of Neuroradiology, Papa Giovanni XXIII Hospital, Bergamo, Italy.

Objectives: To describe a new technique to obtain minimally invasive but efficient vertebral body (VB) reconstruction, augmentation, and stabilization in severe osteoporotic and neoplastic fractures, combining two pre-existing procedures. The implant of vertebral body stents (VBS) is followed by insertion of percutaneous, fenestrated, cement-augmented pedicular screws that act as anchors to the posterior elements for the cement/stent complex. The screws reduce the risk of stent mobilization in a non-intact VB cortical shell and bridge middle column and pedicular fractures. Read More

PLoS One 2018 10;13(12):e0208578. Epub 2018 Dec 10.

Division of General Internal Medicine, Bern University Hospital, Inselspital, University of Bern, Bern, Switzerland.

Background: Percutaneous vertebroplasty (VP) and balloon kyphoplasty (BKP) for treating painful osteoporotic vertebral fractures are controversial.

Objective: We assessed the regional variation in the use of VP/BKP in Switzerland.

Methods: We conducted a population-based small area variation analysis using patient discharge data for VP/BKP from all Swiss hospitals and Swiss census data for calendar years 2012/13. Read More

Jpn J Radiol 2018 Dec 1. Epub 2018 Dec 1.

Department of Radiology, National Center for Global Health and Medicine, 1-21-1 Toyama, Shinjuku-ku, Tokyo, 162-8655, Japan.

Objective: To retrospectively analyze the safety and efficacy of percutaneous vertebroplasty (PVP) for patients aged 90 or over.

Materials And Methods: We analyzed 130 consecutive patients with osteoporotic vertebral fractures who underwent a first-time PVP between May 2015 and September 2017 at our institution. We divided them into the elder patient group aged 90 years or over (n = 21) and the younger patient group under 90 years (n = 109). Read More

World Neurosurg 2018 Nov 29. Epub 2018 Nov 29.

The First Affiliated Hospital of Guangxi University of Chinese Medicine, Nanning, Guangxi, People's Republic of China. Electronic address:

Objective: To determine cement distribution patterns on therapeutic efficacy after percutaneous vertebroplasty (PVP) treatment of osteoporotic vertebral compression fractures (OVCFs) with intravertebral cleft (IVC).

Methods: Patients who were treated with PVP for single OVCFs with IVC and met this study's inclusion criteria were retrospectively reviewed. The follow-up period was at least 2 years. Read More

Zhongguo Gu Shang 2018 Nov;31(11):993-997

Department of Spinal Surgery, Integrated Traditional Chinese and Western Medicine Hospital of Wenzhou Affiliated to Zhejiang Chinese Medicine University, Wenzhou 325000, Zhejiang, China.

Objective: To explore the clinical effects of bone filling bag vertebroplasty in treating osteoporotic vertebral compression fractures.

Methods: The clinical data of 127 patients (145 vertebrae) with osteoporotic vertebral compression fractures who corresponded the criteria of inclusion and exclusion from December 2015 to June 2017 were retrospectively analyzed. Responsible vertebral bodies were identified by clinical situation, X-rays, CT scan, MRI. Read More

Eur Radiol 2018 Dec 3. Epub 2018 Dec 3.

2nd Department of Radiology, Attikon General University Hospital, National and Kapodistrian University of Athens, Rimini 1, Haidari, 12462, Athens, Greece.

Objectives: The purposes of the study were to evaluate the safety and long-term efficacy of augmented vertebroplasty using a polyether ether ketone (PEEK) implant, for the treatment of lumbar or thoracic vertebral fractures (A2 according to the Magerl's AO classification) and to analyze pain reduction, height restoration, and complications during a 2-year follow-up period.

Methods: Prospective non-randomized evaluation was performed for 21 painful split vertebral fractures (20 patients, 14 females, 6 males; mean age 72.80 ± 10. Read More

Asian Spine J 2018 Nov 29. Epub 2018 Nov 29.

Unité Rachis, Hopital de La Timone, Assistance Publique des Hopitaux de Marseille, Marseille, France.

Study Design: Retrospective case series observational study.

Purpose: Cancer patients are often aged and are further weakened by their illness and treatments. Our goal was to evaluate the efficiency and safety of using minimally invasive techniques to operate on spinal fractures in these patients. Read More

World Neurosurg 2018 Nov 19. Epub 2018 Nov 19.

Department of Orthopaedics, Chengdu First People's Hospital, Chengdu, China.

Objective: Data reporting percutaneous vertebroplasty (PVP) or percutaneous balloon kyphoplasty (PKP) application to the midthoracic vertebrae remain limited. This study aimed to summarize our experiences and explore the efficacy and safety of PVP or PKP in dealing with osteoporotic vertebral compression fracture (OVCF) in the midthoracic vertebrae.

Methods: Patients receiving PVP or PKP for midthoracic OVCF in our institution from January 2015 to January 2018 were retrospectively enrolled. Read More

J Pain Res 2018 26;11:2625-2631. Epub 2018 Oct 26.

Department of Spine Surgery, The Third Hospital of Hebei Medical University, 050051 Shijiazhuang, China,

Purpose: The purpose of this study was to compare the clinical efficacy and safety of percutaneous vertebroplasty (PVP) and percutaneous kyphoplasty (PKP) in the treatment of the elderly with very severe osteoporotic vertebral compression fractures (vsOVCFs).

Methods: From September 2012 to September 2015, 57 patients with vsOVCFs who had undergone PVP and PKP surgeries at our medical center were reviewed retrospectively, at least 2 years follow-up. All patients were divided into PVP group (n=31) and PKP group (n=26). Read More

Acta Orthop Belg 2018 Mar;84(1):105-107

We assessed the results of percutaneous vertebroplasty treatment of painful vertebral hemangiomas in 110 patients, with a three years follow-up. 110 patients with painful vertebral hemangiomas were treated by percutaneous vertebroplasty. The patients were diagnosed by MRI and observed for 3 years after surgery. Read More

World Neurosurg 2018 Nov 9. Epub 2018 Nov 9.

Department of Spinal Surgery, General Hospital of Ningxia Medical University, Yinchuan, Ningxia Hui Autonomous Region, 750004, China. Electronic address:

Objective: To review the literature related to iatrogenic lumbar artery injury (ILAI) in spine surgery with a focus on which iatrogenic operation may cause lumbar artery (LA) injury.

Methods: We conducted a comprehensive search in the Web of Science, PubMed, EMBASE and Chinese biomedical databases in July 2018.

Results: A total of 20 articles on ILAI were selected in this study, most of which were published as case reports involving a total of 26 cases. Read More

Semin Intervent Radiol 2018 Oct 5;35(4):309-323. Epub 2018 Nov 5.

Service de Radiologie Ostéoarticulaire, Viscérale et Vasculaire, Hôpital Lariboisière, APHP, Université Paris-Diderot, Paris, France.

Percutaneous vertebral augmentation/consolidation techniques are varied. These are vertebroplasty, kyphoplasty, and several methods with percutaneous introduction of an implant (associated or not with cement injection). They are proposed in painful osteoporotic vertebral fractures and traumatic fractures. Read More

Semin Intervent Radiol 2018 Oct 5;35(4):221-228. Epub 2018 Nov 5.

Department of Radiology, Institut Bergonie, Bordeaux, France.

Occurrence of bone metastases is a common event in oncology. Bone metastases are associated with pain, functional impairment, and fractures, particularly when weight-bearing bones are involved. Management of bone metastases has been improved by the development of various interventional radiology consolidation techniques. Read More

Cochrane Database Syst Rev 2018 11 6;11:CD006349. Epub 2018 Nov 6.

Monash Department of Clinical Epidemiology, Cabrini Institute, Department of Epidemiology and Preventive Medicine, School of Public Health and Preventive Medicine, Monash University, 4 Drysdale Street, Malvern, Victoria, Australia, 3144.

Background: Percutaneous vertebroplasty remains widely used to treat osteoporotic vertebral fractures although our 2015 Cochrane review did not support its role in routine practice.

Objectives: To update the available evidence of the benefits and harms of vertebroplasty for treatment of osteoporotic vertebral fractures.

Search Methods: We updated the search of CENTRAL, MEDLINE and Embase and trial registries to 15 November 2017. Read More

Clin Spine Surg 2018 Nov 1. Epub 2018 Nov 1.

The Second Department of Orthopedics, The Zhengzhou Central Hospital Affiliated to Zhengzhou University, Zhengzhou City, PR China.

Study Design: This was a clinical retrospective study.

Objectives: This retrospective study aimed to investigate the incidence of new vertebral compression fractures (NVCFs) and analyze the risk factors that influence the secondary fractures in adjacent and nonadjacent levels after percutaneous vertebroplasty (PVP) and conservative treatment (CT).

Summary Of Background Data: PVP is an effective procedure to alleviate the pain caused by osteoporotic vertebral compression fractures. Read More

Osteoporos Int 2018 Oct 28. Epub 2018 Oct 28.

Department of Spinal Surgery, Tongde Hospital of Zhejiang Province, Gucui Road 234, Hangzhou, Zhejiang, People's Republic of China.

Our study demonstrated a high incidence of recollapse of the augmented vertebrae after PVP treatment for OVCFs. A risk score based on all significant factors can predict the rate of recollapse and gain clinical benefits to prevent recollapse in patients at high risk.

Background: Recollapse of the augmented vertebrae after percutaneous vertebroplasty (PVP) treatment for osteoporotic vertebral compression fractures (OVCFs) has obtained much attention. Read More

Interv Med Appl Sci 2018 Mar;10(1):1-6

Department of Neurosurgery, Bou Ali Hospital, Tehran Medical Sciences Branch, Islamic Azad University, Tehran, Iran.

Background: Vertebral fractures (VFs) are the most usual convolution of metastatic tumors and the vertebral column is the third most ordinary site for painful bone metastases and remains a chief factor of morbidity in cancer patients.

Methods: In this paper, we investigated the previous literature on the status of clinical and prospects for the use of percutaneous vertebroplasty (PVP) with polymethylmethacrylate as a remedial alternative for the therapy of refractory pain resulting from malignant vertebral compression and pathologic fractures associated with metastatic tumors of various sites in numerous studies. The scientific document for this remedy, containing safety, immediate and long-term efficacy, and outcome measures, and also the risks of complications, was analyzed in detail. Read More

BJR Case Rep 2018 12;4(2):20170092. Epub 2018 Feb 12.

Department of Radiology, Cappagh National Orthopaedic Hospital of Ireland, Finglas, Dublin, Ireland.

Vertebroplasty is a recognised treatment for osteoporotic and pathological compression fractures. We present the case of TF, a 70-year-old male patient with a history of poor left ventricular function presenting with refractory lower back pain, thought to be secondary to Modic Type1 changes in the L2 and L3 vertebrae, accompanying L2-L3 degenerative disc disease. He was treated conservatively for approximately 9 months without success. Read More

Eur Radiol Exp 2018 Oct 24;2(1):31. Epub 2018 Oct 24.

GVM Care&Research, Maria Pia Hospital, Strada Mongreno 180, 10132, Turin, Italy.

Background: Image-guided elastoplasty is an innovative method for percutaneous vertebral augmentation with a silicone elastomeric material. Our aim was to evaluate its technical success, safety and efficacy as well as the rate of secondary fractures.

Methods: Nineteen patients (13 women and 6 men, age 72 ± 10 years, mean ± standard deviation) underwent elastoplasty between 2010 and 2016. Read More

J Orthop Surg Res 2018 Oct 22;13(1):264. Epub 2018 Oct 22.

Department of Orthopedic Trauma Centre, 3rd Hospital of Hebei Medical University, No. 139 ZiQiang Road, Qiaoxi District, Shijiazhuang, 050051, China.

Background: This meta-analysis was aimed to explore the overall safety and efficacy of balloon kyphoplasty versus percutaneous vertebroplasty for osteoporotic vertebral compression fracture (OVCF) based on qualified studies.

Methods: By searching multiple databases and sources, including PubMed, Cochrane, and Embase by the index words updated to January 2018, qualified studies were identified and relevant literature sources were also searched. The qualified studies included randomized controlled trials, prospective or retrospective comparative studies, and cohort studies. Read More

J Back Musculoskelet Rehabil 2018 Oct 10. Epub 2018 Oct 10.

Department of Orthopedics, The First Affiliated Hospital of Xi'an Jiaotong University, Xi'an 710054, Shaanxi, China.

Aim: To compare outcomes of unipedicular versus bipedicular approach for percutaneous vertebroplasty for the treatment of thoracolumbar acute osteoporotic vertebral compression fracture (AOVCF).

Method: From November 2014 to September 2015, 382 patients with AOVCF were randomly assigned to the unipedicular and bipedicular groups. Clinical outcomes and complications were compared. Read More

Medicine (Baltimore) 2018 Oct;97(41):e12775

Department of Spine Surgery, Tianjin Union Medical Center.

The aim of this study is to evaluate the safety and effectiveness in the treatment of thoracic aggressive vertebral hemangiomas (AVHs) with neurologic deficit by multiple surgical treatments.The clinical and radiographic data of 5 patients suffering from thoracic AVHs with neurologic deficit and treated by multiple surgical treatments, including percutaneous curved vertebroplasty (PCVP) combined with pedicle screw fixation and decompressive laminectomy, were reviewed and analyzed retrospectively.Five patients (3 women and 2 man, with a mean age of 57. Read More

Blood Res 2018 Sep 28;53(3):186. Epub 2018 Sep 28.

Venous Thromboembolism Unit, Internal Medicine Department, Hospital General Universitario Gregorio Marañón, Madrid, Spain.

Pain Physician 2018 Sep;21(5):E483-E491

Institute of Medical Sciences, Tzu Chi University, Hualien, Taiwan; School of Medicine, Tzu Chi University, Hualien, Taiwan; Department of Orthopedics, Hualien Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, Hualien, Taiwan.

Background: Percutaneous vertebroplasty (PVP) is widely used to treat osteoporotic vertebral compression fractures (OVCFs). The influence of timing (early vs. late) of PVP on the development of adjacent vertebral fractures (AVF) has rarely been discussed. Read More

J Pain Res 2018 18;11:1905-1913. Epub 2018 Sep 18.

Department of Spine Surgery, Hong Hui Hospital, Xi'an Jiaotong University Health Science Center, Xi'an 710054, Shaan'xi Province, China,

Objective: This study is to assess an innovative technique - a vertebral osteotome (VO) combined with side-opening injection cannula for percutaneous vertebroplasty (PVP).

Methods: A retrospective study by propensity score matching. From January 2016 to April 2016, 63 patients who were diagnosed with monosegmental osteoporotic vertebral compression fracture received the innovative technique. Read More

Dan Med J 2018 Oct;65(10)

Introduction: In cancer patients with painful vertebral fractures due to spinal metastasis, traditional pain-relieving therapies include analgesics, bed rest, steroids, radio-ther-apy, etc. These treatment modalities are often ineffective. Traditional spinal surgery in general anaesthesia is usually not an option in patients with advanced cancer and in a poor general condition. Read More

J Biomed Mater Res B Appl Biomater 2018 Sep 29. Epub 2018 Sep 29.

ICube - University of Strasbourg - UMR 7357 CNRS - INSA Strasbourg, 1 place de l'Hôpital, 67091, Strasbourg, France.

Vertebroplasty procedures provide a significant benefit for patients suffering from vertebral fractures. In order to address current issues of vertebroplasty procedures, an injection device able to control the bone cement viscosity has been developed. In addition, this device allows to protect the practitioner by removing him/her from the X-rays area. Read More

Med Sci Monit 2018 Sep 27;24:6840-6850. Epub 2018 Sep 27.

Department of Orthopaedic, Peking University Third Hospital, Beijing, China (mainland).

BACKGROUND Vertebral hemangioma is usually a benign and asymptomatic tumor of blood vessels, but can be aggressive (symptomatic) with expansion, pain, and spinal cord compression. The aim of this study was to review the effects of radiotherapy, surgery, and other treatment approaches in patients with aggressive vertebral hemangioma. MATERIAL AND METHODS Retrospective clinical review included 20 patients who underwent radiotherapy as their first-line treatment for aggressive vertebral hemangioma with mild or slowly developing neurological deficit. Read More

Childs Nerv Syst 2018 Sep 26. Epub 2018 Sep 26.

Department of Neurosurgery, Gaziantep Medical Park Hospital, Sehitkamil District, Ertugrul Street, 27000, Gaziantep, Turkey.

Introduction: Giant cell tumors of the mobile spinal column are very rare tumors, especially in the pediatric age group. Although they are benign tumors, they have locally aggressive growth pattern and high risk of recurrence.

Case Presentation: We report a 15-year-old female patient with thoracic giant cell tumor who underwent percutaneous vertebroplasty and had cement extravasation into the spinal canal. Read More

Global Spine J 2018 Aug 5;8(5):446-452. Epub 2017 Oct 5.

Hospital Italiano de Buenos Aires, Buenos Aires, Argentina.

Study Design: Retrospective analysis. Level of evidence III.

Objectives: Low-energy vertebral compression fractures are an increasing socioeconomic problem among elderly patients. Read More

Asian Spine J 2018 Oct 10;12(5):935-942. Epub 2018 Sep 10.

Department of Orthopaedic Surgery, JA Hiroshima General Hospital, Hiroshima, Japan.

Study Design: Retrospective case-control study.

Purpose: To evaluate the primary outcomes and radiographic results of percutaneous vertebroplasty (PVP) in patients with singlelevel osteoporotic vertebral fracture (OVF) with intravertebral cleft (IVC) to identify the risk factors for cement loosening after PVP.

Overview Of Literature: PVP is a widely accepted method for managing painful OVF; however, cement loosening occasionally occurs with poor outcomes. Read More

Medicine (Baltimore) 2018 Sep;97(37):e12314

Department of Orthopedics, General Hospital of Shenyang Military Area Command of Chinese PLA.

The aim of the study was to discuss the significance of sex, level, age, and side in relation to the anatomical distinctions of unilateral percutaneous kyphoplasty (PKP) for lumbar osteoporotic vertebral compression fractures (OVCFs) through the conventional transpedicle approach (CTPA).We have retrospectively collected lumbar spines (L1-L5) of 200 patients and simulated PKP on the 3D CT scans through unilateral CTPA. We have measured the distance between the entry point and the midline of the vertebral body (DEM), the puncture inclination angle (PIA), safe range of the inner inclination angles (SRA), and the success rate (SR) of puncture. Read More

Medicine (Baltimore) 2018 Sep;97(37):e12204

Department of Orthopedics, Chinese PLA General Hospital, Beijing, China.

A retrospective study of consecutive patients.The purpose of this study was to compare the clinical effect of biomimetic mineralized collagen (MC) modified polymethylmethacrylate (PMMA) bone cement and traditional PMMA bone cement for the treatment of osteoporotic vertebral compression fractures (OVCF).New fracture on adjacent level is the major postoperative complication of percutaneous vertebroplasty (PVP). Read More

Clin Orthop Relat Res 2018 Oct;476(10):1920-1927

A. Bozzo, M. Bhandari, Division of Orthopaedics, Department of Surgery, McMaster University, Hamilton, ON, Canada.

World Neurosurg 2018 Dec 29;120:e737-e744. Epub 2018 Aug 29.

Department of Spinal Surgery, General Hospital of Ningxia Medical University, Yinchuan, China. Electronic address:

Objective: To observe coronal imaging changes associated with recollapse of injured vertebrae after percutaneous vertebroplasty or percutaneous kyphoplasty for osteoporotic thoracolumbar fracture (OTLF).

Methods: Fifty-four cases were retrospectively divided into 2 groups according to the Arbeitsgemeinschaft für Osteosynthesefragen/Association for the Study of Internal Fixation (AO/ASIF) classification of thoracolumbar fracture: group A, type A1 fracture (n = 26); group B, type A3.1 fracture (n = 28). Read More

World Neurosurg 2018 Nov 16;119:e997-e1005. Epub 2018 Aug 16.

Orthopedic Department, Shanghai Tenth People's Hospital, Tongji University School of Medicine, Shanghai, China. Electronic address:

Objectives: The present study introduced ultrasound volume navigation (UVN) to reduce the radiation exposure and puncture time of percutaneous transpedicular puncture in percutaneous vertebroplasty (PVP) or percutaneous kyphoplasty (PKP).

Methods: We retrospectively reviewed the medical records of patients with osteoporotic vertebral compression fracture who had undergone PVP or PKP guided by UVN or fluoroscopy from September 2017 to December 2017.

Results: We enrolled 10 patients (6 women, 4 men) with 24 pedicles involved in the present study. Read More

Medicine (Baltimore) 2018 Aug;97(33):e11968

Department of Orthopedics, Shandong Provincial Hospital Affiliated to Shandong University, Jinan, Shandong, China.

Background: Unilateral and bilateral percutaneous balloon kyphoplasty (PKP) are 2 main approaches for the treatment of patients with osteoporotic vertebral compression fractures (OVCFs). Numerous published systematic reviews and meta-analyses evaluating the effectiveness of 2 approaches remain inconclusive. In order to propose a significant principle to make decisions for comparing clinical safety and efficacy of unilateral versus bilateral PKP for treating OVCFs patients based on the currently best available evidence, a systematic review of overlapping meta-analysis was conducted. Read More

J Bone Oncol 2018 Sep 20;12:69-77. Epub 2018 Jul 20.

Department of Medical Imaging, The First Affiliated Hospital, Kunming Medical University, 295 Xichang Road, Kunming 650032, Yunnan, PR China.

Purpose: To investigate effects and heat distribution of radiofrequency ablation (RFA) on vertebral tumors in vitro and in vivo swine experiments and its clinical application.

Materials And Methods: RFA was performed on the swine spine in vitro and in vivo for 20 min at 90 °C at the electrode tip, and the temperature at the electrode tip and surrounding tissues were recorded. Clinical application of ablation combined with vertebroplasty was subsequently performed in 4 patients with spinal tumors. Read More

Respir Med Case Rep 2018 27;25:78-85. Epub 2018 Jun 27.

Internal Medicine Department, Imam Khomeini Hospital, Urmia University of Medical Sciences, Urmia, Iran.

Background: Vertebroplasty is a procedure most commonly used for vertebral compression fractures. Although it is a relatively safe procedure, complications have been reported. Cement embolism is seen in 2. Read More

World Neurosurg 2018 Nov 30;119:e383-e388. Epub 2018 Jul 30.

Department of Orthopaedic Surgery, The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, Wenzhou, China. Electronic address:

Objective: To determine whether the facet joint violation (FJV) impacts clinical outcomes after percutaneous kyphoplasty (PKP) in patients with osteoporotic vertebral compression fractures.

Methods: Patients undergoing bilateral PKP were enrolled and divided into FJV and non-FJV groups depending on their postoperative axial computed tomography scans. Radiologic parameters, visual analogue scale (VAS), and Oswestry Disability Index (ODI) scores were obtained preoperatively and each follow-up time postoperatively (1day, 1 week, 1 month, 3 months, 6 months, and 1 year). Read More

Eur Radiol 2018 Jul 27. Epub 2018 Jul 27.

Department of Neuroradiology, Pitié-Salpêtrière Hospital, APHP, 47, Bd de l'Hôpital, 75013, Paris, France.

Objective: To evaluate the incidence and risk factors for ICE during a PV.

Materials And Methods: Single-center retrospective analysis of 1512 consecutive patients who underwent 1854 PV procedures for osteoporotic (34 %), malignant (39.9 %) or other cause (26. Read More

World Neurosurg 2018 08;116:491

Department of Orthopedics, Beijing Chao-Yang Hospital, Capital Medical University, Beijing, China. Electronic address:

World Neurosurg 2018 08;116:489-490

Section of Neurosurgery, Department of Experimental Biomedicine and Clinical Neurosciences (BIONEC), University of Palermo, Palermo, Italy. Electronic address:

World Neurosurg 2018 Oct 17;118:97. Epub 2018 Jul 17.

Department of Neurosurgery, Dijon University Hospital, Dijon, France.

Popularity of percutaneous vertebroplasty and vertebral augmentation to treat vertebral compression fractures is increasing. Cement leakages are relatively common, but intradural cement leakage is rare. Few cases of intradural cement leakage have been reported in the literature, and emergency surgery has been reported to be <1%. Read More

World Neurosurg 2018 Oct 17;118:150-155. Epub 2018 Jul 17.

Department of Orthopaedics, The Second Affiliated Hospital, Chongqing Medical University, Chongqing, China. Electronic address:

Objective: We sought to preliminarily explore the efficacy and safety of percutaneous endoscopic spinal surgery for epidural cement leakage. We report a case series of patients who underwent percutaneous retrieval of leaked epidural cement and achieved spinal decompression under endoscopy.

Methods: Five patients with neurologic impairment due to epidural cement leakage after percutaneous vertebroplasty were treated with percutaneous endoscopic spinal decompression. Read More

Medicine (Baltimore) 2018 Jul;97(29):e11555

Department of Orthopedic Surgery.

Rationale: Gorham-Stout syndrome in the spine is extremely rare, and there is no standard curative management thus far. The objective of this article is to report a very rare case of Gorham-Stout syndrome of the lumbar and sacral spine with chylothorax and chyloperitoneum successfully treated by combination of vertebroplasty with cement augmentation and medication treatment. We described the clinical characteristics and postoperative therapy of the patient, and reviewed all of the published cases of Gorham-Stout syndrome of the lumbar and sacral spine. Read More

Medicine (Baltimore) 2018 Jul;97(29):e11544

Department of Pain Management, Huai'an Hospital Affiliated to Xuzhou Medical University, Second People's Hospital of Huai'an City, Huai'an, Jiangsu, China.

Background: Osteoporotic vertebral compression fractures (OVCFs) commonly afflicts most aged people resulting back pain, substantial vertebral deformity, functional disability, decreased quality of life, and increased adjacent spinal fractures and mortality. Percutaneous vertebral augmentation (PVA) included percutaneous vertebroplasty (PVP) and percutaneous kyphoplasty (PKP), nerve block (NB), and conservative treatment (CT) are used for the nonsurgery treatment strategy of OVCFs, however, current evaluation of their efficacy remains controversial.

Methods And Analysis: A systematic literature search was carried out in PubMed, EMBASE, Web of Knowledge, and the Cochrane Central Register of Controlled Trials up to October 31, 2017. Read More