863 results match your criteria Vertebroplasty and Kyphoplasty Percutaneous


Clinical Effect of Bone Filling Mesh Container Vertebroplasty in Osteoporotic Compression Fracture.

Dis Markers 2022 2;2022:5029679. Epub 2022 Aug 2.

Department of Cardres, Guizhou Provincial People's Hospital, Guiyang 550002, China.

Objective: To investigate the clinical application of bone filling mesh container vertebroplasty in osteoporotic vertebral compression fractures (OVCFs).

Methods: Patients with OVCF from October 2018 to April 2020 were selected. Patients in the control and study groups underwent percutaneous kyphoplasty (PKP) and bone filling mesh container vertebroplasty, respectively. Read More

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Incidental detection of an intracardiac cement embolism complicating percutaneous vertebroplasty during cardiac catheterization: A case report.

J Cardiol Cases 2022 Aug 1;26(2):151-153. Epub 2022 May 1.

Division of Cardiovascular Medicine, Department of Internal Medicine, AMITA Health Saint Francis Hospital, Evanston, IL, USA.

Percutaneous vertebroplasty has emerged as an increasingly popular intervention for managing a variety of common spinal conditions. Nevertheless, kyphoplasty cement can accidentally leak into paravertebral venous plexus, then travel to the right heart chambers through the venous system. We report an exceedingly rare case of an intracardiac cement embolism, likely an inadvertent complication of a recent percutaneous lumbar vertebroplasty. Read More

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Analysis of the most influential publications on vertebral augmentation for treating osteoporotic vertebral compression fracture: A review.

Medicine (Baltimore) 2022 Aug;101(31):e30023

Department of Orthopedics, General Hospital of Northern Theater Command, Shenyang, China.

This study aimed to analyze the most influential publications on vertebral augmentation for treating osteoporotic vertebral compression fracture. The Web of Science database was searched using the key words "percutaneous vertebroplasty," "percutaneous kyphoplasty," "balloon kyphoplasty," "vertebroplasty," "kyphoplasty," and "vertebral augmentation." The top 100 publications were arranged by citations per year and descriptively and visually analyzed. Read More

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Finite element analysis of dynamic changes in spinal mechanics of osteoporotic lumbar fracture.

Eur J Med Res 2022 Aug 6;27(1):142. Epub 2022 Aug 6.

Fujian Medical University Union Hospital, Fuzhou, China.

Aim: This study aims to explore the effects of finite element biomechanical properties of different methods in the treatment of osteoporotic thoracolumbar fractures.

Methods: Based on the ultra-thin computed tomography scan data of a volunteer's thoracolumbar spine, the finite element method was used to simulate the treatment of osteoporotic thoracolumbar fracture. Spiral computed tomography scanning was used to obtain images of the thoracolumbar region, which was then imported into Mimics software to obtain the three-dimensional geometric model. Read More

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Robot versus fluoroscopyassisted vertebroplasty and kyphoplasty for osteoporotic vertebral compression fractures: a systematic review and meta-analysis.

World Neurosurg 2022 Jul 31. Epub 2022 Jul 31.

Department of Orthopedics, Clinical Medical College of Yangzhou University, Yangzhou 225001, China. Electronic address:

Objective: This study aimed to conduct a systematic review and meta-analysis to compare the clinical results and complications of robot-assisted (RA) versus fluoroscopy-assisted (FA) percutaneous vertebral augmentation (PVA) in the treatment of osteoporotic vertebral compression fractures (OVCFs).

Methods: A comprehensive search of online databases including PubMed, Embase, Cochrane Library, web of science, and Core journals of China National Knowledge Infrastructure were performed to identify related studies reporting the clinical results and complications of RA-versus FA-assisted PVA in the treatment of OVCFs. The rate of bone cement leakage was used to assess the complications. Read More

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Three-Dimensional Reconstruction of a CT Image under Deep Learning Algorithm to Evaluate the Application of Percutaneous Kyphoplasty in Osteoporotic Thoracolumbar Compression Fractures.

Contrast Media Mol Imaging 2022 28;2022:9107021. Epub 2022 Apr 28.

Department of Spine Surgery, The Fourth Hospital of Changsha, Changsha 412002, Hunan, China.

In order to investigate the therapeutic evaluation of percutaneous kyphoplasty (PKP) for the treatment of osteoporotic thoracolumbar compression fractures by three-dimensional (3D) reconstruction of computed tomography (CT) based on the deep learning V-Net network, the traditional V-Net was optimized first and a new and improved V-Net was proposed. The introduced U-Net, V-Net, and convolutional neural network (CNN) were compared in this study. Then, 106 patients with osteoporotic thoracolumbar compression fractures were enrolled, and 128 centrums were divided into the test group with 53 cases of PKP and the control group with 53 cases of percutaneous vertebroplasty (PVP) according to different surgical protocols. Read More

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Predictive Factors for Adjacent Vertebral Fractures After Percutaneous Kyphoplasty in Patients With Osteoporotic Vertebral Compression Fracture.

Pain Physician 2022 08;25(5):E725-E732

Orthopedics Department, Second Affiliated Hospital of Nanjing Medical University, Nanjing, China.

Background: Adjacent vertebral fracture (AVF) seemed to be a frequent and severe complication in osteoporotic vertebral compression fracture (OVCF) patients receiving percutaneous vertebroplasty  or percutaneous kyphoplasty (PKP), resulting in poor long-term outcome and recurrence of pain-related symptoms. Nonetheless, its mechanism remains unclear.

Objectives: To investigate the potential predictor of AVF after PKP and figure out whether the intervertebral disc plays a role during the process of AVF. Read More

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The influence of diverse bone cement distribution patterns for metastatic vertebral lesions after bilateral percutaneous kyphoplasty.

BMC Musculoskelet Disord 2022 Jul 26;23(1):713. Epub 2022 Jul 26.

Department of Orthopedics, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, People's Republic of China.

Objective: To investigate the influence of diverse bone cement distribution patterns in patients with metastatic vertebral lesions after bilateral percutaneous kyphoplasty (PKP).

Methods: Fifty-nine patients with single-level metastatic vertebral lesions who received bilateral PKP were retrospectively reviewed. According to the different bone cement distribution patterns, patients were divided into confluent (n = 35, CF) and separated (n = 24, SP) groups. Read More

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[Epidemiological and clinical characteristics analysis of 681 cases of thoracolumbar osteoporotic vertebral compression fractures].

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2022 Jul;36(7):873-880

The Second Department of Orthopedics, Beijing DCN Orthopedic Hospital, Beijing, 100143, P. R. China.

Objective: To investigate the epidemiological and clinical characteristics of patients with thoracolumbar osteoporotic vertebral compression fracture (OVCF) treated by percutaneous vertebroplasty (PVP).

Methods: The clinical and imaging data of 681 patients with thoracolumbar OVCF treated with PVP between January 2017 and December 2021 were collected. The epidemiological and clinical characteristics of the patients with thoracolumbar OVCF in single center were summarized from the aspects of demographic distribution (mainly including gender, age), fracture characteristic analysis [including pathological segments, bone mineral density, and body mass index (BMI)], and operation related results (including the distribution of unilateral and bilateral puncture and bone cement injection, postoperative effectiveness analysis and refracture). Read More

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Influence of Different Surgical Timing after Percutaneous Kyphoplasty for Osteoporotic Vertebral Compression Fractures: A Retrospective Study.

Int J Clin Pract 2022 26;2022:7500716. Epub 2022 Jun 26.

Department of Orthopaedics, The First Affiliated Hospital of Soochow University, Suzhou 215006, China.

Background: A large number of people suffer from osteoporotic vertebral compression fractures (OVCFs) worldwide. Percutaneous kyphoplasty (PKP), considered a minimally invasive surgery, has been widely used to treat OVCFs and achieves satisfactory outcomes. However, the surgical timing of PKP is still under discussion. Read More

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Is the incidence of sandwich vertebral fracture higher than that of ordinary adjacent vertebral fracture after PKP?

Medicine (Baltimore) 2022 Jul 8;101(27):e29900. Epub 2022 Jul 8.

Department of Orthopaedics, The Ninth Hospital of Xi'an, Xi'an, China.

Objective: To compare the incidence of fracture between sandwich vertebra and ordinary adjacent vertebra after percutaneous kyphoplasty (PKP).

Method: We analyzed 225 consecutive patients with osteoporotic vertebral compression fractures who underwent PKP between January 2016 and December 2020 at our medical institution. The sandwich vertebrae was located between 2 cement-augmented vertebra and was followed for at least 12 months. Read More

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Study of Unilateral Extrapedicular and Bilateral Pedicle Approach Percutaneous Kyphoplasty for Osteoporotic Vertebral Compression Fracture.

J Coll Physicians Surg Pak 2022 Jul;32(7):924-927

Department of Orthopaedics, Bazhou District People Hospital, Sichuan, China.

Objective: To determine the efficacy and complication of unilateral extrapedicular approach (UEA) and bilateral pedicle approach (BPA) percutaneous kyphoplasty (PKP) in treating thoracolumbar osteoporotic compression fractures.

Study Design: A descriptive study.

Place And Duration Of Study: Department of Orthopaedics, Bazhou district people Hospital, Sichuan, China, from December 2016 to March 2021. Read More

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Local Anesthetic and Steroid Injection to Relieve the Distal Lumbosacral Pain in Osteoporotic Vertebral Compression Fractures of Patients Treated with Kyphoplasty.

Pain Physician 2022 07;25(4):E581-E587

Department of Orthopedics, The Second Affiliated Hospital of Soochow University, Suzhou, China.

Background: Percutaneous kyphoplasty (PKP) is widely used in osteoporotic vertebral compression fractures (OVCF). But in some patients, distal lumbosacral pain (DLP) persists even after treatment and affects their quality of life.

Objective: To investigate the effectiveness of local anesthetic and steroid injection in improving DLP after PKP. Read More

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Vertebroplasty with high-viscosity cement versus conventional kyphoplasty for osteoporotic vertebral compression fractures: a meta-analysis.

ANZ J Surg 2022 Jul 3. Epub 2022 Jul 3.

Department of Trauma and Orthopedics, Peking University People's Hospital, Peking University, Beijing, China.

Background: To evaluate outcomes following percutaneous vertebroplasty with high viscosity cement (PVP-HVC) and percutaneous kyphoplasty (PKP) with normal-viscosity cement in patients with osteoporotic vertebral compression fractures (OVCFs).

Methods: Pertinent studies were retrieved by searching five electronic databases up to July 2021. Additional records were identified via hand-searching of related references. Read More

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Interventional Management of Painful Vertebral Body Metastases.

Semin Intervent Radiol 2022 Apr 30;39(2):172-175. Epub 2022 Jun 30.

Prostate Centers USA, Raleigh, North Carolina.

Management of osseous metastatic disease has advanced over the years with the advent of ablation and interventional technologies. Painful metastatic vertebral body lesions have been particularly studied in the recent years, as open surgery is usually reserved for emergent cord compression. Minimally invasive options in managing these lesions include percutaneous vertebral augmentation, percutaneous ablation, and embolization. Read More

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A finite element analysis on different bone cement forms and injection volumes injected into lumbar vertebral body in percutaneous kyphoplasty.

BMC Musculoskelet Disord 2022 Jun 28;23(1):621. Epub 2022 Jun 28.

Department of Orthopedics, The First Affiliated Hospital of Harbin Medical University, Harbin, 150001, China.

Background: To investigate the stress changes between different bone cement forms and injection volumes in adjacent vertebrae after percutaneous kyphoplasty (PKP) by establishing a three-dimensional finite element model of osteoporosis.

Methods: A male healthy volunteer was selected. CT of scans L1 to L3 vertebrae were imported into Mimics 21. Read More

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Vertebral augmentation: an overview.

Skeletal Radiol 2022 Jun 28. Epub 2022 Jun 28.

Clinical Radiology of Oklahoma, 1700 S. State St, Edmond, OK, 73013, USA.

Vertebral compression fractures (VCFs) are a common pathologic process seen in 30-50% of individuals over the age of 50 years. Historically, VCFs were first treated with nonsurgical management while vertebral augmentation was reserved for severe cases resulting in deformity or significant disability. Current treatment algorithms based on established appropriateness criteria have changed recommendations towards supporting early vertebral augmentation for the VCFs causing the most clinically difficulty and taking into account the degree of vertebral body height loss, kyphotic deformity, and the degree of clinical progression. Read More

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Height restoration and sustainability using bilateral vertebral augmentation systems for vertebral compression fractures: a cadaveric study.

Spine J 2022 Jun 24. Epub 2022 Jun 24.

Biomedical Engineering & Sciences, Exponent, Inc, 3440 Market St., Suite 600, Philadelphia, PA 19104, USA.

Background Context: The treatment of vertebral compression fractures using percutaneous augmentation is an effective method to reduce pain and decrease mortality rates. Surgical methods include vertebroplasty, kyphoplasty, and vertebral augmentation with implants. A previous study suggested that a titanium implantable vertebral augmentation device (TIVAD) produced superior height restoration compared to balloon kyphoplasty (BKP) but was based on a less clinically relevant biomechanical model. Read More

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Comparative Efficacy of Three Minimally Invasive Procedures for Kümmell's Disease: A Systematic Review and Network Meta-Analysis.

Front Surg 2022 1;9:893404. Epub 2022 Jun 1.

Department of Orthopedics, Linfen People's Hospital, Linfen, China.

Background: Percutaneous vertebroplasty (PVP), percutaneous kyphoplasty (PKP), and bone-filling mesh containers(BFC) are three viable minimally invasive techniques that have been used to treat Kümmell's disease(KD). However, there is still debate as to which is safer and more effective. This study summarized the pros and cons of the three techniques in the treatment of KD through network meta-analysis(NMA). Read More

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Effect of Different Anesthesia and Puncture Methods of Percutaneous Kyphoplasty on More Than 90-Year-Old Osteoporotic Vertebral Fracture: Advantages of the ERAS Concept.

Int J Clin Pract 2022 9;2022:7770214. Epub 2022 May 9.

Department of Orthopaedics, The First Affiliated Hospital of Soochow University, Suzhou 215006, China.

Background: Percutaneous kyphoplasty (PKP) is an effective minimally invasive technique for the treatment of osteoporotic vertebral fracture (OVF) in recent years. This study focuses on the analysis of PKP surgery and anesthesia in osteoporotic vertebral facture patients over 90 years old with the concept of "enhanced recovery after surgery."

Methods: This study reviewed 239 patients who were diagnosed with OVF retrospectively between October 2015 and June 2019. Read More

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Biomechanical Analysis of Different Internal Fixation Combined with Different Bone Grafting for Unstable Thoracolumbar Fractures in the Elderly.

Biomed Res Int 2022 25;2022:2863379. Epub 2022 Apr 25.

Department of Spinal Surgery, The Third Affiliated Hospital of Shihezi University Medical College, Shihezi, 832000 Xinjiang Uygur Autonomous Region, China.

This research was developed to accurately evaluate the unstable fractures of thoracolumbar before and after surgery and discuss the treatment timing and methods. Three-dimensional (3D) finite element method was adopted to construct the T-L segment model of human body. The efficiency of percutaneous kyphoplasty (PKP) and percutaneous vertebroplasty (PVP), two commonly used internal fixation procedures, was retrospectively compared. Read More

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Delayed-onset radiculopathy caused by a retropulsed bone fragment after percutaneous kyphoplasty: report of four cases and literature review.

BMC Musculoskelet Disord 2022 Jun 2;23(1):529. Epub 2022 Jun 2.

Kang-Ning General Hospital, No. 26, Ln. 420, Sec. 5, Cheng Gong Rd., Neihu Dist., (R.O.C.), 114, Taipei, Taiwan.

Background: Vertebral compression fractures caused by osteoporosis are common in elderly patients and are often encountered by clinical physicians. Percutaneous balloon kyphoplasty (PKP) is widely accepted as a minimally invasive procedure for effectively relieving pain and correcting deformities, but complications may occur. Radiculopathy with a delayed onset caused by a retropulsed bone fragment has not been adequately described in the literature. Read More

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Comparison Between Percutaneous Kyphoplasty and Percutaneous Vertebroplasty in Terms of Efficacy in Osteoporotic Vertebral Compression Fractures: A Meta-analysis.

Altern Ther Health Med 2022 May 31. Epub 2022 May 31.

Background And Aim: Osteoporotic vertebral compression fractures (OVCFs) are acknowledged to be common fractures, especially in the elderly population. Minimally invasive percutaneous methods of treatment for these fractures such as kyphoplasty (KP) and vertebroplasty (VP) have been valid and effective tools for decreasing clinical problems, which are associated with more beneficial effects compared with traditional methods such as open surgery or conservative treatment. Hence, we conducted the current meta-analysis in order to gather updated evidence for the systematic assessment of clinical and radiographic outcomes of KP compared with VP. Read More

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Clinical effect of unilateral balloon infusion of low dose bone cement in PKP for osteoporotic thoracolumbar compression fractures in the elderly.

Eur Rev Med Pharmacol Sci 2022 05;26(10):3642-3647

Department of Orthopedics, Suzhou Kowloon Hospital, Shanghai Jiaotong University, School of Medicine, Suzhou, Jiangsu, China.

Objective: The study was undertaken to determine the clinical effectiveness of percutaneous kyphoplasty (PKP) with unilateral balloon infusion of low dose of bone cement for treatment of osteoporotic vertebral compression fractures (OVCFs) in the elderly.

Patients And Methods: A retrospective study was carried out. A total of 36 patients with OVCFs treated by PKP from August 2019 and August 2020 were included. Read More

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Life-threatening intracardiac cement embolisms after percutaneous kyphoplasty: a case report and literature review.

Authors:
Chunneng Huang

J Int Med Res 2022 May;50(5):3000605221102088

Department of Orthopedics, Affiliated Hangzhou First People's Hospital, Zhejiang University School of Medicine.

Background: Percutaneous kyphoplasty is a popular technique in the treatment of osteoporotic vertebral fractures, but intracardiac cement embolism can be a life-threatening complication. The authors present a case involving a patient who developed dyspnea and chest tightness after percutaneous kyphoplasty. Echocardiography and chest computed tomography confirmed several foreign bodies in the right atrium and pulmonary arteries causing cardiac perforation and pericardial tamponade. Read More

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A Three-Dimensional Cement Quantification Method for Decision Prediction of Vertebral Recompression after Vertebroplasty.

Comput Math Methods Med 2022 12;2022:2330472. Epub 2022 May 12.

Tianjin Key Laboratory of Composite and Functional Materials, School of Materials Science and Engineering, Tianjin University, Tianjin 300350, China.

Objective: Proposing parameters to quantify cement distribution and increasing accuracy for decision prediction of vertebroplasty postoperative complication.

Methods: Finite element analysis was used to biomechanically assess vertebral mechanics ( = 51) after percutaneous vertebroplasty (PVP) or kyphoplasty (PKP). The vertebral space was divided into 27 portions. Read More

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Development and Internal Validation of Supervised Machine Learning Algorithm for Predicting the Risk of Recollapse Following Minimally Invasive Kyphoplasty in Osteoporotic Vertebral Compression Fractures.

Front Public Health 2022 2;10:874672. Epub 2022 May 2.

Department of Reparative and Reconstructive Surgery, Second Affiliated Hospital of Dalian Medical University, Dalian, China.

Background: The published literatures indicate that patients with osteoporotic vertebral compression fractures (OVCFs) benefit significantly from percutaneous kyphoplasty (PKP), but this surgical technique is associated with frequent postoperative recollapse, a complication that severely limits long-term postoperative functional recovery.

Methods: This study retrospectively analyzed single-segment OVCF patients who underwent bilateral PKP at our academic center from January 1, 2017 to September 30, 2019. Comparing the plain films of patients within 3 days after surgery and at the final follow-up, we classified patients with more than 10% loss of sagittal anterior height as the recollapse group. Read More

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Therapeutic Efficacy of Third-Generation Percutaneous Vertebral Augmentation System (PVAS) in Osteoporotic Vertebral Compression Fractures (OVCFs): A Systematic Review and Meta-analysis.

Biomed Res Int 2022 7;2022:9637831. Epub 2022 May 7.

Department of Spine Surgery, Honghui Hospital, Xi'an Jiaotong University, No 555, YouYi East road, Xi'an, China.

Purpose: This study aimed to assess whether the third-generation PVAS was superior to percutaneous vertebroplasty (PVP) or percutaneous kyphoplasty (PKP) in treating patients with OVCFs.

Methods: Databases, including Pubmed, Embase, and Cochrane library, were searched to identify relevant interventional and observational articles in vivo or in vitro comparing the third-generation PVAS to PVP/PKP in OVCFs patients. A meta-analysis was performed under the guidelines of the Cochrane Reviewer's Handbook. Read More

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Risk factors for recollapse of new vertebral compression fractures after percutaneous kyphoplasty in geriatric patients: establishment of a nomogram.

BMC Musculoskelet Disord 2022 May 14;23(1):458. Epub 2022 May 14.

Department of Orthopaedic, Chengde Medical University Affiliated Hospital, Chengde, 067000, Hebei, China.

Background: The main objective of this study was to investigate the risk factors for recollapse of new vertebral compression fractures (NVCFs) after percutaneous kyphoplasty (PKP) treatment for osteoporotic vertebral compression fracture (OVCF) and to construct a new nomogram model.

Methods: We retrospectively analysed single-level OVCFs from January 2017 to June 2020, randomizing patients to a training set and a testing set. In the training set, independent risk factors for NVCFs in OVCF patients treated with PKP were obtained by univariate and multivariate regression analyses. Read More

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Risk factors for pulmonary cement embolism associated with percutaneous vertebral augmentation: A systematic review and meta-analysis.

Int J Surg 2022 May 20;101:106632. Epub 2022 Apr 20.

Department of Orthopedics, Beijing Friendship Hospital Capital Medical University, No.95, Yong'an Road, Xicheng District, Beijing, 100050, China. Electronic address:

Background: Pulmonary cement embolism (PCE) was a rare but fatal complication for percutaneous vertebral augmentation (PVA). Thus we did a systematic review and meta-analysis of cohort studies to investigate the risk factors for PCE after PVA.

Methods: We systematically searched PubMed, EMBASE, Cochrane library, Google Scholar, web of science, and ClinicalTrial. Read More

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