Hoppe, Sven; Elfiky, Tarek; Keel, Marius Johann Baptist; Aghayev, Emin; Ecker, Timo Michael; Benneker, Lorin Michael (2016). Lavage prior to vertebral augmentation reduces the risk for cement leakage. European spine journal, 25(11), pp. 3463-3469. Springer 10.1007/s00586-015-4191-8
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PURPOSE
This study aimed at assessing the cement leakage rate and the filling pattern in patients treated with vertebroplasty, kyphoplasty and stentoplasty with and without a newly developed lavage technique.
STUDY DESIGN
Retrospective clinical case-control study.
METHODS
A newly developed bipedicular lavage technique prior to cement application was applied in 64 patients (45.1 %) with 116 vertebrae, ("lavage" group). A conventional bipedicular cement injection technique was used in 78 patients (54.9 %) with 99 levels ("controls"). The outcome measures were filling patterns and leakage rates.
RESULTS
The overall leakage rate (venous, cortical defect, intradiscal) was 37.9 % in the lavage and 83.8 % in the control group (p < 0.001). Venous leakage (lavage 12.9 % vs. controls 31.3 %; p = 0.001) and cortical defect leakage (lavage 17.2 % vs. controls 63.3 %; p < 0.001) were significantly lower in the lavage group compared to "controls," whereas intradiscal leakages were similar in both groups (lavage 12.1 % vs. controls 15.2 %; p = 0.51). For venous leakage multivariate logistic regression analysis showed lavage to be the only independent predictor. Lavage was associated with 0.33-times (95 % CI 0.16-0.65; p = 0.001) lower likelihood for leakage in compared to controls.
CONCLUSIONS
Vertebral body lavage prior to cement augmentation is a safe technique to reduce cement leakage in a clinical setting and has the potential to prevent pulmonary fat embolism. Moreover, a better filling pattern can be achieved.
Item Type: |
Journal Article (Original Article) |
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Division/Institute: |
04 Faculty of Medicine > Pre-clinic Human Medicine > Institute of Social and Preventive Medicine (ISPM) 04 Faculty of Medicine > Department of Orthopaedic, Plastic and Hand Surgery (DOPH) > Clinic of Orthopaedic Surgery |
UniBE Contributor: |
Hoppe, Sven, Keel, Marius, Aghayev, Emin, Ecker, Timo Michael, Benneker, Lorin Michael |
Subjects: |
600 Technology > 610 Medicine & health 300 Social sciences, sociology & anthropology > 360 Social problems & social services |
ISSN: |
0940-6719 |
Publisher: |
Springer |
Language: |
English |
Submitter: |
Fabian Röthlisberger |
Date Deposited: |
22 Mar 2016 08:37 |
Last Modified: |
02 Mar 2023 23:27 |
Publisher DOI: |
10.1007/s00586-015-4191-8 |
PubMed ID: |
26275998 |
BORIS DOI: |
10.7892/boris.75689 |
URI: |
https://boris.unibe.ch/id/eprint/75689 |
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