Combined vertebroplasty and pedicle screw insertion for vertebral consolidation: feasibility and technical considerations.
Neuroradiology
; 66(5): 855-863, 2024 May.
Article
in En
| MEDLINE
| ID: mdl-38453715
ABSTRACT
PURPOSE:
To assess the feasibility and technical accuracy of performing pedicular screw placement combined with vertebroplasty in the radiological setting.METHODS:
Patients who underwent combined vertebroplasty and pedicle screw insertion under combined computed tomography and fluoroscopic guidance in 4 interventional radiology centers from 2018 to 2023 were retrospectively assessed. Patient demographics, vertebral lesion type, and procedural data were analyzed. Strict intra-pedicular screw positioning was considered as technical success. Pain score was assessed according to the Visual Analogue Scale before the procedure and in the 1-month follow-up consultation.RESULTS:
Fifty-seven patients (38 men and 19 women) with a mean age of 72.8 (SD = 11.4) years underwent a vertebroplasty associated with pedicular screw insertion for the treatment of traumatic fractures (29 patients) and neoplastic disease (28 patients). Screw placement accuracy assessed by post-procedure CT scan was 95.7% (89/93 inserted screws). A total of 93 pedicle screw placements (36 bi-pedicular and 21 unipedicular) in 32 lumbar, 22 thoracic, and 3 cervical levels were analyzed. Mean reported procedure time was 48.8 (SD = 14.7) min and average injected cement volume was 4.4 (SD = 0.9) mL. A mean VAS score decrease of 5 points was observed at 1-month follow-up (7.7, SD = 1.3 versus 2.7, SD = 1.7), p < .001.CONCLUSION:
Combining a vertebroplasty and pedicle screw insertion is technically viable in the radiological setting, with a high screw positioning accuracy of 95.7%.Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Spinal Fractures
/
Vertebroplasty
/
Pedicle Screws
Limits:
Aged
/
Female
/
Humans
/
Male
Language:
En
Journal:
Neuroradiology
Year:
2024
Document type:
Article
Affiliation country:
France
Country of publication:
Germany