Article Figures & Data
Figures
- Figure 1
Surgical technique. (A) The entry points for the percutaneous guide wires under C arm. (B) Jamshedi needles were passed into the pedicles at the fractured vertebra. (C, D) Passing of percutaneous fenestrated screws, one level above and one level below the fracture. (E) Cement preparation and filling of syringes.
- Figure 2
Case 1: A 75 y wheelchair-bound woman with American Spinal Cord Injury Association C neurology with L1 compression fracture. (A, B) Vacuum sign+, local kyphosis of 22°, anterior vertebral height loss of >50%, retropulsion and spinal canal encroachment >25%. (C) Guide wires and biportal vertebroplasty needles placed, and C-arm picture of vertebroplasty and minimally invasive stabilization. (D) Postoperative x-ray of vertebroplasty and minimally invasive stabilization with cement-augmented percutaneous pedicular screws.
- Figure 3
Case 2: An 84 y woman post-cornonary artery bypass grafting status with D12 compression fracture with American Spinal Cord Injury Association C neurology. (A) An x-ray showing D12 compression fracture with collapse. (B) Magnetic resonance imaging showing D12 compression fracture with collapse and retropulsion with D11 edema. (C) C-arm picture of short-segment fixation with vertebroplasty with minimal cement leakage. (D) Postoperative x-ray showing stable short-segment fixation with D12 vertebroplasty.
Tables
Case Age, y Sex Level of Fracture Charlson Comorbidity Index Preoperative VAS for Back Pain Postoperative VAS Score Preoperative ASIA Grade ASIA Grade at 3 Mo 1 84 F T12 8 8 3 C E 2 78 F T12 6 7 2 C D 3 77 F T12 5 8 2 D E 4 80 M T12 7 7 3 D E 5 81 M T12 5 9 0 C E 6 75 F L1 6 10 4 C E 7 75 F L4 5 10 1 C E 8 81 M L1 7 9 2 D E 9 75 M L1 5 10 0 D E 10 75 F L1 6 9 2 B D 11 82 F T12 6 9 0 C E ASIA, American Spinal Cord Injury Association; F, female; M, male; VAS, visual analog scale.
Case AOK Preoperative AOK Postoperative Spinal Canal Encroachment in % >50% Vertebral Body Height Loss Preoperative AVH, mm Postoperative AVH, mm 1 10 8 30 0 10 25 2 20 15 40 0 8 18 3 0 10 30 1 12 22 4 0 0 15 0 12 20 5 10 0 20 0 14 25 6 30 10 40 1 8 16 7 10 0 30 1 10 26 8 20 10 30 1 14 24 9 0 0 20 0 16 26 10 30 10 40 0 10 24 11 30 10 30 0 8 16 AOK, angle of local kyphosis; AVH, anterior vertebral height.
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