[Percutaneous vertebral augmentation (PVA) in osteoporosis of the vertebrae--an experimental study]

Biomed Tech (Berl). 1999 Jul-Aug;44(7-8):190-3. doi: 10.1515/bmte.1999.44.7-8.190.
[Article in German]

Abstract

The present study was conducted with the aim of establishing whether minimally invasive percutaneous techniques used to stabilize osteoporotic vertebrae are technically feasible. Two different methods were investigated in human thoracolumbar cadaveric vertebrae. In the first technique, special titanium implants were placed via a postero-lateral approach. With the second method, the vertebrae were filled with different types of cement of different viscosities. After each procedure, the vertebrae were examined with conventional X-ray and CT scans. The first technique proved quite unsuccessful--the insertion of the titanium implants proving difficult despite the use of special instruments. The results achieved with the second method were much better. The use of low-viscosity bone cement produced the best results. Despite a single lateral point of entry, the vertebrae were almost completely filled right into the contralateral side. Lumbar vertebrae required an average volume of cement of 7 ml (range: 6.5-10 ml) and thoracic vertebrae 5.5 ml (range: 4-7 ml). Specially developed cement application devices made possible problem-free, controlled introduction of the cement.

Publication types

  • Comparative Study

MeSH terms

  • Aged
  • Aged, 80 and over
  • Bone Cements*
  • Endoscopes*
  • Equipment Design
  • Feasibility Studies
  • Female
  • Humans
  • Lumbar Vertebrae / diagnostic imaging
  • Lumbar Vertebrae / surgery
  • Osteoporosis, Postmenopausal / diagnostic imaging
  • Osteoporosis, Postmenopausal / surgery*
  • Prostheses and Implants*
  • Radiography
  • Spinal Diseases / diagnostic imaging
  • Spinal Diseases / surgery*
  • Thoracic Vertebrae / diagnostic imaging
  • Thoracic Vertebrae / surgery
  • Titanium*
  • Viscosity

Substances

  • Bone Cements
  • Titanium