UID:
edocfu_9959798057402883
Format:
1 online resource (xviii, 282 pages) :
,
illustrations.
Edition:
1st ed.
ISBN:
1-63853-626-0
,
1-68420-382-1
,
1-68420-016-4
Content:
"Vertebral compression fractures (VCFs) result from trauma or pathologic weakening of the bone and are associated with conditions such as osteoporosis or malignancy. Worldwide, VCFs impact one in three women and one in eight men aged 50 and older, with more than 8.9 million fractures incurred annually. Copublished by Thieme and the Society of Interventional Radiology, Vertebral Augmentation: The Comprehensive Guide to Vertebroplasty, Kyphoplasty, and Implant Augmentation provides a practical, clinical discussion of these minimally invasive spine interventions"--
Note:
Vertebral Augmentation: The Comprehensive Guide to Vertebroplasty, Kyphoplasty, and Implant Augmentation -- Title Page -- Copyright -- Contents -- Videos -- Preface -- Contributors -- 1 History and Introduction to Vertebral Augmentation -- 1.1 Introduction -- 1.2 Mechanisms of Pain Relief -- 1.3 Procedures -- 1.3.1 Vertebroplasty -- 1.3.2 Kyphoplasty -- 1.3.3 Radiofrequency Kyphoplasty -- 1.3.4 Percutaneous Radiofrequency Ablation -- 1.3.5 Vertebral Augmentation with Implants -- 1.4 Indications and Contraindications -- 1.5 Risks and Complications -- 1.6 Clinical Applications and Evidence -- 1.6.1 Osteoporosis -- 1.6.2 Trauma -- 1.6.3 Bone Disease, Cancer, Metastases, and Multiple Myeloma -- 1.6.4 Langerhans Cell Vertebral Histiocytosis -- 1.6.5 Osteogenesis Imperfecta -- 1.7 Conclusion -- 2 Vertebral Compression Fractures -- 2.1 Introduction -- 2.2 Presentation and Diagnosis -- 2.3 Epidemiology -- 2.3.1 Osteoporosis -- 2.3.2 Cancer -- 2.3.3 Trauma -- 2.4 Vertebral Fracture Classification Systems -- 2.5 Treatment -- 2.5.1 Osteoporotic Vertebral Compression Fractures -- 2.5.2 Pathologic Vertebral Fractures due to Neoplasia -- 2.5.3 Traumatic Vertebral Fractures -- 2.6 Public Health and Economic Impact -- 2.6.1 Osteoporosis -- 2.6.2 Cancer -- 2.6.3 Trauma -- 2.6.4 Cost-Effectiveness -- 2.7 Conclusion -- 3 Preprocedure Assessment Prior to Vertebral Augmentation -- 3.1 Introduction -- 3.2 Anatomy, Radiologic Imaging, Identification, and Interpretation of Vertebral Compression Fractures -- 3.3 Preprocedure Assessment -- 3.4 General Indications, Contraindications, and Procedure Complications -- 3.5 Equipment and Room Setup -- 3.6 Procedure -- 3.7 Postprocedure Management -- 4 Physical Examination Findings in Patients with Vertebral Compression Fractures -- 4.1 Introduction -- 4.2 Presentation of Vertebral Compression Fractures -- 4.3 Risk Factors.
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4.4 Red Flags -- 4.5 Observational Findings Suggesting Compression Fracture -- 5 Medical Pain Management in Patients with Vertebral Compression Fractures -- 5.1 Introduction -- 5.2 Nonsteroidal Anti-Inflammatory Drugs -- 5.3 Acetaminophen -- 5.4 Opioid Analgesics -- 5.5 Muscle Relaxants -- 5.6 Calcitonin -- 5.7 Transdermal Lidocaine -- 5.8 Bisphosphonate -- 5.9 Anticonvulsants -- 5.10 Conclusion -- 6 Approaches to the Vertebral Body -- 6.1 Introduction -- 6.2 Indications -- 6.3 Anatomy -- 6.3.1 Planning the Trajectory -- 6.4 Bilateral versus Unilateral Approach -- 6.5 Imaging and Equipment -- 6.6 Procedure -- 6.6.1 Potential Risks and Management of Complications -- 6.6.2 Transpedicular Approach -- 6.6.3 Extrapedicular and Parapedicular Approaches -- 6.6.4 Extrapedicular Modified Inferior End Plate Access -- 6.6.5 Parapedicular Approach -- 6.6.6 Parapedicular Approach to the Vertebral Body -- 6.6.7 Approaches to the Cervical Spine -- 6.7 Vertebral Body Biopsy -- 6.8 Conclusion -- 7 Properties of Bone Cements and Vertebral Fill Materials: Implications for Clinical Use in Image-Guided Therapy and Vertebral Augmentation -- 7.1 Introduction -- 7.2 Bone Cement Types -- 7.2.1 Polymer Chemistry -- 7.2.2 PMMA-Based Bone Cements -- 7.3 Cement Properties -- 7.3.1 Liquid-to-Powder Ratio -- 7.3.2 Initiator-to-Activator Ratio -- 7.3.3 Radiopacifiers -- 7.3.4 Polymethyl Methacrylate Bead Size -- 7.4 Mixing Method -- 7.5 Antibiotics -- 7.6 Pain Relief -- 7.7 Bone Adherence -- 7.8 Bone Formation and Other New Developments -- 7.9 The Future -- 7.10 Conclusion -- 7.11 Pearls -- 8 Vertebroplasty -- 8.1 Introduction -- 8.2 Anatomic Features -- 8.3 The Procedure -- 8.3.1 Procedure Materials -- 8.3.2 Sedation and Anesthetic Preparation -- 8.3.3 Positioning -- 8.3.4 Antibiotic Prophylaxis and Skin Preparation -- 8.3.5 Needle Placement -- 8.3.6 Image Guidance.
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8.3.7 Needle Insertion -- 8.3.8 Fill Materials -- 8.3.9 Cement Injection -- 8.3.10 Volume of Cement Injected -- 8.4 Considerations in Cervical Vertebroplasty -- 8.5 Postprocedure Care -- 8.5.1 Initial Postprocedure Care -- 8.5.2 Discharge and Follow-Up -- 8.6 Conclusion -- 8.7 Key Points -- 9 Sacroplasty: Management of Sacral Insufficiency Fractures -- 9.1 Introduction -- 9.2 Fractures of the Sacrum: Anatomy -- 9.3 Sacral Insufficiency Fractures: Causes and Natural History -- 9.4 History and Examination -- 9.5 Imaging -- 9.6 Treatment -- 9.6.1 Conservative Treatment -- 9.6.2 Osseous Augmentation -- 9.7 Techniques -- 9.7.1 Short-Axis Technique -- 9.7.2 Long-Axis Technique -- 9.7.3 Lateral Approach Technique -- 9.8 Outcomes -- 10 Cervical and Posterior Arch Augmentation -- 10.1 Cervical Augmentation -- 10.1.1 Introduction -- 10.1.2 Historical Perspective -- 10.1.3 Image Guidance -- 10.1.4 Procedural Approaches -- 10.1.5 Prevention of Infection -- 10.1.6 Complications -- 10.1.7 Conclusion -- 10.2 Posterior Arch Augmentation -- 10.2.1 Introduction -- 10.2.2 Pediculoplasty -- 10.2.3 Laminoplasty and Spinoplasty -- 10.2.4 Key Points -- 11 Balloon Kyphoplasty -- 11.1 Introduction -- 11.2 Materials -- 11.2.1 Bone Access Tools -- 11.2.2 Balloons Tamps and Inflation Devices -- 11.2.3 Bone Cement -- 11.3 Diagnosis and Preoperative Preparation -- 11.4 Indications and Contraindications -- 11.5 Procedure -- 11.5.1 Bilateral versus Unilateral Approach -- 11.6 Risks and Benefits -- 11.7 Importance of Sagittal Balance Restoration and Kyphosis Correction -- 11.8 Adjacent Fractures -- 11.9 Postoperative Care -- 11.10 Conclusion -- 12 Vertebral Augmentation with Implants -- 12.1 Introduction -- 12.2 The Implants -- 12.3 The Procedures -- 12.4 Bilateral versus Unilateral Approach -- 12.5 Advantages and Disadvantages of Vertebral Implants -- 12.6 Postprocedure Care.
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13 Radiation Exposure and Protection: A Conversation Beyond the Inverse Square Law, Thermoluminescent Dosimeters, and Lead Aprons -- 13.1 Introduction -- 13.2 Gene Mutation and Radiation Effects on DNA Leading to the Development of Cancer -- 13.3 Radiation Dose to the Operator and Patient During Vertebroplasty/Kyphoplasty -- 14 Appropriateness Criteria for Vertebral Augmentation -- 14.1 Introduction -- 14.2 Indications, Guidelines, and Recommendations -- 14.3 Appropriateness Criteria -- 15 Literature Analysis of Vertebral Augmentation -- 15.1 Introduction -- 15.2 Early Data -- 15.3 Evidence for Efficacy -- 15.3.1 Vertebroplasty -- 15.3.2 Kyphoplasty -- 15.3.3 Vertebroplasty Compared with Kyphoplasty -- 15.3.4 The Kiva System -- 15.4 Evidence for Safety -- 15.4.1 Overall Complications -- 15.4.2 Cement Leakage -- 15.4.3 Subsequent Fractures -- 15.5 Mortality Benefit -- 15.6 Conclusion -- 15.7 Key Points -- 16 Cost-Effectiveness of Vertebral Augmentation -- 16.1 Introduction -- 16.2 Cost-Effectiveness -- 17 Additional and Adjacent Level Fractures after Vertebral Augmentation -- 17.1 Introduction -- 17.2 Risk Factors for Additional or Adjacent-Level Fractures -- 17.3 Possible Influences of Vertebral Augmentation Technique -- 18 Predisposing Factors to Vertebral Fractures -- 18.1 Introduction -- 18.2 Current Information Based on Recent Literature and State-of-the-Art Practice -- 18.2.1 Osteoporosis -- 18.2.2 Pathologic Fractures -- 18.2.3 Fractures Secondary to Infection -- 18.2.4 Traumatic Fractures -- 18.3 Key Points -- 19 Bracing for Spinal Fractures -- 19.1 Introduction -- 19.2 Cervical Fracture Bracing -- 19.3 Lumbar and Thoracic Compression Fracture Bracing -- 19.3.1 Introduction -- 19.3.2 Types of Thoracolumbar Braces -- 19.3.3 Concepts on the Use of the TLSO Braces -- 19.3.4 Bracing for Traumatic Burst Fractures of the Lumbar and Thoracic Spine.
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19.4 Osteoporotic Lumbar and Thoracic Fractures -- 20 Amount of Cement or Vertebral Fill Material for Optimal Treatment and Pain Relief -- 20.1 Introduction -- 20.2 What are the Mechanisms of Pain Relief in Vertebral Augmentation? -- 20.2.1 Mechanical Stability -- 20.2.2 Denervation of the Vertebra and the Role of C Fibers and the Basivertebral Nerve -- 20.3 Treatment of Degenerative End Plate Changes with Osseous Augmentation -- 20.4 Conclusion -- 20.5 Pearls -- 21 Clinical Presentation and the Response to Vertebral Augmentation -- 21.1 Clinical Presentation -- 21.2 Response to Vertebral Augmentation -- 22 Effect of Vertebral Augmentation on Morbidity and Mortality -- 22.1 Introduction -- 22.2 Nonsurgical Management vs. Vertebral Augmentation -- 22.3 Outcome of Patients with Vertebral Fractures Not Treated with Vertebral Augmentation -- 23 Number of Levels Appropriately Treated with Vertebral Augmentation -- 23.1 Introduction -- 23.2 Neoplastic Vertebral Fractures -- 23.3 Risk Factors for Vertebral Compression Fractures -- 23.4 Number of Levels to Treat with Vertebral Augmentation -- 23.5 Diagnosis of Painful Vertebral Compression Fractures -- 23.6 Safety of Treating Multiple Vertebral Compression Fractures -- 23.7 Conclusion -- 24 Pain after Vertebral Augmentation -- 24.1 Introduction -- 24.2 Complications from Procedure -- 24.3 Recurrent Fracture -- 24.4 Facet-Mediated Pain -- 24.5 Sagittal Imbalance -- 25 Postural Fatigue Syndrome -- 25.1 Introduction -- 25.2 Clinical Presentation -- 25.3 Pathophysiology -- 25.4 Treatment -- 25.5 Key Points -- 26 Physical Therapy after Vertebral Augmentation -- 26.1 Introduction -- 26.2 Rehabilitation as Part of Routine Anti-Osteoporosis Care -- 26.3 Rehabilitation after Osteoporotic Vertebral Compression Fractures -- 26.4 Rehabilitation as Part of Postinterventional Care -- 26.5 Conclusion.
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27 Sham vs. Vertebral Augmentation.
Additional Edition:
ISBN 1-68420-015-6
Language:
English
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