June 2013

Introduction

News and Controversies in Vertebral Augmentation

Alessandro Cianfoni

Alessandro Cianfoni

In 1987, Deramond and Galimbert introduced the vertebral augmentation (VA) technique, which spread widely as an effective procedure to treat painful vertebral compression fractures (VCFs). In 2009, the New England Journal of Medicine published the INVEST and Australian trials,1,2 the first  two randomized blind-sham procedure-controlled trials on VA. The conclusions drawn by these authors were … more »

Spine

Natural History of Pain in Patients with Conservatively Treated Osteoporotic Vertebral Compression Fractures: Results from VERTOS II

Alexander Venmans

Alexander Venmans

One of the main topics in research at the St. Elisabeth Ziekenhuis in Tilburg is percutaneous vertebroplasty. In 2001, we were the first to perform this procedure in the Netherlands. Since then, we have conducted several VERTOS trials and published many papers about its efficacy, effectiveness, and complications. At present, debate continues over the … more »

Spine

Post–Vertebral Augmentation Back Pain: Evaluation and Management

Shahmir Kamalian

Shahmir Kamalian

Osteoporotic vertebral compression fractures are a major cause of morbidity and mortality in the elderly population, causing considerable pain and disability, which lead to a substantial decline in quality of life. Multiple studies, including randomized controlled trials, have shown the beneficial effects of vertebral augmentation when compared with conservative non-surgical management. However, some patients … more »

Spine

Intervertebral Bone Cement Infusion for Painful Vertebral Compression Fractures and Resolution of Vertebral Deformities in Vertebroplasty and Kyphoplasty

Kunio Yokoyama

Kunio Yokoyama

Validity of Intervertebral Bone Cement Infusion for Painful Vertebral Compression Fractures Based on the Presence of Vertebral Mobility

Vertebroplasty using bone cement is well known to provide marked relief of prolonged pain from vertebral compression fractures (VCFs) and to improve activities of daily living for patients. We have treated patients with painful VCFs using vertebroplasty … more »

Spine

Posterior Vertebral Arch Cement Augmentation (Spinoplasty) to Prevent Fracture of Spinous Processes after Interspinous Spacer Implant

Giuseppe Bonaldi

Giuseppe Bonaldi

In 2007 we started treating, by means of percutaneous deployment of an interspinous spacer (ISS), patients with intermittent neurogenic claudication (INC) due to segmental stenosis of the lumbar spinal canal. We were globally satisfied with the clinical results, even for elderly patients, for whom a more invasive surgical alternative was more theoretic than … more »

Spine

Preventive Vertebroplasty for Adjacent Vertebral Bodies: A Good Solution to Reduce Adjacent Vertebral Fracture after Percutaneous Vertebroplasty

Michael Mu Huo Teng

Michael Mu Huo Teng

I acknowledged the usefulness of percutaneous vertebroplasty in patients with osteoporotic vertebral fracture when I attended RSNA conferences and ASNR workshops before 2000. Therefore, I decided to introduce this technique in Taiwan. Professor Jacques Edgar Dion was very kind and accepted our invitation to deliver lectures and perform live … more »