Journals / İstanbul Kanuni Sultan Süleyman Tıp Dergisi / 2021 / Cilt: 13 - Sayı: 3

Comparison of the Cement Volume Delivered During Percutaneous Vertebroplasty/Kyphoplasty Interventions with Volumes Calculated on Postoperative Radiological Images: A Clinical Experience

Perkütan Vertebroplasti/Kifoplasti Girişimleri Sırasında İletilen Çimento Hacimlerinin Postoperatif Radyolojik Görüntülere Göre Hesaplanan Hacimlerle Karşılaştırılması: 67 Müdahalede Klinik Deneyim

Pages
170–176
Publication Date
2022-10-18
DOI
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Results: For the overall volume, there was no statistically significant difference (One sample t-test, p > 0.05).

📌 3 Key Takeaways

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Objective & Hypothesis:Objective: Although many researchers have investigated the cement volume delivered during vertebroplasty (VP) and kyphoplasty (KP) as a factor affecting outcomes, to the best of our knowledge, none of these investigations compared this cement volume with those of postoperative radiological images.
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Key Findings & Data:Method: In a single-center, retrospective observational study, clinical data and radiological images of a total of 49 patients, among whom 28 and 21 underwent VP and KP, respectively, for a total of 67 vertebral levels, were examined.
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Conclusion & Impact:Results: For the overall volume, there was no statistically significant difference (One sample t-test, p > 0.05).
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Objective: Although many researchers have investigated the cement volume delivered during vertebroplasty (VP) and kyphoplasty (KP) as a factor affecting outcomes, to the best of our knowledge, none of these investigations compared this cement volume with those of postoperative radiological images. This study aims to compare the cement volume delivered during VP and KP with the volumes calculated on postoperative radiological images to assess their level of compatibility and reflection for the actual quantity of cement. Method: In a single-center, retrospective observational study, clinical data and radiological images of a total of 49 patients, among whom 28 and 21 underwent VP and KP, respectively, for a total of 67 vertebral levels, were examined. The median age (interquartile range) was 70 (17) years; 39 (79.6%) patients were females and 10 (20.4%) patients were males. Data were analyzed and differences in the volumes were assessed. Results: For the overall volume, there was no statistically significant difference (One sample t-test, p > 0.05). The KP interventions had a significantly higher mean volume difference when compared to the VP interventions (Two samples t-test, p < 0.01, d = 0.785). Conclusion: Our results showed consistency in the overall volumes of cement; however, KP interventions had a significantly higher mean volume difference.

Özet

Amaç: Birçok araştırmacı vertebroplasti (VP) ve kifoplasti (KP) müdahaleleri sırasında verilen sement hacmini sonuçları etkileyen bir faktör olarak incelemiş olsa da, bilgimiz dahilinde hiçbiri postoperatif radyolojik görüntülerle karşılaştırmamıştır. Bu çalışmada, gerçek çimento miktarı için uyumluluk derecelerini değerlendirmek amacıyla bu hacimleri karşılaştırmak amaçlanmıştır. Yöntem: Tek merkezli, retrospektif ve gözlemsel olan çalışmada, 67 omurga seviyesine 28’ine VP ve 21’ine KP prosedürü uygulanan toplam 49 hastaya ait klinik veriler ve radyolojik görüntüler incelendi. Ortanca yaş (çeyrekler arası aralık) 70 (17) yıl idi. Otuz dokuz (%79,6) hasta kadın, 10 (%20,4) hasta erkekti. Veriler istatistiksel olarak analiz edildi ve hacim farklılıkları değerlendirildi. Bulgular: Toplam hacim farklılıkları için istatistiksel fark yoktu (tek örneklem t-testi, p > 0.05). KP müdahalelerinin ise VP müdahalelerine kıyasla ortalama hacim farkı daha yüksekti (İki örneklem t-testi, p < 0.01, d = 0.785). Sonuç: Sonuçlarımız toplam çimento hacimleri arasında tutarlılık gösterdi; bununla birlikte, KP müdahalelerinin hacim farkı anlamlı olarak daha yüksekti.

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Cite This Article

AKINCI, A. T., CHOUSEIN, B. (2022). Comparison of the Cement Volume Delivered During Percutaneous Vertebroplasty/Kyphoplasty Interventions with Volumes Calculated on Postoperative Radiological Images: A Clinical Experience. İstanbul Kanuni Sultan Süleyman Tıp Dergisi, Cilt: 13 - Sayı: 3, 170–176. https://ajindex.com/articles/550942

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References (12)

  1. Hernlund E, Svedbom A, Ivergård M, et al. Osteoporosis in the European Union: medical management, epidemiology and economic burden. A report prepared in collaboration with the International Osteoporosis Foundation (IOF) and the European Federation of Pharmaceutical Industry Associations (EFPIA). Arch Osteoporos. 2013;8:136. doi:10.1007/ s11657-013-0136-1
  2. Blume SW, Curtis JR. Medical costs of osteoporosis in the elderly Medicare population. Osteoporos Int. 2011;22:1835-44. doi:10.1007/ s00198-010-1419-7
  3. Burge R, Dawson-Hughes B, Solomon DH, Wong JB, King A, Tosteson A. Incidence and economic burden of osteoporosis-related fractures in the United States, 2005-2025. J Bone Miner Res. 2007;22:465-75. doi:10.1359/jbmr.061113
  4. Burton AW, Mendoza T, Gebhardt R, et al. Vertebral compression fracture treatment with vertebroplasty and kyphoplasty: experience in 407 patients with 1,156 fractures in a tertiary cancer center. Pain Med. 2011;12:1750-7. doi:10.1111/j.1526-4637.2011.01278.x
  5. Goldstein CL, Chutkan NB, Choma TJ, Orr RD. Management of the Elderly With Vertebral Compression Fractures. Neurosurgery. 2015;77 (Suppl 4):S33-45. doi:10.1227/NEU.0000000000000947
  6. Yang H, Zou J. Filling materials used in kyphoplasty and vertebroplasty for vertebral compression fracture: a literature review. Artif Cells Blood Substit Immobil Biotechnol. 2011;39:87-91. doi:10.3109/10731199.2010.5 03319
  7. Liebschner MA, Rosenberg WS, Keaveny TM. Effects of bone cement volume and distribution on vertebral stiffness after vertebroplasty. Spine. 2001;26:1547-54. doi:10.1097/00007632-200107150-00009
  8. Jay B, Ahn SH. Vertebroplasty. Semin Intervent Radiol. 2013;30:297-306. doi:10.1055/s-0033-1353483
  9. Padovani B, Kasriel O, Brunner P, Peretti-Viton P. Pulmonary embolism caused by acrylic cement: a rare complication of percutaneous vertebroplasty. AJNR Am J Neuroradiol. 1999;20:375-7
  10. Cotten A, Dewatre F, Cortet B, et al. Percutaneous vertebroplasty for osteolytic metastases and myeloma: effects of the percentage of lesion filling and the leakage of methyl methacrylate at clinical follow-up. Radiology. 1996;200(2):525-530. doi:10.1148/radiology.200.2.8685351
  11. Darvell BW. Chapter 5 - Acrylic. In: Darvell BW, editor. Materials science for dentistry. Tenth edition. Oxford: Woodhead Publishing; 2018. p. 121- 42
  12. Turagam N, Mudrakola DP. Effect of micro-additions of carbon nanotubes to polymethylmethacrylate on reduction in polymerization shrinkage. J Prostho