Download or read book Percutaneous Vertebroplasty and Kyphoplasty written by John M. Mathis and published by Springer Science & Business Media. This book was released on 2006-11-22 with total page 316 pages. Available in PDF, EPUB and Kindle. Book excerpt: Since the ?rst edition of this book was published in 2002, there have been many advances in our knowledge of percutaneous vertoplasty (PV), particularly about how to perform the procedure more safely and how to approach more complex case situations. Additionally, mate- als that were initially used “off label” or that simply were not FDA approved have completed their governmental review and have received FDA approval. This has increased the legitimacy of the p- cedure from the legal and reimbursement perspective. Controversy over height restoration and device selection has become a progressively bigger issue over time. Kyphoplasty (balloon assisted vertebroplasty) has received tremendous emphasis. This book c- pares and contrasts data and claims that differentiate kyphoplasty from percutaneous vertebroplasty. We also look at other methods that pot- tially can be used for height restoration. New procedures that deal with bone augmentation in other anatomic regions have evolved (i.e., sacroplasty) and are discussed. As this re- lution in image-guided percutaneous bone augmentation has dev- oped, multiple medical specialties have embraced these procedures in their training programs for both residents and practicing physicians.

Download or read book Vertebral Augmentation written by Douglas P. Beall and published by . This book was released on 2020 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Vertebral Augmentation written by Douglas P. Beall and published by Thieme. This book was released on 2020-02-28 with total page 748 pages. Available in PDF, EPUB and Kindle. Book excerpt: The definitive guide to performing vertebroplasty, kyphoplasty, and implant augmentation from national and international experts 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. Written and edited by Douglas Beall along with associate editors Allan Brook, M. R. Chambers, Joshua Hirsch, Alexios Kelekis, Yong-Chul Kim, Scott Kreiner, and Kieran Murphy, this richly illustrated book presents a multidisciplinary and international perspective. It features contributions from renowned experts in interventional radiology, neurosurgery, pain medicine, and physiatry. This resource fills a gap in the literature, with extensive updates on a vast amount of new information and techniques that have been introduced during the past decade. Thirty-five chapters address treatment of spine fractures, starting with a history and introduction to vertebral augmentation, discussion of VCFs, patient assessments, physical exam findings, pain management, and much more. Key Features Procedural chapters cover vertebroplasty, sacroplasty, cervical and posterior arch augmentation, balloon kyphoplasty, and vertebral augmentation with implants and for challenging pathologies Special topics include radiation exposure and protection, post-procedure physical therapy, osteoporosis treatment, postural fatigue syndrome, the effect on morbidity and mortality, and cementoplasty outside the spine Treatment of complex cases are also discussed extensively, including chronic vertebral compression fractures, neoplastic vertebral compression fractures, instrumented spinal fusions, and severe benign and malignant fractures The final chapter features 16 subchapters from global masters of vertebral augmentation, with personal tips, tricks, and pearls they use in their own practices This is a must-have resource for interventional radiology, neurosurgery, interventional pain management, and orthopaedic surgery residents and fellows, as well as seasoned clinicians who wish to incorporate these procedures into practice.

Download or read book Vertebral Augmentation written by Douglas P. Beall and published by Thieme. This book was released on 2020-02-28 with total page 744 pages. Available in PDF, EPUB and Kindle. Book excerpt: The definitive guide to performing vertebroplasty, kyphoplasty, and implant augmentation from national and international experts 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. Written and edited by Douglas Beall along with associate editors Allan Brook, M. R. Chambers, Joshua Hirsch, Alexios Kelekis, Yong-Chul Kim, Scott Kreiner, and Kieran Murphy, this richly illustrated book presents a multidisciplinary and international perspective. It features contributions from renowned experts in interventional radiology, neurosurgery, pain medicine, and physiatry. This resource fills a gap in the literature, with extensive updates on a vast amount of new information and techniques that have been introduced during the past decade. Thirty-five chapters address treatment of spine fractures, starting with a history and introduction to vertebral augmentation, discussion of VCFs, patient assessments, physical exam findings, pain management, and much more. Key Features Procedural chapters cover vertebroplasty, sacroplasty, cervical and posterior arch augmentation, balloon kyphoplasty, and vertebral augmentation with implants and for challenging pathologies Special topics include radiation exposure and protection, post-procedure physical therapy, osteoporosis treatment, postural fatigue syndrome, the effect on morbidity and mortality, and cementoplasty outside the spine Treatment of complex cases are also discussed extensively, including chronic vertebral compression fractures, neoplastic vertebral compression fractures, instrumented spinal fusions, and severe benign and malignant fractures The final chapter features 16 subchapters from global masters of vertebral augmentation, with personal tips, tricks, and pearls they use in their own practices This is a must-have resource for interventional radiology, neurosurgery, interventional pain management, and orthopaedic surgery residents and fellows, as well as seasoned clinicians who wish to incorporate these procedures into practice.

Download or read book Vertebral Augmentation Techniques E Book written by Alaa Abd-Elsayed and published by Elsevier Health Sciences. This book was released on 2023-02-14 with total page 115 pages. Available in PDF, EPUB and Kindle. Book excerpt: Vertebral Augmentation Techniques, part of the Atlas of Interventional Pain Management series, is a concise, practical guide that provides clinicians with detailed, step-by-step guidance on how to perform the latest interventional techniques for treating patients with chronic pain as a result of vertebral fractures or osteoporosis. This comprehensive, easy-to-follow guide offers expert coverage of how to deliver safe, accurate, and cost-effective pain relief to patients using all clinically useful imaging modalities, including ultrasound-guided techniques and fluoroscopy. With high-quality images and clear, authoritative guidance throughout, it shows exactly how to evaluate the causes of pain, identify the most promising stimulation technique, locate the site with precision, and deliver effective relief. - Offers a comprehensive overview of the latest techniques used in vertebral augmentation. - Features clinically relevant anatomic drawings and radiologic images that provide step-by-step instruction on techniques. - Provides clear guidance on the risks and benefits, as well as indications and contraindications, for each procedure. - Covers key topics such as Vertebroplasty/Kyphoplasty: Transpedicular Approach; Balloon Augmentation; Vertebral Augmentation with Osteotome; Vertebral Augmentation Using Expandable Intravertebral Implants; Basivertebral Nerve Ablation; and more. - Includes easy-to-follow, templated content on patient selection, preoperative prep, and post-operative care. - Contains full-color line drawings, photographs, and ultrasound images that provide you with a firm grasp of the anatomy and equipment involved with each procedure. - Highlights potential pitfalls for each technique and offers clinical pearls on how to avoid them.

Download or read book Vertebral Body Augmentation Vertebroplasty and Kyphoplasty in Spine Surgery written by Stefano Telera and published by Springer Nature. This book was released on 2021-06-23 with total page 234 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book offers an updated and comprehensive review of the role of vertebroplasty, kyphoplasty and augmentation techniques in all fields of orthopedic surgery, neurosurgery, and interventional radiology. Addressing the latest advances in terms of the materials used and combined approaches with other mini-invasive techniques, it reveals how vertebroplasty, kyphoplasty and various augmentation techniques could become instrumental to helping patients with specific vertebral compression fractures or other diseases of the vertebral column. The book includes a detailed history of the techniques’ development, descriptions of the materials used in the last twenty years, and extensive information on the biomechanical basis, anatomy and current indications for vertebroplasty, kyphoplasty and augmentation. In addition, it highlights representative cases to enhance readers’ understanding of each topic, and particular attention is paid to the innovative evolution of the techniques and to their combination with other mini-invasive approaches, stents and brachytherapy. Given its scope, the book offers a valuable guide for all neurosurgeons, orthopedic surgeons, and interventional radiologists whose work involves spine pathologies and their treatment.

Download or read book Percutaneous Vertebroplasty written by John M. Mathis and published by Springer Science & Business Media. This book was released on 2013-03-14 with total page 242 pages. Available in PDF, EPUB and Kindle. Book excerpt: A concise and up-to-date reference that details the essentials for setting up a modern clinical lab, selecting patients, safely performing the procedure and avoiding pitfalls that are commonly encountered. Over 95 photographs, specially created for this book, provide the reader with detailed examples of how each aspect of the procedure is performed in an understandable step by step format. The authors are world-renowned pioneers in the field who have developed the basic science and clinical information relating to percutaneous vertebroplasty. This rapidly proliferating procedure is used to treat the pain associated with compression fractures of the spine resulting from osteoporotic vertebral collapse or tumor destruction.

Download or read book Advanced Procedures for Pain Management written by Sudhir Diwan and published by Springer. This book was released on 2018-03-19 with total page 595 pages. Available in PDF, EPUB and Kindle. Book excerpt: Edited by Sudhir Diwan, a former Director of Pain Medicine fellowship program at Ivy League Weill Cornell Medical College, and Timothy R. Deer, an internationally renowned expert in neuromodulation and minimally invasive spinal procedures, this atlas covers advanced procedures that normal residency and fellowship programs may not cover. It consolidates information pain fellows usually amass by traveling throughout the country to various specialized weekend courses. Advanced Procedures for Interventional Pain Management: A Step-by-Step Atlas is for physicians that know the fundamentals of pain medicine and want to push their knowledge further. Through easy-to-digest bullet points, extensive diagrams, hundreds of figures, and expanded legends beneath each illustration, this compendium covers techniques such as fluoroscopic guidance and radiation safety, endoscopic transforaminal discectomy, endoscopic direct-percutaneous discectomy, transforaminal myelogram, percutaneous facet fusion, percutaneous sacroplasty, vertebral augmentations, percutaneous tumor ablation, percutaneous spinal fusion, minimally invasive spinal decompression (MILD), Interspinous Spacer Placement and advanced neuroaugmentation techniques like high frequency stimulation and DRG stimulation. This book also has a dedicated section on Regenerative Medicine with chapters on platelet rich plasma, stem cell therapy, and intradiscal regenerative therapy. Each chapter has a strict chapter format that includes the indications and contraindications for each procedure, a list of equipment and drugs, a step-by-step illustration-focused how-to, a list of possible post-procedural complications, and bullet-pointed clinical pearls and pitfalls. Within each chapter the authors will also cover the variations of each procedure due to different equipment. This book is ideal for pain medicine fellows, spine surgeons, and interventional pain physicians who want access to the best minds and specialized procedures in a single package.

Download or read book Balloon Kyphoplasty written by Stephan Becker and published by Springer Science & Business Media. This book was released on 2008-04-05 with total page 169 pages. Available in PDF, EPUB and Kindle. Book excerpt: This is the first book to cover minimal-invasive treatment of osteoporotic, tumorous and traumatic vertebral fractures in the English language. In addition to detailed descriptions of the techniques, including tips and tricks from experts, the book contains a chapter about the medical treatment of osteoporosis, which is indispensable in the interdisciplinary approach to osteoporosis. This acclaimed innovative concept unites several treatment aspects. More conservative treatment methods are also presented in this work. All chapters reflect new developments and clinical findings in the field of orthopaedics, surgery, traumatology and neurosurgery.

Download or read book Image Guided Interventions of the Spine written by Majid Khan and published by Springer Nature. This book was released on 2021-10-18 with total page 395 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book is a comprehensive review of image guided interventions of the spine. Beginning with a chapter dedicated to the history of image guided spinal interventions, authors set the stage for the role these procedures have and will play in the field. Chapters cover the key procedures, techniques, and considerations to maximize effectiveness and patient care. Some major topics covered include: imaging osseo-ligamentous spine anatomy, percutaneous vertebroplasty, image guided tumor ablation, and vascular spine intervention. Additional features include high-quality illustrations with concise descriptions and clinical cases discussions. This is an ideal guide for interventional neuroradiologists, radiologists, pain management physicians, neurosurgeons, orthopedic spine surgeons, and related residents, fellows, and students wanting in depth information on image guided interventions of the spine.

Download or read book Clinical Imaging of Spinal Trauma written by Zoran Rumboldt and published by Cambridge University Press. This book was released on 2018-04-05 with total page 143 pages. Available in PDF, EPUB and Kindle. Book excerpt: A concise, case-based clinical resource on the topic of imaging in spinal trauma, highly illustrated throughout.

Download or read book Central Nervous System Metastases written by Rohan Ramakrishna and published by Springer Nature. This book was released on 2020-05-27 with total page 725 pages. Available in PDF, EPUB and Kindle. Book excerpt: This is a multi-specialty book on the diagnosis, evaluation, and treatment of CNS metastases of the brain and spine. Written by renowned experts in their fields, the book covers essential contemporary topics in CNS metastases care. The book is divided into seven parts that begin with chapters that cover the fundamental biology of disease so that subsequent chapters on imaging, diagnosis, treatment, and palliation can be properly contextualized. This text also provides a framework for understanding the biology of radiation therapy so that radiation treatment options of the brain and spine can be more fully understood. New medications and technologies are reviewed from the perspective of maximizing efficacy and minimizing toxicity, independently and as combinatorial therapy. Central Nervous System Metastases: Diagnosis and Treatment serves as a practical reference for health care providers and trainees. It provides the comprehensive, detailed perspective required to provide holistic care to patients with metastatic disease to the brain and spine.

Download or read book Rates and Outcomes of Vertebral Augmentation for the Treatment of Osteoporotic Vertebral Fractures Among the Commercially Insured written by Michael Kevin O'Reilly and published by . This book was released on 2021 with total page 49 pages. Available in PDF, EPUB and Kindle. Book excerpt: Approximately 750,000 people per year in the U.S. sustain osteoporotic vertebral fractures (OVF). Vertebroplasty and kyphoplasty, collectively termed vertebral augmentation are commonly used to treat OVF yet the strength of evidence supporting the use of vertebroplasty is weak. Kyphoplasty lacks a robust evidence base to support or reject its use. Prior studies of vertebral augmentation have focused primarily on patients >65 years old. Our aims were twofold; to determine the temporal changes in vertebral augmentation rates over the past decade in a commercially insured, working-age (under 65) American population, and to compare the rates of major medical complications, resource utilization and medication use among a cohort of patients with OVF treated with vertebral augmentation as compared to propensity matched patients not treated with vertebral augmentation. Analysis of patients with OVF in the IBM MarketScan® Commercial Claims and Encounters Databases of Americans with employer-provided health insurance for the 2008-2017 period. To determine changes in OVF and vertebral augmentation rates over time we used ICD-CM 9/10 codes among a total of 149 million individual patients with an age range of 18-65 while excluding those with alternative fracture etiologies such as cancer, infection or transport accidents. We also 1:1 matched augmented patients to controls using propensity scores based on age, gender, region, fracture year, comorbidities, hospital admission at index fracture, and prior pain medication use, with further exact matching on use of opioids and advanced imaging in the time period until augmentation. We assessed rates of major medical complications, opioid use and all cause gross covered payments after augmentation and the analogous number of days from OVF in the control group (baseline day). Conditional logistic regression models were used to calculate odds ratios (ORs) and 95% confidence intervals (95% CI) for categorical variables, with median regression used for the continuous variables. Results: We identified 19,944 patients with OVF with an average incidence of 5.44 OVF per 100,000 MarketScan enrollees per year from 2008 - 2017. A total of 3424 patients (17.2%) with OVF underwent vertebral augmentation. Specifically, 708 (3.5%) were treated with vertebroplasty, 2571 (12.9%) received kyphoplasty and 145 (0.7%) had both. There was a trend of decreased utilisation of vertebroplasty, with a concomitant increase in kyphoplasty procedures performed over the time period. The percentage of patients with OVF treated with vertebral augmentation remained relatively stable. In our outcome analysis, which required 1 year post fracture enrollment we identified 14,995 patients with OVF of whom 2363 (16%) were augmented and 2304 (98%) were matched 1:1 to non-augmented controls, giving a total matched analysis subset of 4608 patients. We combined vertebroplasty and kyphoplasty subjects into a single augmented group for our primary analysis. Approximately 75% of the matched subset were female with a median age of 58 in each group. We did not observe meaningful differences in the odds of major medical complications within 30 days (adjusted OR= 0.89; 95%CI= 0.55, 1.43) comparing augmented to non-augmented patients, or all cause median costs between groups from 3 days post baseline to 1 year post OVF (adjusted difference between medians = $1285; 95%CI= -312, 2703). However, augmented patients were more likely to have filled opioid medications in the 7 to 30 days after the procedure with 33.9% filling a prescription compared to 28.4% among non-augmented subjects (adjusted OR= 1.40; 95%CI= 1.19, 1.64). We noted significant differences in the rates of major spine surgeries, with the augmented group much less likely to receive surgery than the non-augmented control group in the year after OVF with annual rates of 4.86% vs 8.55% (adjusted OR= 0.43; 95%CI= 0.31, 0.60). In our analysis of a large administrative claims database cohort of those under the age of 65 from 2008-2017 we found that 17% of patients with OVF were observed to have undergone vertebral augmentation. The ratio of those treated with kyphoplasty increased overtime and represented 87% of all augmentations performed in 2017. Contrary to previously published findings (in older adults), this analysis found that patients less than 65 years old who underwent vertebral augmentation did not have decreased major medical complications, opioid fills, or all cause payments in the year following their OVF. We found that all cause costs (with cost of augmentation excluded) to be similar in the year following OVF. Augmented patients were significantly less likely to undergo major spine surgery in the year following OVF, suggesting augmentation may diminish the ultimate need for surgery in this younger patient cohort. Clinical Relevance Statement: Vertebral augmentation used to treat osteoporotic fractures in those

Download or read book Deer s Treatment of Pain written by Timothy R. Deer and published by Springer. This book was released on 2019-08-01 with total page 854 pages. Available in PDF, EPUB and Kindle. Book excerpt: Designed and written by a team of clinically established academics, this is a unique book that is an excellent manual for physicians practicing pain medicine or treating pain in neurosurgery, orthopedic, neurology, or family practice clinics. As a practical resource, this book is written to be more accessible to the reader and is designed to be more clinically-focused and useful in day-to-day practice. This 102 chapter volume is divided into seven separate sections: Anatomy and Physiology of Pain, Psychology of Pain, Pharmacological Treatment of Pain, Interventional Treatment of Pain, Adjuvant Therapies for Pain and Suggested Reading. The calculated organization of this book is supplemented by key photos, drawings and a self-assessment of four key questions at the end of each chapter -- thus making it an indispensable, pragmatic resource that will benefit anyone working in the pain management field. Deer's Treatment of Pain: An Illustrated Guide for Practitioners contains pearls for improving knowledge and improving one’s practice as a physician.

Download or read book Third Generation Percutaneous Vertebral Augmentation Procedures written by Vincenzo Salini and published by . This book was released on 2015 with total page 139 pages. Available in PDF, EPUB and Kindle. Book excerpt: Vertebroplasty and kyphoplasty represented and represent two mainstays of minimally invasive spine surgery. Inevitably, these procedures left some unresolved issues that must be solved. This monograph is born from a concrete and shared necessity: to clarify indications and limits, to assess advantages and disadvantages and to identify new perspectives relating to use of third generation devices for percutaneous vertebral augmentation. Actually, the concept of minimally invasive surgery and tissue sparing surgery are revolutionizing always the surgical approach to many diseases, espacially for spine surgery: therefore it is important to know the "when and how".This text does not want to be anything more than a short essay, and it is aimed especially to young people, residents and specialists, but also to all those who are desirous to find and to read something that can be a basis for reflection, even in order to improve their surgical technique.In line with United States and Northern Europe, we are sure that the differences between Orthopaedic Surgeon and Neurosurgeon should be complementary, in order to prompt a curious comparison for creating partnerships and not barriers. In fact, this monograph is the result of the work among Neurosurgeons and Orthopaedic Surgeons. This work is born from the collaboration of many surgeons: the elder ones, who have offered all their knowledge and experience and the "young" ones, who are eager to learn, know and especially to share between them. In this text, spine functional anatomy and biomechanics brief mentions will be done, in order to understand well the etiology and the evolution of spinal pathology, both traumatic, metabolic and tumoral; the different treatment options will be taken into account, the open and minimally invasive techniques, the percutaneous approaches as well as third generation devices for percutaneous vertebral augmentation.The goal is not to compare the different devices in order to identify a winner. The real goal is to understand what pathological condition can bring out the best properties of a specific device, in order to establish which device is the most appropriate in a specific case. Therefore, through the experiences of Orthopaedic Surgeons, Neurosurgeons and Neuroradiologists, we will explore and identify the correct procedures, but especially the potential red flags, in this field of research.

Download or read book Interventional Radiology in Palliative Care written by Peter L. Munk and published by Springer Nature. This book was released on 2021-03-17 with total page 393 pages. Available in PDF, EPUB and Kindle. Book excerpt: This important book fills a gap in the literature by focusing specifically on the role of interventional radiology in patients receiving palliative medicine and supportive care, a group in which the need for minimally invasive therapy is especially high. Detailed information and guidance is provided on use of the tools of interventional radiology for the purpose of problem solving in relation to a wide variety of diseases and complications. Readers will find clear explanation of the ways in which interventional radiology techniques can assist with regard to intravenous access, feeding, musculoskeletal and neurological pain relief, tumor debulking, management of bleeding and obstructions, drainages, and treatment of fistulas. Throughout, helpful tips and tricks of value in daily practice are highlighted. The book is an ideal reference on the interventional management of palliative/supportive care and the effective use of interventional radiology techniques in a multidisciplinary environment. Beyond specialists and trainees in interventional radiology, it will have broad appeal to all who deal with patients on palliative and supportive care on a day-to-day basis.

Download or read book Risk of Subsequent Adjacent Fractures after Vertebral Augmentation in the Treatment for Osteoporotic Vertebral Compression Fractures written by José Manuel Ortega Zufiría and published by GRIN Verlag. This book was released on 2020-11-04 with total page 25 pages. Available in PDF, EPUB and Kindle. Book excerpt: Research Paper (postgraduate) from the year 2020 in the subject Medicine - Other, grade: 10.00, , course: NEUROCIRUGÍA, language: English, abstract: The aim of this study was to investigate whether percutaneous vertebral augmentation (PVA) was associated with clinical and radiological subsequent adjacent fractures. A systematic review and meta-analysis was performed searching on PubMed, EMBASE, Cochrane library, Google Scholar, web of science and ClinicalTrial.gov from the establishment of the database to January 2020. Eligible studies assessing the subsequent adjacent fractures after PVA compared with conservative treatment (CT) were incorporated. The pooled risk ratio (RR) with its 95% confidence intervals (95% CI) was used. Heterogeneity, sensitivity and publication bias analyses were performed. A total of 24 studies were considered eligible and were included finally. 20/421 patients (4.75%) had clinical subsequent adjacent fractures from PVA group, and 25/359 patients (6.96%) had from CT group, and 46/440 patients (10.45%) from PVA group and 36/444 patients (8.10%) from CT group had radiological subsequent adjacent fractures. There both had no significant difference between two groups (RR=0.67, 95%CI: [0.38, 1.19], P = 0.17)/ (RR=1.13, 95%CI: [0.75, 1.70], P = 0.576). However, in fractured vertebrae, number in PVA group was more than that in CT group (RR=1.41, 95%CI: [1.03, 1.93], P = 0.03). Collectively, currently available literature provides data showed PVA did not increase the incidence for subsequent adjacent fractures, no matter it was clinical or radiological fracture. But PVA may increase the number of fractured vertebrae.