Study Details Appropriate Cement Use During Spine ProcedureWritten by Laura Miller | May 13, 2011
The amount of cement used during procedures on the T11-L1 level should be determined using fracture body volume and friction according to the level of the spine being treated, according to an article published in Spine.
There may be intradiscal leakage on the L2-L4 level in order to obtain appropriate mechanical properties in the case of severe endplate breakdown associated with the disc space. Surgeons need a smaller volume of cement to avoid an adjacent fracture on the L2-L4 level.
For the study, researchers examined 96 patients with single compression fractures who underwent percutaneous vertebroplasty, with a mean follow-up of 11 months. There were 78 patients who reported a favorable outcome.
The fractured body volume and level treated were associated with fraction, which also influenced outcomes. The fraction of the favorable group was significantly higher. The cut-off values for favorable outcomes were 11.64 percent on T4-L4 Level and 3.35 cubic centimeters, and 11.65 percent on T11-L1 level. The patients who experienced intradiscal leakage had a smaller volume than the non-leakage group on the L2-L4 level. The cut-off volume to avoid adjacent fracture was 4.9 cubic centimeters on the ROC curve.
There was no relationship between epidural leakage and pulmonary embolism.
Read the abstract about cement volume during spine surgery.
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