Skip to main content
SpringerLink
Log in

Combined CT and fluoroscopic guidance of balloon kyphoplasty versus fluoroscopy-only procedures

  • Technical Report
  • Published:
Skeletal Radiology Aims and scope Submit manuscript

Abstract

Objective

To evaluate the performance of combined (computed tomography (CT) and fluoroscopic) guidance of balloon kyphoplasty in comparison to fluoroscopic guidance alone.

Materials and methods

Forty-one kyphoplasties were performed between January 2005 and March 2006 according to two different protocols. Study group 1 consisted of 20 consecutive patients with 20 balloon kyphoplasty procedures under dual guidance (CT scan and fluoroscopy) for osteoporotic or traumatic vertebral fractures. Study group 2 consisted of 21 consecutive patients in whom kyphoplasty was performed with fluoroscopy alone. Visualization of the pedicles, the final of the balloon position, and cement distribution were evaluated(1—poor, 2—intermediate, 3—good).

Results

Combined use of CT and fluoroscopy (group 1) was superior in identifying the pedicles (100% versus 66.7%, p = 0.009) and balloon placement (100% versus 71.4%, p = 0.02) but not in monitoring of cement distribution within the vertebral body (100% versus 90.5%, p = 0.49). The difference between the two groups was more pronounced in the thoracic spine than in the lumbar spine.

Conclusion

CT/fluoroscopic guidance of kyphoplasty combines safe CT-guided insertion of the osteointroducers and balloons as well as fluoroscopic real-time monitoring of polymethylmethacrylate injection.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5
Fig. 6
Fig. 7
Fig. 8

Similar content being viewed by others

References

  1. Gangi A, Kastler BA, Dietemann JL. Percutaneous vertebroplasty guided by a combination of CT and fluoroscopy. AJNR Am J Neuroradiol 1994; 15(1): 83–86. Jan.

    CAS  PubMed  PubMed Central  Google Scholar 

  2. Lieberman I, Reinhardt MK. Vertebroplasty and kyphoplasty for osteolytic vertebral collapse. Clin Orthop Relat Res 2003; 415(suppl): S176–S186.

    Article  Google Scholar 

  3. Rao RD, Singrakhia MD. Painful osteoporotic vertebral fracture: pathogenesis, evaluation, and roles of vertebroplasty and kyphoplasty in its management. J Bone Joint Surg Am 2003; 85: 2010–2022.

    Article  PubMed  Google Scholar 

  4. Hiwatashi A, Sidhu R, Lee RK, deGuzman RR, Piekut DT, Westesson PL. Kyphoplasty versus vertebroplasty to increase vertebral body height: a cadaveric study. Radiology 2005; 237(3): 1115–1119. Dec.

    Article  PubMed  Google Scholar 

  5. Barr JD, Barr MS, Lemley TJ. Combined CT and fluoroscopic guidance for percutaneous vertebroplasty. American Society of Neuroradiology Annual Meeting 1996.

  6. Vogl TJ, Proschek D, Schwarz W, Mack M, Hochmuth K. CT-guided percutaneous vertebroplasty in the therapy of vertebral compression fractures. Eur Radiol 2006; 16(4): 797–803. Apr.

    Article  CAS  PubMed  Google Scholar 

  7. Weber CH, Krotz M, Hoffmann RT, Euler E, Heining S, Pfeifer KJ, Reiser M, Linsenmaier U. CT-guided vertebroplasty and kyphoplasty: comparing technical success rate and complications in 101 cases. Rofo 2006; 178(6): 610–617. Jun, Epub 2006 May 15.

    Article  CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Service de Radiologie, Centre Hospitalier Universitaire de Nice, Route de Saint Antoine de Ginestiere, 06200, Nice, France

    Nicolas Amoretti, Pierre-Yves Marcy, Virginie Lesbats-Jacquot, Marie-eve Fonquerne, Olivier Hericord & Yvonne Maratos

  2. Spine Surgery Department, Centre Hospitalier Universitaire de Nice, Nice, France

    Istvan Hovorka

  3. Rheumatology Department, Centre Hospitalier Universitaire de Nice, Nice, France

    Christian Roux & Liana Euller-Ziegler

Authors
  1. Nicolas Amoretti
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Pierre-Yves Marcy
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Virginie Lesbats-Jacquot
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Istvan Hovorka
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Marie-eve Fonquerne
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. Christian Roux
    View author publications

    You can also search for this author in PubMed Google Scholar

  7. Olivier Hericord
    View author publications

    You can also search for this author in PubMed Google Scholar

  8. Yvonne Maratos
    View author publications

    You can also search for this author in PubMed Google Scholar

  9. Liana Euller-Ziegler
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Nicolas Amoretti.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Amoretti, N., Marcy, PY., Lesbats-Jacquot, V. et al. Combined CT and fluoroscopic guidance of balloon kyphoplasty versus fluoroscopy-only procedures. Skeletal Radiol 38, 703–707 (2009). https://doi.org/10.1007/s00256-008-0585-6

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00256-008-0585-6

Keywords

Search

Navigation