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CT/X-Ray-Guided Augmentation Techniques in Lumbar Spine

  • Gianluigi GuarnieriEmail author
  • Roberto Izzo
  • Giurazza Francesco
  • Mario Muto
Chapter
Part of the New Procedures in Spinal Interventional Neuroradiology book series (NPSIN)

Abstract

Augmentation techniques (AT) include different percutaneous mini-invasive procedures such as vertebroplasty (VP) and assisted technique (AT) (kyphoplasty or kyphoplasty-like technique) for the treatment of symptomatic vertebral compression fractures (VCFs) due to osteoporosis diseases, primary or secondary vertebral tumors, and vertebral trauma. The major target of all those techniques is pain relief, thanks to the simple cement injection (polymethylmethacrylate, PMMA) in the collapsed or abnormal soma stabilizing the movements of the trabecular and spongious microfractures (responsible for the pain), making more compact and resistant the vertebral body, improving life quality. While VP consists in the simple cement injection, AT combines this analgesic and vertebral consolidation effect with the restoration of the physiological height of the collapsed vertebral body, reducing the kyphotic deformity and improving vertebral statics and trying to restore the physiologic curvature and biomechanics. Reduction of the kyphotic deformity is the major target of all AT, thanks to the capacity of the system to restore the vertebral height. The aim of this chapter is to explain indication/contraindication treatment, limits, and benefits of the different devices developed by the industry for obtaining vertebral augmentation effect.

Keywords

Vertebroplasty Assisted technique-vertebroplasty Kyphoplasty Kyphoplasty-like technique Vertebral compression fracture Spinal metastasis Hemangioma Osteoporosis vertebral fracture Polymethylmethacrylate 

Supplementary material

(MP4 1286872 kb)

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Copyright information

© Springer International Publishing AG 2017

Authors and Affiliations

  • Gianluigi Guarnieri
    • 1
    Email author
  • Roberto Izzo
    • 1
  • Giurazza Francesco
    • 2
  • Mario Muto
    • 1
  1. 1.Neuroradiology ServiceCardarelli HospitalNaplesItaly
  2. 2.Radiology DepartmentUniversità Campus Bio-Medico di RomaRomeItaly

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