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Bioengineering in Cell and Tissue Research pp 527–539Cite as

Percutaneous Vertebroplasty: A Review of Two Intraoperative Complications

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Abstract

Vertebroplasty is an interventional radiology procedure used to treat vertebral compression fractures. It shows promising results but has two major drawbacks: the excessive injection pressure and the risk for extraosseus cement leakage. To examine each of these problems, vertebroplasty is divided into intra- and extravertebral components. The excessive injection pressure is an extravertebral problem because 95% of the injection pressure is extravertebral. Extant solutions are cement delivery devices and lowering the cement viscosity. Additionally, the cannula can be redesigned to lower the friction and injection pressure. The extraosseus cement leakage is an intravertebral problem. Literature recommends delaying the injection to increase the control over the infiltration of cement; this hypothesis is tested using a synthetic model. The bone cement has complex rheological properties, which are modified by altering the cement preparation and composition; these may also play a role in controlling cement leakage. Combining the findings, conflicting demands on the cement viscosity are clearly demonstrated; the extravertebral component demands low-viscosity cement while the intravertebral component demands high-viscosity cement. The challenge is therefore to develop biomaterials, techniques and/or devices that can control the conflicting demands on cement viscosity.

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Author information

Authors and Affiliations

  1. Laboratoire de biomécanique, Université de Sherbrooke, Sherbrooke, Canada

    Christianne Vant & Gamal Baroud

  2. Institute of Bioengineering and Biomechanics Laboratory, Aachen University of Applied Sciences, Campus Jülich, Ginsterweg 1, 52428, Jülich, Germany

    Manfred Staat

Authors
  1. Christianne Vant
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  2. Manfred Staat
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  3. Gamal Baroud
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Editor information

Editors and Affiliations

  1. Cellular Engineering, Aachen University of Sciences, Ginsterweg 1, 52428, Jülich, Germany

    Gerhard M. Artmann

  2. Department of Bioengineering and Whitaker Institute of Biomedical Engineering San Diego, University of California, 92093-0412, La Jolla, CA, USA

    Shu Chien

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© 2008 Springer-Verlag Berlin Heidelberg

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Vant, C., Staat, M., Baroud, G. (2008). Percutaneous Vertebroplasty: A Review of Two Intraoperative Complications. In: Artmann, G., Chien, S. (eds) Bioengineering in Cell and Tissue Research. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-540-75409-1_22

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  • DOI: https://doi.org/10.1007/978-3-540-75409-1_22

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-75408-4

  • Online ISBN: 978-3-540-75409-1

  • eBook Packages: EngineeringEngineering (R0)

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