[Effectiveness of percutaneous endoscopic technique in treatment of intraspinal cement leakage after percutaneous vertebroplasty].
Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2017 Jun 01;31(6):690-695
Authors: Yu Q, Chen L, Yan Z, Chu L, Shi L, Deng Z
Goal: To judge the feasibility and security of percutaneous endoscopic method within the therapy of intraspinal cement leakage after percutaneous vertebroplasty (PVP).
Strategies: Between Might 2014 and March 2016, 5 sufferers with decrease limb ache and spinal wire damage attributable to intraspinal cement leakage after PVP, have been handled with percutaneous endoscopic spinal decompression. Of 5 circumstances, three have been male and a couple of have been feminine, aged from 65 to 83 years (imply, 74.four years). The course of illness was 10-30 days (imply, 16.2 days). Imageological examinations confirmed the degrees of cement leakage at T 12, L 1 in three circumstances, and at L 1, 2 in 2 circumstances; bilateral sides have been concerned in 1 case and unilateral aspect in four circumstances. Two sufferers had decrease limb ache, whose visible analogue scale (VAS) have been eight and seven; three sufferers had decrease extremities weak spot, whose Japanese Orthopedic Affiliation (JOA) 29 scores have been 18, 20, and 19. In response to American Spinal Damage Affiliation (ASIA) impairment scale, neural perform was rated as grade E in 2 circumstances and grade D in three circumstances.
Outcomes: The operation time was 55-119 minutes (imply, 85.6 minutes), and the blood loss was 30-80 mL (imply, 48 mL). CT scan and three-dimensional (3D) reconstruction at 1 day after operation confirmed that cement leakage was eliminated in all sufferers. 5 circumstances have been adopted up 6-21 months (imply, 12 months). In 2 sufferers with decrease limb ache, and VAS rating was considerably decreased to 2 ultimately follow-up. In three sufferers with decrease extremities weak spot, the muscle energy was improved progressively, and the JOA29 scores ultimately follow-up have been 21, 23, and 22.
Conclusion: Percutaneous endoscopic method for intraspinal cement leakage after PVP is protected, efficient, and possible.
PMID: 29798650 [PubMed – in process]