Percutaneous consolidation of loosened spine arthrodesis under CT and fluoroscopy guidance by radiologists: a new useful technique
Objective The objective was to evaluate percutaneous computed tomography (CT) and fluoroscopy-guided injection of bone cement for consolidation of loosened posterior arthrodesis performed by radiologists. Methods A single-centre prospective study involving four consecutive patients (three women, one...
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creator | Amoretti, Nicolas Bertrand, Anne-Sophie Gallo, Giacomo Caudal, Amandine Cornelis, Francois Hauger, Olivier Boileau, Pascal |
description | Objective
The objective was to evaluate percutaneous computed tomography (CT) and fluoroscopy-guided injection of bone cement for consolidation of loosened posterior arthrodesis performed by radiologists.
Methods
A single-centre prospective study involving four consecutive patients (three women, one man) suffering from screw loosening (three at the vertebral level, one at the iliac wing level) after Posterior Lumbar Interbody Fusion (PLIF) treatment was done. The average age was 80 years. Surgical treatment was not indicated or not wished for by the patients. Institutional review board approval and informed consent were obtained. Percutaneous consolidation was performed by an interventional radiologist under CT and fluoroscopy guidance. The path of the trocars was made outside loosened screws bilaterally. Follow-up was assessed using the Visual Analog Scale (VAS).
Results
In all cases, bone cement was successfully placed around the loosened screw. The mean volume of cement that was injected was 3 ml. No cement leakage was observed. No neurological complication occurred. Using VAS, pain decreased from more than 9/10 preoperatively to less than 2/10 the day after the procedure for all patients (
p
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doi_str_mv | 10.1007/s00330-014-3475-4 |
format | Article |
fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1663655616</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1663655616</sourcerecordid><originalsourceid>FETCH-LOGICAL-c372t-30ac03d7f15962dbff1d36b8a8e54b05b8f33220fe1b0fd48f3eba03c06f7bb23</originalsourceid><addsrcrecordid>eNp1kU2LFDEQhoMo7rjrD_AiAS9eWiuddKfbmwzqLiysh91zk4_KbJaeZEw6yFz3l5uhVxHBUyjy1FtVPIS8YfCBAciPGYBzaICJhgvZNeIZ2TDB24bBIJ6TDYx8aOQ4ijPyKucHABiZkC_JWdvxbujGfkMev2MyZVEBY8nUxJDj7K1afAw0OjrHmDGgpfngA1KVlvsULWafaQkWE93eUhUsdXOJKWYTD0e6KzUgGKT6SJOyPs5x5_OSP1FFA_6kJaMrM13Q3Af_o-AFeeHUnPH103tO7r5-ud1eNtc33662n68bw2W7NByUAW6lY3Xx1mrnmOW9HtSAndDQ6cFx3rbgkGlwVtQStQJuoHdS65afk_dr7iHFOjYv095ng_O8Hj-xvud91_Wsr-i7f9CHWFKo252olksJTFaKrZSpp-eEbjokv1fpODGYToKmVdBUBU0nQZOoPW-fkoveo_3T8dtIBdoVyPUr7DD9Nfq_qb8A9Qid8g</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1662377017</pqid></control><display><type>article</type><title>Percutaneous consolidation of loosened spine arthrodesis under CT and fluoroscopy guidance by radiologists: a new useful technique</title><source>MEDLINE</source><source>SpringerLink Journals - AutoHoldings</source><creator>Amoretti, Nicolas ; Bertrand, Anne-Sophie ; Gallo, Giacomo ; Caudal, Amandine ; Cornelis, Francois ; Hauger, Olivier ; Boileau, Pascal</creator><creatorcontrib>Amoretti, Nicolas ; Bertrand, Anne-Sophie ; Gallo, Giacomo ; Caudal, Amandine ; Cornelis, Francois ; Hauger, Olivier ; Boileau, Pascal</creatorcontrib><description>Objective
The objective was to evaluate percutaneous computed tomography (CT) and fluoroscopy-guided injection of bone cement for consolidation of loosened posterior arthrodesis performed by radiologists.
Methods
A single-centre prospective study involving four consecutive patients (three women, one man) suffering from screw loosening (three at the vertebral level, one at the iliac wing level) after Posterior Lumbar Interbody Fusion (PLIF) treatment was done. The average age was 80 years. Surgical treatment was not indicated or not wished for by the patients. Institutional review board approval and informed consent were obtained. Percutaneous consolidation was performed by an interventional radiologist under CT and fluoroscopy guidance. The path of the trocars was made outside loosened screws bilaterally. Follow-up was assessed using the Visual Analog Scale (VAS).
Results
In all cases, bone cement was successfully placed around the loosened screw. The mean volume of cement that was injected was 3 ml. No cement leakage was observed. No neurological complication occurred. Using VAS, pain decreased from more than 9/10 preoperatively to less than 2/10 the day after the procedure for all patients (
p
< 0.05).
Conclusion
This study suggests that loosening of spine arthrodesis could be successfully treated by percutaneous injection of bone cement under CT and fluoroscopy guidance.
Key Points
• PLIF is one of the surgical techniques for spinal arthrodesis.
• Treatment indications are degenerative disease or instability following trauma, tumour, or infection.
• Screw loosening is a frequent complication that can occur after surgery.
• Percutaneous facet consolidation under dual guidance seems to be a feasible technique.
• The procedure is performed under local anaesthesia using a minimally invasive approach.</description><identifier>ISSN: 0938-7994</identifier><identifier>EISSN: 1432-1084</identifier><identifier>DOI: 10.1007/s00330-014-3475-4</identifier><identifier>PMID: 25358596</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Aged ; Aged, 80 and over ; Anesthesia, Local ; Animals ; Arthrodesis ; Bone Cements - therapeutic use ; Diagnostic Radiology ; Female ; Fluoroscopy ; Fractures ; Humans ; Imaging ; Internal Medicine ; Interventional Radiology ; Lumbosacral Region - diagnostic imaging ; Male ; Medicine ; Medicine & Public Health ; Neuroradiology ; Pain ; Pain Measurement ; Polymethyl methacrylate ; Prospective Studies ; Radiology ; Radiology, Interventional ; Review boards ; Scintigraphy ; Spinal Fusion - methods ; Tomography ; Tomography, X-Ray Computed ; Treatment Outcome ; Ultrasound ; Vascular-Interventional ; Vertebrae</subject><ispartof>European radiology, 2015-04, Vol.25 (4), p.1135-1139</ispartof><rights>European Society of Radiology 2014</rights><rights>European Society of Radiology 2015</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c372t-30ac03d7f15962dbff1d36b8a8e54b05b8f33220fe1b0fd48f3eba03c06f7bb23</citedby><cites>FETCH-LOGICAL-c372t-30ac03d7f15962dbff1d36b8a8e54b05b8f33220fe1b0fd48f3eba03c06f7bb23</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00330-014-3475-4$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00330-014-3475-4$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27923,27924,41487,42556,51318</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25358596$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Amoretti, Nicolas</creatorcontrib><creatorcontrib>Bertrand, Anne-Sophie</creatorcontrib><creatorcontrib>Gallo, Giacomo</creatorcontrib><creatorcontrib>Caudal, Amandine</creatorcontrib><creatorcontrib>Cornelis, Francois</creatorcontrib><creatorcontrib>Hauger, Olivier</creatorcontrib><creatorcontrib>Boileau, Pascal</creatorcontrib><title>Percutaneous consolidation of loosened spine arthrodesis under CT and fluoroscopy guidance by radiologists: a new useful technique</title><title>European radiology</title><addtitle>Eur Radiol</addtitle><addtitle>Eur Radiol</addtitle><description>Objective
The objective was to evaluate percutaneous computed tomography (CT) and fluoroscopy-guided injection of bone cement for consolidation of loosened posterior arthrodesis performed by radiologists.
Methods
A single-centre prospective study involving four consecutive patients (three women, one man) suffering from screw loosening (three at the vertebral level, one at the iliac wing level) after Posterior Lumbar Interbody Fusion (PLIF) treatment was done. The average age was 80 years. Surgical treatment was not indicated or not wished for by the patients. Institutional review board approval and informed consent were obtained. Percutaneous consolidation was performed by an interventional radiologist under CT and fluoroscopy guidance. The path of the trocars was made outside loosened screws bilaterally. Follow-up was assessed using the Visual Analog Scale (VAS).
Results
In all cases, bone cement was successfully placed around the loosened screw. The mean volume of cement that was injected was 3 ml. No cement leakage was observed. No neurological complication occurred. Using VAS, pain decreased from more than 9/10 preoperatively to less than 2/10 the day after the procedure for all patients (
p
< 0.05).
Conclusion
This study suggests that loosening of spine arthrodesis could be successfully treated by percutaneous injection of bone cement under CT and fluoroscopy guidance.
Key Points
• PLIF is one of the surgical techniques for spinal arthrodesis.
• Treatment indications are degenerative disease or instability following trauma, tumour, or infection.
• Screw loosening is a frequent complication that can occur after surgery.
• Percutaneous facet consolidation under dual guidance seems to be a feasible technique.
• The procedure is performed under local anaesthesia using a minimally invasive approach.</description><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Anesthesia, Local</subject><subject>Animals</subject><subject>Arthrodesis</subject><subject>Bone Cements - therapeutic use</subject><subject>Diagnostic Radiology</subject><subject>Female</subject><subject>Fluoroscopy</subject><subject>Fractures</subject><subject>Humans</subject><subject>Imaging</subject><subject>Internal Medicine</subject><subject>Interventional Radiology</subject><subject>Lumbosacral Region - diagnostic imaging</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Neuroradiology</subject><subject>Pain</subject><subject>Pain Measurement</subject><subject>Polymethyl methacrylate</subject><subject>Prospective Studies</subject><subject>Radiology</subject><subject>Radiology, Interventional</subject><subject>Review boards</subject><subject>Scintigraphy</subject><subject>Spinal Fusion - methods</subject><subject>Tomography</subject><subject>Tomography, X-Ray Computed</subject><subject>Treatment Outcome</subject><subject>Ultrasound</subject><subject>Vascular-Interventional</subject><subject>Vertebrae</subject><issn>0938-7994</issn><issn>1432-1084</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNp1kU2LFDEQhoMo7rjrD_AiAS9eWiuddKfbmwzqLiysh91zk4_KbJaeZEw6yFz3l5uhVxHBUyjy1FtVPIS8YfCBAciPGYBzaICJhgvZNeIZ2TDB24bBIJ6TDYx8aOQ4ijPyKucHABiZkC_JWdvxbujGfkMev2MyZVEBY8nUxJDj7K1afAw0OjrHmDGgpfngA1KVlvsULWafaQkWE93eUhUsdXOJKWYTD0e6KzUgGKT6SJOyPs5x5_OSP1FFA_6kJaMrM13Q3Af_o-AFeeHUnPH103tO7r5-ud1eNtc33662n68bw2W7NByUAW6lY3Xx1mrnmOW9HtSAndDQ6cFx3rbgkGlwVtQStQJuoHdS65afk_dr7iHFOjYv095ng_O8Hj-xvud91_Wsr-i7f9CHWFKo252olksJTFaKrZSpp-eEbjokv1fpODGYToKmVdBUBU0nQZOoPW-fkoveo_3T8dtIBdoVyPUr7DD9Nfq_qb8A9Qid8g</recordid><startdate>20150401</startdate><enddate>20150401</enddate><creator>Amoretti, Nicolas</creator><creator>Bertrand, Anne-Sophie</creator><creator>Gallo, Giacomo</creator><creator>Caudal, Amandine</creator><creator>Cornelis, Francois</creator><creator>Hauger, Olivier</creator><creator>Boileau, Pascal</creator><general>Springer Berlin Heidelberg</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QO</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FD</scope><scope>8FE</scope><scope>8FG</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ARAPS</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BGLVJ</scope><scope>BHPHI</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB0</scope><scope>LK8</scope><scope>M0S</scope><scope>M1P</scope><scope>M7P</scope><scope>NAPCQ</scope><scope>P5Z</scope><scope>P62</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>20150401</creationdate><title>Percutaneous consolidation of loosened spine arthrodesis under CT and fluoroscopy guidance by radiologists: a new useful technique</title><author>Amoretti, Nicolas ; Bertrand, Anne-Sophie ; Gallo, Giacomo ; Caudal, Amandine ; Cornelis, Francois ; Hauger, Olivier ; Boileau, Pascal</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c372t-30ac03d7f15962dbff1d36b8a8e54b05b8f33220fe1b0fd48f3eba03c06f7bb23</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Anesthesia, Local</topic><topic>Animals</topic><topic>Arthrodesis</topic><topic>Bone Cements - therapeutic use</topic><topic>Diagnostic Radiology</topic><topic>Female</topic><topic>Fluoroscopy</topic><topic>Fractures</topic><topic>Humans</topic><topic>Imaging</topic><topic>Internal Medicine</topic><topic>Interventional Radiology</topic><topic>Lumbosacral Region - diagnostic imaging</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Neuroradiology</topic><topic>Pain</topic><topic>Pain Measurement</topic><topic>Polymethyl methacrylate</topic><topic>Prospective Studies</topic><topic>Radiology</topic><topic>Radiology, Interventional</topic><topic>Review boards</topic><topic>Scintigraphy</topic><topic>Spinal Fusion - methods</topic><topic>Tomography</topic><topic>Tomography, X-Ray Computed</topic><topic>Treatment Outcome</topic><topic>Ultrasound</topic><topic>Vascular-Interventional</topic><topic>Vertebrae</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Amoretti, Nicolas</creatorcontrib><creatorcontrib>Bertrand, Anne-Sophie</creatorcontrib><creatorcontrib>Gallo, Giacomo</creatorcontrib><creatorcontrib>Caudal, Amandine</creatorcontrib><creatorcontrib>Cornelis, Francois</creatorcontrib><creatorcontrib>Hauger, Olivier</creatorcontrib><creatorcontrib>Boileau, Pascal</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Biotechnology Research Abstracts</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Technology Research Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Technology Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>Advanced Technologies & Aerospace Collection</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>Technology Collection (ProQuest)</collection><collection>Natural Science Collection</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>ProQuest Biological Science Collection</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Biological Science Database</collection><collection>Nursing & Allied Health Premium</collection><collection>Advanced Technologies & Aerospace Database</collection><collection>ProQuest Advanced Technologies & Aerospace Collection</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>European radiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Amoretti, Nicolas</au><au>Bertrand, Anne-Sophie</au><au>Gallo, Giacomo</au><au>Caudal, Amandine</au><au>Cornelis, Francois</au><au>Hauger, Olivier</au><au>Boileau, Pascal</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Percutaneous consolidation of loosened spine arthrodesis under CT and fluoroscopy guidance by radiologists: a new useful technique</atitle><jtitle>European radiology</jtitle><stitle>Eur Radiol</stitle><addtitle>Eur Radiol</addtitle><date>2015-04-01</date><risdate>2015</risdate><volume>25</volume><issue>4</issue><spage>1135</spage><epage>1139</epage><pages>1135-1139</pages><issn>0938-7994</issn><eissn>1432-1084</eissn><abstract>Objective
The objective was to evaluate percutaneous computed tomography (CT) and fluoroscopy-guided injection of bone cement for consolidation of loosened posterior arthrodesis performed by radiologists.
Methods
A single-centre prospective study involving four consecutive patients (three women, one man) suffering from screw loosening (three at the vertebral level, one at the iliac wing level) after Posterior Lumbar Interbody Fusion (PLIF) treatment was done. The average age was 80 years. Surgical treatment was not indicated or not wished for by the patients. Institutional review board approval and informed consent were obtained. Percutaneous consolidation was performed by an interventional radiologist under CT and fluoroscopy guidance. The path of the trocars was made outside loosened screws bilaterally. Follow-up was assessed using the Visual Analog Scale (VAS).
Results
In all cases, bone cement was successfully placed around the loosened screw. The mean volume of cement that was injected was 3 ml. No cement leakage was observed. No neurological complication occurred. Using VAS, pain decreased from more than 9/10 preoperatively to less than 2/10 the day after the procedure for all patients (
p
< 0.05).
Conclusion
This study suggests that loosening of spine arthrodesis could be successfully treated by percutaneous injection of bone cement under CT and fluoroscopy guidance.
Key Points
• PLIF is one of the surgical techniques for spinal arthrodesis.
• Treatment indications are degenerative disease or instability following trauma, tumour, or infection.
• Screw loosening is a frequent complication that can occur after surgery.
• Percutaneous facet consolidation under dual guidance seems to be a feasible technique.
• The procedure is performed under local anaesthesia using a minimally invasive approach.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>25358596</pmid><doi>10.1007/s00330-014-3475-4</doi><tpages>5</tpages></addata></record> |
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issn | 0938-7994 1432-1084 |
language | eng |
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source | MEDLINE; SpringerLink Journals - AutoHoldings |
subjects | Aged Aged, 80 and over Anesthesia, Local Animals Arthrodesis Bone Cements - therapeutic use Diagnostic Radiology Female Fluoroscopy Fractures Humans Imaging Internal Medicine Interventional Radiology Lumbosacral Region - diagnostic imaging Male Medicine Medicine & Public Health Neuroradiology Pain Pain Measurement Polymethyl methacrylate Prospective Studies Radiology Radiology, Interventional Review boards Scintigraphy Spinal Fusion - methods Tomography Tomography, X-Ray Computed Treatment Outcome Ultrasound Vascular-Interventional Vertebrae |
title | Percutaneous consolidation of loosened spine arthrodesis under CT and fluoroscopy guidance by radiologists: a new useful technique |
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