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Research ArticleSPINE

Vertebroplasty versus Kyphoplasty: A Comparison and Contrast

John M. Mathis, A. Orlando Ortiz and Gregg H. Zoarski
American Journal of Neuroradiology May 2004, 25 (5) 840-845;
John M. Mathis
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A. Orlando Ortiz
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Gregg H. Zoarski
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    Fig 1.

    CT scan of a thoracic vertebra following KP. There was a lateral blowout fracture of the vertebra caused by balloon inflation and a large cement leak (arrow) into the mediastinum. The patient had severe pain requiring hospitalization and protracted analgesic therapy for weeks following therapy. (From JM Mathis. Percutaneous vertebroplasty. AJNR Am J Neuroradiol 2003; 24:1697–1706; by permission.)

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    Fig 2.

    Radiograph following PV and KP, showing small, asymptomatic cement leaks at both levels. The PV level (above) had a small cement leak into an adjacent vein (arrows). The KP level (below) had small cement leaks into both adjacent disk levels (arrowheads).

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    Fig 3.

    A, Compression fracture with anterior cleft before KP. Endplates are marked (arrows). The height is estimated at 50% of the height of the adjacent level above.

    B, Fluoroscopic image showing balloon inflation during KP.

    C, After cement injection, the height gain is approximately 4 mm, or 25% of a vertebral height (when compared with the adjacent level above). There was essentially no kyphosis to start with, and this vertebrae had a cleft originally and therefore would be expected to be a good candidate for height restoration.

  • Fig 4.
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    Fig 4.

    A, Radiograph of a compression fracture and 18° of kyphosis.

    B, Following PV, there is modest height gain, estimated at 3–4 mm, and a reduction in kyphosis to 9°. (From JM Mathis. Percutaneous vertebroplasty. AJNR Am J Neuroradiol 2003; 24:1697–1706; by permission.)

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American Journal of Neuroradiology: 25 (5)
American Journal of Neuroradiology
Vol. 25, Issue 5
1 May 2004
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Cite this article
John M. Mathis, A. Orlando Ortiz, Gregg H. Zoarski
Vertebroplasty versus Kyphoplasty: A Comparison and Contrast
American Journal of Neuroradiology May 2004, 25 (5) 840-845;

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Vertebroplasty versus Kyphoplasty: A Comparison and Contrast
John M. Mathis, A. Orlando Ortiz, Gregg H. Zoarski
American Journal of Neuroradiology May 2004, 25 (5) 840-845;
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