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Clinical Experience with High-Viscosity Cements for Percutaneous Vertebral Body Augmentation: Occurrence, Degree, and Location of Cement Leakage Compared with Kyphoplasty

B.A. Georgy
American Journal of Neuroradiology March 2010, 31 (3) 504-508; DOI: https://doi.org/10.3174/ajnr.A1861
B.A. Georgy
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  • Fig 1.
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    Fig 1.

    Radiographic examples of a mild venous leakage (A), a moderate disk leakage (B), and a severe disk leakage (C).

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    Fig 2.

    Distribution of levels treated for Confidence versus kyphoplasty.

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    Fig 3.

    Histogram of percentage compression for all levels by treatment group.

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    Fig 4.

    Chart of leakage rates per leakage type (none, minimal, mild, moderate, and severe) and treatment group (kyphoplasty versus Confidence). No difference in leakage type or rate was observed between the groups.

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    Fig 5.

    Chart of leakage area per treatment group. No statistical different was observed on the basis of leakage area for each group.

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  • Description of each grade of leakage

    Leakage CharacterizationDescription
    NoNo leakage observed
    MildClear visible or possible cement extravasation was observed within ∼1–2 mm of the vertebral bodies. The minimum cement extravasation may have occurred in only 1 location. No additional medical care or observation was required.
    ModerateClearly visible cement extravasation was observed, possibly beyond 3 mm but in a location that did not suggest any risk or harm to the patient. No additional medical care or observation was required.
    SevereClearly visible cement extravasation was observed, possibly requiring additional patient observation and/or care.
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American Journal of Neuroradiology: 31 (3)
American Journal of Neuroradiology
Vol. 31, Issue 3
1 Mar 2010
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Cite this article
B.A. Georgy
Clinical Experience with High-Viscosity Cements for Percutaneous Vertebral Body Augmentation: Occurrence, Degree, and Location of Cement Leakage Compared with Kyphoplasty
American Journal of Neuroradiology Mar 2010, 31 (3) 504-508; DOI: 10.3174/ajnr.A1861

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Clinical Experience with High-Viscosity Cements for Percutaneous Vertebral Body Augmentation: Occurrence, Degree, and Location of Cement Leakage Compared with Kyphoplasty
B.A. Georgy
American Journal of Neuroradiology Mar 2010, 31 (3) 504-508; DOI: 10.3174/ajnr.A1861
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