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AJNR Awards, New Junior Editors, and more. Read the latest AJNR updates

OtherSpine Imaging and Spine Image-Guided Interventions

Significance and Targeting of Small, Central Clefts in Severe Fractures Treated With Vertebroplasty

A. Ehteshami Rad, L.A. Gray and D.F. Kallmes
American Journal of Neuroradiology August 2008, 29 (7) 1285-1287; DOI: https://doi.org/10.3174/ajnr.A1066
A. Ehteshami Rad
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L.A. Gray
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D.F. Kallmes
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    Fig 1.

    Anteroposterior and lateral plain radiographs during vertebroplasty at L3 show the tip of the 11-gauge cannula in the ventral aspect of the midline of the vertebral body. Barium-opacified cement fills a small ventral cleft and a small portion of the right lateral aspect of the vertebral body, with a small amount of extravasation through the superior endplate.

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    Fig 2.

    A, Sagittal T2-weighted MR imaging of the lumbar spine shows severe fractures at T12 and L2 with fluid-filled clefts. B, lateral plain radiographs after vertebroplasty show cement-filled clefts corresponding with clefts seen on preprocedure MR imaging shown in A.

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    Fig 3.

    A, Sagittal T2-weighted MR imaging shows severe fracture at T8 without evidence of a cleft. B and C, Anteroposterior and lateral plain radiographs after vertebroplasty show cement filling a linear cleft.

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    Fig 4.

    A, Sagittal T2-weighted image shows small cleft within the severe fracture at T12. B, Lateral plain radiograph after vertebroplasty shows filling of a large cleft.

Tables

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  • Pain relief after vertebroplasty procedure

    WorseNo ChangeDecreasedCompletely Improved
    Pain at rest
        Postoperative (11)0164
        1 week (11)1154
        1 month (9)0135
        6 months (6)0024
    Pain with activity
        Postoperative (11)0074
        1 week (11)0083
        1 month (9)0063
        6 months (6)0051
    • Note:—Numbers in parentheses indicate number of patients available at each follow-up time point, and numbers in each column indicate severity of pain on the basis of a semiquantitative pain scale (0–10).

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American Journal of Neuroradiology: 29 (7)
American Journal of Neuroradiology
Vol. 29, Issue 7
August 2008
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Cite this article
A. Ehteshami Rad, L.A. Gray, D.F. Kallmes
Significance and Targeting of Small, Central Clefts in Severe Fractures Treated With Vertebroplasty
American Journal of Neuroradiology Aug 2008, 29 (7) 1285-1287; DOI: 10.3174/ajnr.A1066

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Significance and Targeting of Small, Central Clefts in Severe Fractures Treated With Vertebroplasty
A. Ehteshami Rad, L.A. Gray, D.F. Kallmes
American Journal of Neuroradiology Aug 2008, 29 (7) 1285-1287; DOI: 10.3174/ajnr.A1066
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Cited By...

  • Asymptomatic and Unrecognized Cement Pulmonary Embolism Commonly Occurs with Vertebroplasty
  • Injury to the Vertebral Endplate-Disk Complex Associated with Osteoporotic Vertebral Compression Fractures
  • Clinical Outcomes with Hemivertebral Filling during Percutaneous Vertebroplasty
  • Efficacy of Percutaneous Vertebroplasty for Multiple Synchronous and Metachronous Vertebral Compression Fractures
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Show more SPINE IMAGING AND SPINE IMAGE-GUIDED INTERVENTIONS

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