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


Improved Turnaround Times | Median time to first decision: 12 days

Research ArticleSpine Imaging and Spine Image-Guided Interventions

Clinical Outcomes with Hemivertebral Filling during Percutaneous Vertebroplasty

E.M. Knavel, A. Ehteshami Rad, K.R. Thielen and D.F. Kallmes
American Journal of Neuroradiology March 2009, 30 (3) 496-499; DOI: https://doi.org/10.3174/ajnr.A1416
E.M. Knavel
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A. Ehteshami Rad
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K.R. Thielen
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D.F. Kallmes
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    Fig 1.

    A, An example of a T12 hemivertebroplasty, anteroposterior view. B, T12 vertebral body, postvertebroplasty lateral view.

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    Fig 2.

    A, An example of a vertebroplasty excluded from the hemivertebroplasty classification. Postvertebroplasty anteroposterior view of an L4 vertebral body with >20% filling of the unaugmented side of the vertebra. B, L4 vertebral body, postvertebroplasty lateral view.

Tables

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    Table 1:

    Characteristics of patients in both bilaterally filled vertebroplasty and unilateral hemivertebroplasty groups

    HemivertebroplastyBilateral Vertebroplasty
    Single LevelMultiple LevelSingle LevelMultiple Level
    No. of patients (levels)11 (11)31 (76)441 (441)236 (521)
    Percentage female55657066
    Median age by year (range)69 (50–86)71 (51–97)77 (31–96)76 (34–96)
    Mean cement volume2.12.13.42.97
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    Table 2:

    Pain (0–10) and RDQ scores in hemivertebroplasty versus bilateral vertebroplasty groups

    Preop Hemi/Bilat (P)1-Week Hemi/Bilat (P)1-Month Hemi/Bilat (P)6-Month Hemi/Bilat (P)1-Year Hemi/Bilat (P)
    Pain at rest4/3.9 (.1)1.2/1.6 (.4)1.1/1.2 (.6)1/1.2 (.6)1.6/1.1 (.3)
    Pain with activity7.9/8.4 (.2)3.7/4.2 (.3)3.5/3.9 (.5)3.1/3.1 (1)4.7/3.5 (.2)
    RDQ18.3/18.8 (.6)9.1/9.9 (.5)7.7/9.3 (.2)8/8.8 (.6)8.2/8.7 (.8)
    • Note:—Preop indicates preoperative; Hemi, hemivertebroplasty; Bilat, bilateral vertebroplasty; RDQ, Roland-Morris Disability Questionnaire..

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    Table 3:

    Incident fracture rates

    HemivertebroplastyBilateral Vertebroplasty
    Single LevelMultiple LevelSingle LevelMultiple Level
    Incidence of new fractures18%6%13%15%
    Mean time to incident fracture by month965.26
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American Journal of Neuroradiology: 30 (3)
American Journal of Neuroradiology
Vol. 30, Issue 3
March 2009
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Cite this article
E.M. Knavel, A. Ehteshami Rad, K.R. Thielen, D.F. Kallmes
Clinical Outcomes with Hemivertebral Filling during Percutaneous Vertebroplasty
American Journal of Neuroradiology Mar 2009, 30 (3) 496-499; DOI: 10.3174/ajnr.A1416

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Clinical Outcomes with Hemivertebral Filling during Percutaneous Vertebroplasty
E.M. Knavel, A. Ehteshami Rad, K.R. Thielen, D.F. Kallmes
American Journal of Neuroradiology Mar 2009, 30 (3) 496-499; DOI: 10.3174/ajnr.A1416
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Show more SPINE IMAGING AND SPINE IMAGE-GUIDED INTERVENTIONS

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