RT Journal Article SR Electronic T1 Extending Polymerization Time of Polymethylmethacrylate Cement in Percutaneous Vertebroplasty with Ice Bath Cooling JF American Journal of Neuroradiology JO Am. J. Neuroradiol. FD American Society of Neuroradiology SP 545 OP 546 VO 24 IS 3 A1 Chavali, Ram A1 Resijek, Rick A1 Knight, Steven K A1 Choi, In Sup YR 2003 UL http://www.ajnr.org/content/24/3/545.abstract AB Summary: Currently available preparations of polymethylmethacrylate (PMMA) cement for percutaneous vertebroplasty have injectability times of 4–15 minutes. The potential for early polymerization requires procedures to be performed as fast as possible, sometimes with suboptimal results and waste of the cement. By cooling the PMMA mixture in an iced bath of sodium chloride solution, we can extend its injectability to over 2 hours and use one kit for the controlled treatment of multiple levels with successive needle placements. We have been using this technique since mid-1998, treating more than 600 vertebral bodies.