Kummel Disease Treatment by Unipedicular Vertebral Augmentation Using Curved Injection Cannula

Journal Article · Sat Oct 15 00:00:00 EDT 2011 · Cardiovascular and Interventional Radiology

DOI:https://doi.org/10.1007/S00270-010-9985-9· OSTI ID:21608577

Masala, Salvatore; Nano, Giovanni; Mammucari, Matteo; Simonetti, Giovanni ^[1]

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1. University 'Tor Vergata', Department of Diagnostic and Molecular Imaging, Interventional Radiology and Radiotherapy (Italy)

Purpose: This study was designed to evaluate the efficacy of the blunt-tipped curved injection needle (BCN) AVAflex (Care Fusion) for vertebral augmentation in cases of Kummel's disease. Methods: We performed 25 vertebral augmentation procedures on 25 consecutive patients (11 men/14 women; mean age, 67 years) with Kummel's disease using the blunt-tipped curved injection needle with PMMA cement. We performed all 25 procedures by unipedicular left approach with patients in prone position under local anesthesia and mild sedation. In all cases, an intravertebral cleft was evident on preprocedural imaging. We evaluated pain intensities by Visual Analogic Scale (VAS) before and at first day, 6 months, and 1 year after procedure. Results: In all cases the curved injection cannula permitted the filling of the clefts and surrounding cancellous bone without any complication. A significant reduction of kyphotic deformities of the treated vertebral bodies was evident. A significance decrease in VAS values at 1 year also was evident (mean decrease 7.2). At plain dynamic postprocedural X-rays checks, there was no sign of pathologic intravertebral motion as evidence of optimal stabilization. Conclusions: BCN AVAflex is a safe and effective device for targeted vertebral augmentation in cases of Kummel's disease. Its distinctive characteristic is the curved injection cannula, which enables targeting the cement injection to areas far off the trajectory of the straight access cannula, thus providing excellent cement spread throughout the entire volume of vertebral body.

• OSTI ID: 21608577
• Journal Information: Cardiovascular and Interventional Radiology, Vol. 34, Issue 5; Other Information: DOI: 10.1007/s00270-010-9985-9; Copyright (c) 2011 Springer Science+Business Media, LLC and the Cardiovascular and Interventional Radiological Society of Europe (CIRSE); Country of input: International Atomic Energy Agency (IAEA); ISSN 0174-1551
• Country of Publication: United States
• Language: English

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62 RADIOLOGY AND NUCLEAR MEDICINE
ANESTHESIA
CEMENTS
DISEASES
INJECTION
MEN
PAIN
PATIENTS
PMMA
SKELETON
WOMEN
X RADIATION
ANIMALS
BODY
BUILDING MATERIALS
ELECTROMAGNETIC RADIATION
ESTERS
FEMALES
INTAKE
IONIZING RADIATIONS
MALES
MAMMALS
MAN
MATERIALS
ORGANIC COMPOUNDS
ORGANIC POLYMERS
ORGANS
POLYACRYLATES
POLYMERS
POLYVINYLS
PRIMATES
RADIATIONS
SYMPTOMS
VERTEBRATES