Vertebral Augmentation

The Comprehensive Guide to Vertebroplasty, Kyphoplasty, and Implant Augmentation

Douglas P. Beall

• Publisher: Thieme
• Year: 2020
• Print ISBN: 9781684200153
• eBook ISBN: 9781684200160
• Edition: 1
• Topic: Medicine
• Subtopic: Orthopedics

The definitive guide to performing vertebroplasty, kyphoplasty, and implant augmentation from national and international experts

Vertebral compression fractures (VCFs) result from trauma or pathologic weakening of the bone and are associated with conditions such as osteoporosis or malignancy. Worldwide, VCFs impact one in three women and one in eight men aged 50 and older, with more than 8.9 million fractures incurred annually. Copublished by Thieme and the Society of Interventional Radiology, Vertebral Augmentation: The Comprehensive Guide to Vertebroplasty, Kyphoplasty, and Implant Augmentation provides a practical, clinical discussion of these minimally invasive spine interventions.

Written and edited by Douglas Beall along with associate editors Allan Brook, M. R. Chambers, Joshua Hirsch, Alexios Kelekis, Yong-Chul Kim, Scott Kreiner, and Kieran Murphy, this richly illustrated book presents a multidisciplinary and international perspective. It features contributions from renowned experts in interventional radiology, neurosurgery, pain medicine, and physiatry. This resource fills a gap in the literature, with extensive updates on a vast amount of new information and techniques that have been introduced during the past decade. Thirty-five chapters address treatment of spine fractures, starting with a history and introduction to vertebral augmentation, discussion of VCFs, patient assessments, physical exam findings, pain management, and much more.

Key Features

• Procedural chapters cover vertebroplasty, sacroplasty, cervical and posterior arch augmentation, balloon kyphoplasty, and vertebral augmentation with implants and for challenging pathologies
• Special topics include radiation exposure and protection, post-procedure physical therapy, osteoporosis treatment, postural fatigue syndrome, the effect on morbidity and mortality, and cementoplasty outside the spine
• Treatment of complex cases are also discussed extensively, including chronic vertebral compression fractures, neoplastic vertebral compression fractures, instrumented spinal fusions, and severe benign and malignant fractures
• The final chapter features 16 subchapters from global masters of vertebral augmentation, with personal tips, tricks, and pearls they use in their own practices

This is a must-have resource for interventional radiology, neurosurgery, interventional pain management, and orthopaedic surgery residents and fellows, as well as seasoned clinicians who wish to incorporate these procedures into practice.

Table of contents

• Vertebral Augmentation: The Comprehensive Guide to Vertebroplasty, Kyphoplasty, and Implant Augmentation
• Title Page
• Copyright
• Contents
• Videos
• Preface
• Contributors
• 1 History and Introduction to Vertebral Augmentation
• 2 Vertebral Compression Fractures
• 3 Preprocedure Assessment Prior to Vertebral Augmentation
• 4 Physical Examination Findings in Patients with Vertebral Compression Fractures
• 5 Medical Pain Management in Patients with Vertebral Compression Fractures
• 6 Approaches to the Vertebral Body
• 7 Properties of Bone Cements and Vertebral Fill Materials: Implications for Clinical Use in Image-Guided Therapy and Vertebral Augmentation
• 8 Vertebroplasty
• 9 Sacroplasty: Management of Sacral Insufficiency Fractures
• 10 Cervical and Posterior Arch Augmentation
• 11 Balloon Kyphoplasty
• 12 Vertebral Augmentation with Implants
• 13 Radiation Exposure and Protection: A Conversation Beyond the Inverse Square Law, Thermoluminescent Dosimeters, and Lead Aprons
• 14 Appropriateness Criteria for Vertebral Augmentation
• 15 Literature Analysis of Vertebral Augmentation
• 16 Cost-Effectiveness of Vertebral Augmentation
• 17 Additional and Adjacent Level Fractures after Vertebral Augmentation
• 18 Predisposing Factors to Vertebral Fractures
• 19 Bracing for Spinal Fractures
• 20 Amount of Cement or Vertebral Fill Material for Optimal Treatment and Pain Relief
• 21 Clinical Presentation and the Response to Vertebral Augmentation
• 22 Effect of Vertebral Augmentation on Morbidity and Mortality
• 23 Number of Levels Appropriately Treated with Vertebral Augmentation
• 24 Pain after Vertebral Augmentation
• 25 Postural Fatigue Syndrome
• 26 Physical Therapy after Vertebral Augmentation
• 27 Sham vs. Vertebral Augmentation
• 28 Treatment of Chronic Vertebral Compression Fractures
• 29 Treatment of Neoplastic Vertebral Compression Fractures
• 30 Vertebral Augmentation in Instrumented Spinal Fusions
• 31 Biomechanical Changes after Vertebral Compression Fractures
• 32 Advanced Principles of Minimally Invasive Vertebral Body Stabilization in Severe Benign and Malignant Fractures: Stent-Screw Assisted Internal Fixation
• 33 Cementoplasty Outside the Spine
• 34 Treatment of Osteoporosis after Vertebral Augmentation
• 35 Miscellaneous Tips by the Masters of Vertebral Augmentation
• Index