Abstract
Introduction. Use of interventional imaging systems in minimally invasion procedures such as kyphoplasty and vertebroplasty gives the advantage of high-resolution images, various zoom levels, different working angles, and intraprocedure image processing such as three-dimensional reconstructions to minimize complication rate. Due to the recent technological improvement of rotational angiographic units (RAU) with flat-panel detectors, the useful interventional features of CT have been combined with high-quality fluoroscopy into one single machine. Intraprocedural 3D images offer an alternative way to guide needle insertion and the safe injection of cement to avoid leakages. Case Report. We present the case of a 72-year-old female patient with insidious lumbar pain. Computed tomography revealed a wedge-shaped osteoporotic compression fracture of T10 vertebrae, which was treated successfully with the installation of vertebral stenting system and vertebroplasty with methacrylate guided with a rotational interventional imaging system. Conclusion. Rotational angiographic technology may provide a suitable place for the realization of high-quality minimally invasive spinal procedures, such as kyphoplasty, vertebroplasty, and vertebral stenting. New software programs available nowadays offer the option to make three-dimensional reconstructions with no need of CT scans with the same degree of specificity.
Highlights
Use of interventional imaging systems in minimally invasion procedures such as kyphoplasty and vertebroplasty gives the advantage of high-resolution images, various zoom levels, different working angles, and intraprocedure image processing such as three-dimensional reconstructions to minimize complication rate
It is reported that the radiation exposure to the patient with a single rotational acquisition seems to be reduced compared to a standard CT study with quality of images similar to CT scans [3]
Vertebral compression fractures can lead to spinal deformity that may be associated with impaired mobility and physical functioning, decreased pulmonary function, and gastrointestinal problems
Summary
Pain related to vertebral fractures constitutes a more frequent pathologic entity secondary to increases in life expectancy in general population. The number of causes of vertebral fractures is broad, ranging from degenerative, infectious, tumoral, and traumatic fractures [1]. Percutaneous vertebroplasty and kyphoplasty are the vertebral augmentation procedures that have emerged as minimally invasive surgical options to treat painful vertebral compression fractures during the last 2 decades [2]. Rotational acquisition is a useful supplementary tool to classic PVP and may contribute to patient safety. It is reported that the radiation exposure to the patient with a single rotational acquisition seems to be reduced compared to a standard CT study with quality of images similar to CT scans [3]
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
