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Height Restoration with Kyphoplasty and vertebroplasty - a cadaver study PL Westesson, R Sidhu, A Hiwatashi, DT Piekut, R De Guzman, R Lee University of Rochester New York Presentation material for educational purposes only. All rights reserved. ©2003 URMC Radiology Page 1 of 10

Height Restoration with Kyphoplasty and vertebroplasty a cadaver … · Materials 17 vertebral bodies from donated cadavers (7 Lumbar and 10 thoracic) Average age 82 years Presentation

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Page 1: Height Restoration with Kyphoplasty and vertebroplasty a cadaver … · Materials 17 vertebral bodies from donated cadavers (7 Lumbar and 10 thoracic) Average age 82 years Presentation

Height Restoration with Kyphoplasty and vertebroplasty

- a cadaver study

PL Westesson, R Sidhu, A Hiwatashi, DT Piekut, R De Guzman, R Lee

University of Rochester

New York

Presentation material for educational purposes only. All rights reserved. ©2003 URMC Radiology Page 1 of 10

Page 2: Height Restoration with Kyphoplasty and vertebroplasty a cadaver … · Materials 17 vertebral bodies from donated cadavers (7 Lumbar and 10 thoracic) Average age 82 years Presentation

Purpose

Compare height restoration with

Vertebroplasty and Kyphoplasty in a cadaver model

Presentation material for educational purposes only. All rights reserved. ©2003 URMC Radiology Page 2 of 10

Page 3: Height Restoration with Kyphoplasty and vertebroplasty a cadaver … · Materials 17 vertebral bodies from donated cadavers (7 Lumbar and 10 thoracic) Average age 82 years Presentation

Materials

17 vertebral bodies from donated cadavers

(7 Lumbar and 10 thoracic) Average age 82 years

Presentation material for educational purposes only. All rights reserved. ©2003 URMC Radiology Page 3 of 10

Page 4: Height Restoration with Kyphoplasty and vertebroplasty a cadaver … · Materials 17 vertebral bodies from donated cadavers (7 Lumbar and 10 thoracic) Average age 82 years Presentation

Initial height CT and Radiograph

Compression fractures CT and Radiograph

Kyphoplasty or vertebroplasty CT and Radiograph

Methods

Presentation material for educational purposes only. All rights reserved. ©2003 URMC Radiology Page 4 of 10

Page 5: Height Restoration with Kyphoplasty and vertebroplasty a cadaver … · Materials 17 vertebral bodies from donated cadavers (7 Lumbar and 10 thoracic) Average age 82 years Presentation

Compression technique

Presentation material for educational purposes only. All rights reserved. ©2003 URMC Radiology Page 5 of 10

Page 6: Height Restoration with Kyphoplasty and vertebroplasty a cadaver … · Materials 17 vertebral bodies from donated cadavers (7 Lumbar and 10 thoracic) Average age 82 years Presentation

Vertebroplasty n=9

Initial 23 mm

Fracture

17 mm Treatment

20 mm

Presentation material for educational purposes only. All rights reserved. ©2003 URMC Radiology Page 6 of 10

Page 7: Height Restoration with Kyphoplasty and vertebroplasty a cadaver … · Materials 17 vertebral bodies from donated cadavers (7 Lumbar and 10 thoracic) Average age 82 years Presentation

Kyphoplasty n=8

Initial 24 mm

Fracture

18 mm Treatment

22 mm

Presentation material for educational purposes only. All rights reserved. ©2003 URMC Radiology Page 7 of 10

Page 8: Height Restoration with Kyphoplasty and vertebroplasty a cadaver … · Materials 17 vertebral bodies from donated cadavers (7 Lumbar and 10 thoracic) Average age 82 years Presentation

Results vertebral body height

Initial Fracture Treatment Increase Restoration (mm) of initial

height (%)

Vertebroplasty 23 17 20 2.6 87% Kyphoplasty 24 18 22 4.2 92%

•! P>0.05

Presentation material for educational purposes only. All rights reserved. ©2003 URMC Radiology Page 8 of 10

Page 9: Height Restoration with Kyphoplasty and vertebroplasty a cadaver … · Materials 17 vertebral bodies from donated cadavers (7 Lumbar and 10 thoracic) Average age 82 years Presentation

Vertebroplasty 87%

Kyphoplasty 92%

P>0.05 Presentation material for educational purposes only. All rights reserved. ©2003 URMC Radiology Page 9 of 10

Page 10: Height Restoration with Kyphoplasty and vertebroplasty a cadaver … · Materials 17 vertebral bodies from donated cadavers (7 Lumbar and 10 thoracic) Average age 82 years Presentation

Conclusion

No statistically significant difference in height restoration (87% vs 92%)

Larger material is in progress Clinical studies

Presentation material for educational purposes only. All rights reserved. ©2003 URMC Radiology Page 10 of 10