ArticleJournal of orthopaedic translation2021
A novel three-dimensional volumetric method to measure indirect decompression after percutaneous cement discoplasty.
Article in Journal of orthopaedic translation, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed.
- Evaluation of Indirect Decompression Effect After Extreme Lateral Lumbar Interbody Fusion Using Three-Dimensional Volumetric Measurements-A Retrospective Study.Orthopaedic surgery · 2025Article
- Biomechanical Behavior of Injected Cement Spacers versus Traditional Cages in Low-Density Lumbar Spine under Compression Loading.Medicina (Kaunas, Lithuania) · 2024Article
- Assessment of foraminal decompression following discoplasty using a combination of ex vivo testing and numerical tools.Scientific reports · 2023Article
- Quasi-static and dynamic mechanical properties of a linoleic acid-modified, low-modulus bone cement for spinal applications.Open research Europe · 2023Article
- Low-Modulus PMMA Has the Potential to Reduce Stresses on Endplates after Cement Discoplasty.Journal of functional biomaterials · 2022Article
- Biomechanical consequences of cement discoplasty: AnFrontiers in bioengineering and biotechnology · 2022Article
- AnFrontiers in bioengineering and biotechnology · 2022Article
- Critical Review of the State-of-the-Art on Lumbar Percutaneous Cement Discoplasty.Frontiers in surgery · 2022Review
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Authors and funding
9 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposePercutaneous cement discoplasty (PCD) is a minimally invasive surgical option to treat patients who suffer from the consequences of advanced disc degeneration. As the current two-dimensional methods can inappropriately measure the difference in the complex 3D anatomy of the spinal segment, our aim was to develop and apply a volumetric method to measure the geometrical change in the surgically treated segments.
methodsProspective clinical and radiological data of 10 patients who underwent single- or multilevel PCD was collected. Pre- and postoperative CT scan-based 3D reconstructions were performed. The injected PMMA (Polymethylmethacrylate) induced lifting of the cranial vertebra and the following volumetric change was measured by subtraction of the geometry of the spinal canal from a pre- and postoperatively predefined cylinder. The associations of the PMMA geometry and the volumetric change of the spinal canal with clinical outcome were determined.
resultsChange in the spinal canal volume (ΔV) due to the surgery proved to be significant (mean ΔV = 2266.5 ± 1172.2 mm
conclusionThe developed method is accurate, reproducible and applicable for the analysis of any other spinal surgical method. The volume and surface area of the injected PMMA have a predictive power on the extent of the indirect spinal canal decompression. The larger the ΔV the higher clinical benefit was achieved with the PCD procedure. THE TRANSLATIONAL POTENTIAL OF THIS ARTICLE: The developed method has the potential to be integrated into clinical software's to evaluate the efficacy of different surgical procedures based on indirect decompression effect such as PCD, anterior lumbar interbody fusion (ALIF), lateral lumbar interbody fusion (LLIF), oblique lumbar interbody fusion (OLIF), extreme lateral interbody fusion (XLIF). The intraoperative use of the method will allow the surgeon to respond if the decompression does not reach the desired level.
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