Post-vertebral augmentation spine imaging

Neuroimaging Clin N Am. 2014 May;24(2):337-47. doi: 10.1016/j.nic.2014.01.007.

Abstract

Although imaging plays a critical role and has become an integral part in preprocedure evaluation of osteoporotic patients at risk of compression fracture, many treated patients undergo follow-up imaging, for reasons ranging from potential procedure-related complications to development of new symptoms after initial improvement after successful vertebral augmentation (VA). Although imaging is frequently obtained for evaluation of these patients, there is a general lack of knowledge about imaging characteristics of treated vertebrae. This article reviews various indications for post-VA imaging, the appearance of augmented spine on imaging, and the important complications associated with the VA procedure.

Keywords: Cement leakage; Compression fracture; Post vertebroplasty imaging; Vertebral augmentation.

Publication types

  • Review

MeSH terms

  • Extravasation of Diagnostic and Therapeutic Materials / diagnosis
  • Follow-Up Studies
  • Fractures, Compression / diagnosis
  • Fractures, Compression / surgery*
  • Humans
  • Iatrogenic Disease
  • Intraoperative Complications / diagnosis
  • Lumbar Vertebrae / pathology
  • Lumbar Vertebrae / surgery
  • Magnetic Resonance Imaging*
  • Neurologic Examination
  • Polymethyl Methacrylate / administration & dosage*
  • Polymethyl Methacrylate / adverse effects
  • Postoperative Complications / diagnosis*
  • Postoperative Complications / surgery
  • Recurrence
  • Reoperation
  • Spinal Fractures / diagnosis
  • Spinal Fractures / surgery*
  • Tomography, X-Ray Computed*
  • Vertebroplasty / methods*

Substances

  • Polymethyl Methacrylate