ADVANCES IN SPINAL FUSION Molecular Science, Biomechanics, by Kai-Uwe Lewandrowski PDF

By Kai-Uwe Lewandrowski

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The centering stylet can then be removed, leaving the working cannula in place. A hand-driven twist drill bit is inserted and advanced to, but not through, the anterior cortex of the VB (Figure 2). This must be performed carefully under radiographic guidance to avoid penetration of the cortex, as the osteoporotic bone is soft. After the drill bit is removed, the inflatable balloon tamp is inserted (Figure 3). Tamps are available in large and small sizes. Most lumbar vertebra accept a large (20–25 mm) balloon, while smaller thoracic or lumbar vertebrae might accept only the small (15 mm) tamp.

An ex vivo biomechanical evaluation of an inflatable bone tamp used in the treatment of compression fracture. Spine 2001; 26:151–156. 22. Lieberman IH, Dudeney S, Reinhardt MK, Bell G. Initial outcome and efficacy of ‘‘kyphoplasty’’ in the treatment of painful osteoporotic vertebral compression fractures. Spine 2001; 26:1631–1638. 23. Kado DM, Browner WS, Palermo L, Nevitt MC, Genant HK, Cummings SR. Vertebral fractures and mortality in older women: a prospective study. Study of Osteoporotic Fractures Research Group.

57. Wilson DR, Myers ER, Mathis JM, Scribner RM, Conta JA, Reiley MA, Talmadge KD, Hayes WC. Effect of augmentation on the mechanics of vertebral wedge fractures. Spine 2000; 25:158–165. 58. Belkoff SM, Mathis JM, Deramond H, Jasper LE. An ex vivo biomechanical evaluation of a hydroxyapatite cement for use with kyphoplasty. AJNR Am. J. Neuroradiol 2001; 22:1212–1216. 59. Belkoff SM, Jasper LE, Stevens SS. An ex vivo evaluation of an inflatable bone tamp used to reduce fractures within vertebral bodies under load.

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ADVANCES IN SPINAL FUSION Molecular Science, Biomechanics, and C by Kai-Uwe Lewandrowski


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