By Stephan Becker, Michael Ogon

This can be the 1st e-book to hide minimal-invasive remedy of osteoporotic, tumorous and aggravating vertebral fractures within the English language. as well as unique descriptions of the options, together with counsel and tips from specialists, the booklet encompasses a bankruptcy in regards to the clinical remedy of osteoporosis, that's vital within the interdisciplinary method of osteoporosis. This acclaimed cutting edge thought unites a number of therapy features. extra conservative remedy equipment also are offered during this paintings. All chapters replicate new advancements and medical findings within the box of orthopaedics, surgical procedure, traumatology and neurosurgery.

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Equation (I) represents the Fig. 4. Injection pressure and injection volume versus time for successful injection 26 G. Baroud and A. Schleyer pressure required for the infiltration of cement into the cavities of the spongiosa and for the displacement of bone marrow: Pinj = Pextra + Pintra (I) where Pinj = injection pressure, Pextra = extravertebral pressure, and Pintra = intravertebral pressure. The intravertebral pressure can be further subdivided into (a) the pressure required to infiltrate the trabecular cavities with cement, and (b) the shell pressure as hydrostatic resistance caused by the displacement of the bone marrow out of the vertebra into the adjacent structure.

Clin Radiol 55(6): 471– 6 Fribourg D, Tang C, Sra P, Delamarter R, Bae H (2004) Incidence of subsequent vertebral fracture after kyphoplasty. Spine 29(20): 2270–76 Grados F, Depriester C, Cayrolle G, Hardy N, Deramond H, Fardellone P (2000) Long-term observations of vertebral osteoporotic fractures treated by percutaneous vertebroplasty. Rheumatology (Oxford) 39(12): 1410–4 Heini PF, Berlemann U, Kaufmann M, Lippuner K, Fankhauser C, van Landuyt P (2001) Augmentation of mechanical properties in osteoporotic vertebral bones – a biomechanical investigation of vertebroplasty efficacy with different bone cement.

To achieve this aim, bone cement is injected into the vertebral body, under fluoroscopy, thereby in situ increasing both the solidity and stiffness of the vertebral body [Heini et al. 2001; Belkoff et al. 2000; Belkoff et al. 2001; Belkoff et al. 2002; Dean et al. 2000]. Vertebroplasty is not only an inexpensive alternative to conventional methods of treatment but also demon- 31 strates many encouraging clinical successes when its increasing role in patient care is considered [Watts et al. 2001].

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