Radicular pain after vertebroplasty: compression or irritation of the nerve root? Initial experience with the "cooling system".


STUDY DESIGN:During vertebroplasty (VP), polymethylmethacrylate (PMMA) may leak into the posterior epidural venus plexus, provoking symptoms ranging from radicular pain to medullar compression. OBJECTIVES:To propose and test the feasibility of a procedure (cooling system) to prevent radicular irritation caused by foraminal PMMA leakage. SUMMARY OF BACKGROUND DATA:Foraminal leak of PMMA, as observed during VP, may lead to radiculalgia. Several mechanisms of nerve root irritation have been proposed. Considering heat or local chemical irritation has led us to treat immediately by local periradicular irrigation with a cooling liquid. METHODS:Four consecutive patients with observed foraminal leakage were treated by local fluid injection. Immediately after observation of a foraminal leak, a 20-gauge Chiba needle was positioned to reach the foramen. Ten cubic centimeters of lidocaine (0.2%) was followed by 100-200 cc of pressurized saline perfusion within 10-20 minutes (cooling system). RESULTS:In all patients with foraminal leakage, no radicular pain existed after application of the cooling system. No complications were observed with its use. CONCLUSION:In presence of a foraminal leakage, the immediate application of a cooling irrigation may protect the root from injury, which is explained by the hypothesis that the main mechanism of injury may be more related to heat or chemical irritation of the nerve than compression.


Spine (Phila Pa 1976)




Kelekis AD,Martin JB,Somon T,Wetzel SG,Dietrich PY,Ruefenacht DA





Has Abstract


2003-07-15 00:00:00
















  • Does long-term compressive loading on the intervertebral disc cause degeneration?

    abstract:STUDY DESIGN:Coil springs were stretched and attached to produce a compressive force across the lumbar intervertebral discs of dogs for up to 53 weeks. OBJECTIVE:To test the hypothesis that compressive forces applied to the intervertebral disc for a long period of time cause disc degeneration in vivo in a dog model. ...


    pub_type: 杂志文章


    authors: Hutton WC,Ganey TM,Elmer WA,Kozlowska E,Ugbo JL,Doh ES,Whitesides TE Jr

    更新日期:2000-12-01 00:00:00

  • Patient characteristics associated with diagnostic imaging evaluation of persistent low back problems.

    abstract:STUDY DESIGN:Post hoc analysis of data from the National Low Back Pain Study, a prospective observational multicenter study of patients referred for the evaluation and treatment of persistent low back problems. OBJECTIVE:To identify patient characteristics associated with use of particular diagnostic imaging examinati...


    pub_type: 杂志文章,多中心研究


    authors: Ackerman SJ,Steinberg EP,Bryan RN,BenDebba M,Long DM

    更新日期:1997-07-15 00:00:00

  • The relationship between the cross-sectional area of the cauda equina and the preoperative symptoms in central lumbar spinal stenosis.

    abstract:STUDY DESIGN:A cross-sectional registry and imaging cohort study. OBJECTIVES:To study the association between typical symptoms and signs of central spinal stenosis and the minimum cross-sectional area (mCSA) of the cauda equina in patients subsequently undergoing surgery. SUMMARY OF BACKGROUND DATA:Relations between ...


    pub_type: 杂志文章


    authors: Ogikubo O,Forsberg L,Hansson T

    更新日期:2007-06-01 00:00:00

  • Transarticular screw fixation for atlanto-occipital dislocation.

    abstract:STUDY DESIGN:A case report of traumatic atlanto-occipital dislocation managed by transarticular screw fixation. OBJECTIVES:To present a case with initial failed wire fixation but successful reduction and fixation with transarticular screw fixation and occipitocervical plate stabilization. SUMMARY OF BACKGROUND DATA:A...


    pub_type: 杂志文章


    authors: Grob D

    更新日期:2001-03-15 00:00:00

  • A comprehensive study of physical parameters, biomechanical properties, and statistical correlations of iliac crest bone wedges used in spinal fusion surgery. III. Multivariable regression analysis and practical formulas for strength prediction.

    abstract::Iliac crest wedges are commonly used in spinal fusion procedures and must be capable of withstanding considerable mechanical stress during the healing process. Physical parameters, mechanical properties, correlations among physical parameters, and correlations of mechanical properties versus physical parameters have b...


    pub_type: 杂志文章


    authors: Zhang Y,Wolfinbarger L Jr

    更新日期:1994-02-01 00:00:00

  • Percutaneous dorsal column stimulator for chronic pain control.

    abstract::This is a retrospective review of 26 patients with chronic intractable pain in which dorsal column stimulation was used as a salvage procedure. On follow-up of 12 to 42.7 months, 21 of the patients had diminished narcotic usage. Seventeen patients subjectively rated their pain relief as good to excellent. Another five...


    pub_type: 杂志文章


    authors: Racz GB,McCarron RF,Talboys P

    更新日期:1989-01-01 00:00:00

  • 2001 Volvo Award Winner in Clinical Studies: Lumbar fusion versus nonsurgical treatment for chronic low back pain: a multicenter randomized controlled trial from the Swedish Lumbar Spine Study Group.

    abstract:STUDY DESIGN:A randomized controlled multicenter study with a 2-year follow-up by an independent observer. OBJECTIVES:To determine whether fusion of the lower lumbar spine could reduce pain and diminish disability more effectively when compared with nonsurgical treatment in patients with severe chronic low back pain (...


    pub_type: 临床试验,杂志文章,多中心研究,随机对照试验


    authors: Fritzell P,Hägg O,Wessberg P,Nordwall A,Swedish Lumbar Spine Study Group.

    更新日期:2001-12-01 00:00:00

  • French-Canadian Adaptation and Validation of the Swiss Spinal Stenosis Questionnaire for Patients With Lumbar Spinal Stenosis.

    abstract:STUDY DESIGN:An observational prospective study. OBJECTIVE:The study objective was to assess the reliability and validity of the French-Canadian version (FCSSSQ) of the Swiss Spinal Stenosis questionnaire (SSSQ). SUMMARY OF BACKGROUND DATA:The SSSQ is a validated disease-specific tool developed to assess pain, functi...


    pub_type: 杂志文章


    authors: Marchand AA,Tétreau C,O'Shaughnessy J,Descarreaux M

    更新日期:2019-04-15 00:00:00

  • Geographic variations in the cost of spine surgery.

    abstract:STUDY DESIGN:Retrospective review. OBJECTIVE:To define the geographic variation in costs of anterior cervical discectomy and fusion (ACDF) and posterolateral fusion (PLF). SUMMARY OF BACKGROUND DATA:ACDF and lumbar PLF are common procedures that are used in the treatment of spinal pathologies. To optimize value, both...


    pub_type: 杂志文章


    authors: Goz V,Rane A,Abtahi AM,Lawrence BD,Brodke DS,Spiker WR

    更新日期:2015-09-01 00:00:00

  • Musculoskeletal modeling of the suboccipital spine: kinematics analysis, muscle lengths, and muscle moment arms during axial rotation and flexion extension.

    abstract:STUDY DESIGN:In vitro and modeling study of upper cervical spine (UCS) three-dimensional (3D) kinematics and muscle moment arm (MA) during axial rotation (AR) and flexion extension (FE). OBJECTIVE:To create musculoskeletal models with movement simulation including helical axis (HA) and muscle features. SUMMARY OF BAC...


    pub_type: 杂志文章


    authors: Dugailly PM,Sobczak S,Moiseev F,Sholukha V,Salvia P,Feipel V,Rooze M,Van Sint Jan S

    更新日期:2011-03-15 00:00:00

  • Does plate fixation prevent disc degeneration after a lateral anulus tear?

    abstract:STUDY DESIGN:The sheep model was used to investigate the development of disc degeneration after outer anular tearing. OBJECTIVES:The authors determined whether plate fixation promotes healing of peripheral anular tears and thereby minimizes disc degeneration. SUMMARY OF BACKGROUND DATA:A limited outer anular tear (si...


    pub_type: 杂志文章


    authors: Moore RJ,Latham JM,Vernon-Roberts B,Fraser RD

    更新日期:1994-12-15 00:00:00

  • Pelvic bone asymmetry in 323 study participants receiving abdominal CT scans.

    abstract:STUDY DESIGN:Retrospective review of all CT scans of pelvis and abdomen performed at our institution in October and November 2000. OBJECTIVE:To determine the prevalence and extent of radiographic pelvic asymmetry in a population of patients not preselected for having low back pain. SUMMARY OF BACKGROUND DATA:Pelvic a...


    pub_type: 杂志文章


    authors: Badii M,Shin S,Torreggiani WC,Jankovic B,Gustafson P,Munk PL,Esdaile JM

    更新日期:2003-06-15 00:00:00

  • Morphometry of human neck muscles.

    abstract:STUDY DESIGN:Cadaveric dissections were used to study muscle morphometry. OBJECTIVE:To describe systematically the musculotendinous lengths, fascicle lengths, pennation angles, and physiologic cross-sectional areas of neck and shoulder muscles implicated in head movement. SUMMARY OF BACKGROUND DATA:In previous studie...


    pub_type: 杂志文章


    authors: Kamibayashi LK,Richmond FJ

    更新日期:1998-06-15 00:00:00

  • Predictors of musculoskeletal pain in men: A twenty-year follow-up from examination at enlistment.

    abstract:STUDY DESIGN:Prospective study with follow-up by a postal questionnaire to 6626 men nearly 40 years of age who had been examined for the first time at the age of 18. OBJECTIVES:To study the predictability of frequent musculoskeletal problems, health, lifestyle, and work situation from the examination 20 years earlier....


    pub_type: 杂志文章


    authors: Hellsing AL,Bryngelsson IL

    更新日期:2000-12-01 00:00:00

  • Neck pain: a long-term follow-up of 205 patients.

    abstract::Two hundred five patients with neck pain were evaluated clinically and roentgenographically for a minimum of 10 years after onset of symptoms. Seventy-nine percent had a decrease in pain, and 43% were free of pain; however, 32% had moderate or severe residual pain. Patients who had been injured and initially had sever...


    pub_type: 杂志文章


    authors: Gore DR,Sepic SB,Gardner GM,Murray MP

    更新日期:1987-01-01 00:00:00

  • Efficacy of flexion and extension treatments incorporating braces for low-back pain patients with retrodisplacement, spondylolisthesis, or normal sagittal translation.

    abstract::Radiographic instability seemingly enjoys the status of a well-defined clinical syndrome. The concept is widely used, and specific treatments, usually spinal fusion, are routinely performed based on the diagnosis. The minimum standards necessary to establish radiographic instability as a legitimate clinical syndrome h...


    pub_type: 临床试验,杂志文章,随机对照试验


    authors: Spratt KF,Weinstein JN,Lehmann TR,Woody J,Sayre H

    更新日期:1993-10-01 00:00:00

  • 1995 Volvo Award in basic sciences. The use of an osteoinductive growth factor for lumbar spinal fusion. Part I: Biology of spinal fusion.

    abstract:STUDY DESIGN:The histology of lumbar intertransverse process spinal fusion was studied in an experimental model in rabbits. OBJECTIVES:To qualitatively and quantitatively analyze the sequential histology of spinal fusion using a previously validated animal model. SUMMARY OF BACKGROUND DATA:Few previous studies have d...


    pub_type: 杂志文章


    authors: Boden SD,Schimandle JH,Hutton WC,Chen MI

    更新日期:1995-12-15 00:00:00

  • Outcome analysis of chance fractures of the skeletally immature spine.

    abstract:STUDY DESIGN:Observational. OBJECTIVE:The authors present a detailed description of 25 skeletally immature patients with Chance fractures with a mean follow-up of 6.4 years. SUMMARY OF BACKGROUND DATA:Since the legislation mandating seat belt usage in Canada was first introduced, the fatality rate of automobile colli...


    pub_type: 杂志文章


    authors: Mulpuri K,Jawadi A,Perdios A,Choit RL,Tredwell SJ,Reilly CW

    更新日期:2007-11-15 00:00:00

  • Revision strategy for posterior extrusion of the CHARITÉ polyethylene core.

    abstract:STUDY DESIGN:This is a case report of a posterior extrusion of the polyethylene core from a CHARITÉ arthroplasty. This is the first reported case of posterior dislocation of the polyethylene and the revision strategies used to correct this problem. OBJECTIVE:To report a novel failure mechanism and revision strategy fo...


    pub_type: 杂志文章,评审


    authors: Eskander MS,Onyedika II,Eskander JP,Connolly PJ,Eck JC,Lapinsky A

    更新日期:2010-11-15 00:00:00

  • Cognitive-behavioral therapy and psychosocial factors in low back pain: directions for the future.

    abstract:STUDY DESIGN:An amalgamated review of the current state of knowledge about psychosocial factors in low back pain (LBP), as presented at the plenary session at the Fourth International Forum on LBP Research in Primary Care (March 16-18, 2000, Israel). OBJECTIVES:To outline evidence-based theories that have lead to the ...




    authors: Pincus T,Vlaeyen JW,Kendall NA,Von Korff MR,Kalauokalani DA,Reis S

    更新日期:2002-03-01 00:00:00

  • S1 tuberculosis treated with segmental lumbopelvic fixation: a case report.

    abstract:STUDY DESIGN:A case report. OBJECTIVE:To describe an effective surgical option for sacral tuberculosis (TB). SUMMARY OF BACKGROUND DATA:Sacral TB is a rare cause of low back pain. A differential diagnosis of TB should always be made, especially in India where TB cases are on a rampant rise with increasing drug resist...


    pub_type: 杂志文章


    authors: Shah SP,Kulkarni AG

    更新日期:2012-06-15 00:00:00

  • The effect of muscle relaxant on the paraspinal muscle blood flow: a randomized controlled trial in patients with chronic low back pain.

    abstract:STUDY DESIGN:A randomized controlled trial. OBJECTIVE:To investigate the effect of muscle relaxant for muscle blood flow at the trunk muscle in patients with chronic low back pain (LBP). SUMMARY OF BACKGROUND DATA:Paraspinal muscle function is widely believed to play a role and considered to be of etiologic significa...


    pub_type: 杂志文章,随机对照试验


    authors: Sakai Y,Matsuyama Y,Nakamura H,Katayama Y,Imagama S,Ito Z,Okamoto A,Ishiguro N

    更新日期:2008-03-15 00:00:00

  • Risk factors for surgical site infection in the patient with spinal injury.

    abstract:STUDY DESIGN:A retrospective chart review of 1561 patients with spinal injury was conducted over a 4-year period. OBJECTIVES:To determine the rate of surgical site infection in the spinal trauma population, to compare infection rates after spinal operations for elective and traumatic indications, and to identify risk ...


    pub_type: 杂志文章


    authors: Blam OG,Vaccaro AR,Vanichkachorn JS,Albert TJ,Hilibrand AS,Minnich JM,Murphey SA

    更新日期:2003-07-01 00:00:00

  • Transforaminal versus anterior lumbar interbody fusion in long deformity constructs: a matched cohort analysis.

    abstract:STUDY DESIGN:Prospectively enrolled, retrospectively analyzed matched cohort analysis. OBJECTIVE:Evaluate the relative merits of transforaminal lumbar interbody fusion (TLIF) and anterior lumbar interbody fusion (ALIF) when performed in long deformity constructs. SUMMARY OF BACKGROUND DATA:Interbody fusion is frequen...


    pub_type: 杂志文章


    authors: Dorward IG,Lenke LG,Bridwell KH,OʼLeary PT,Stoker GE,Pahys JM,Kang MM,Sides BA,Koester LA

    更新日期:2013-05-20 00:00:00

  • Chondrocyte-specific inhibition of β-catenin signaling leads to dysplasia of the caudal vertebrae in mice.

    abstract:STUDY DESIGN:To inhibit β-catenin specifically signaling in chondrocytes Col2-ICAT transgenic mice were generated. Anomalies in caudal vertebrae were detected during embryonic and postnatal stages of Col2-ICAT transgenic mice. OBJECTIVE:To determine the role of canonical β-catenin signaling in caudal vertebral develop...


    pub_type: 杂志文章


    authors: Shu B,Li TF,Li XF,Tang DZ,Zhang Y,Shi Q,Wang YJ,Chen D

    更新日期:2013-11-15 00:00:00

  • Lumbar and lumbosacral fusions using Cotrel-Dubousset pedicle screws and rods.

    abstract::The first 50 consecutive patients stabilized with Cotrel-Dubousset rods for lumbar or lumbosacral fusions were followed for an average of 2 years. The occurrence of fusion, maintenance of alignment, and rate of hardware complications were examined. There were 28 men and 22 women, ages 18-87 years, and 133 vertebral le...


    pub_type: 杂志文章


    authors: Mac Millan MM,Cooper R,Haid R

    更新日期:1994-02-15 00:00:00

  • Prolonged upright posture induces degenerative changes in intervertebral discs in rat lumbar spine.

    abstract:STUDY DESIGN:Both forelimbs of rats were amputated, and these rats were kept in the custom-made cages that kept the rats in prolonged upright posture. Pathologic changes were observed in the lumbar spine at different time points after the surgery. OBJECTIVE:To investigate the effect of upright posture on intervertebra...


    pub_type: 杂志文章


    authors: Liang QQ,Zhou Q,Zhang M,Hou W,Cui XJ,Li CG,Li TF,Shi Q,Wang YJ

    更新日期:2008-09-01 00:00:00

  • Symptomatic epidural gas cyst associated with discal vacuum phenomenon.

    abstract:STUDY DESIGN:Four cases of computed tomography and magnetic resonance imaging documented lumbar nerve root compression associated with a vacuum disc communicating with the epidural space are presented. OBJECTIVE:To give an insight into the mechanism of nerve root compression associated with vacuum disc phenomenon. SU...


    pub_type: 杂志文章


    authors: Kakitsubata Y,Theodorou SJ,Theodorou DJ,Yuko M,Ito Y,Yuki Y,Wada S,Maehara T

    更新日期:2009-10-01 00:00:00

  • Tussive presentation in cervicomedullary junction malformations.

    abstract::Two adult patients with craniocervical junction malformations presented with tussive symptom onset. These patients had acute onset of permanent neurologic symptoms. One patient had basilar invagination with tonsilar herniation and the second, a Type 1 Arnold-Chiari malformation with cord widening. Possible mechanisms ...


    pub_type: 杂志文章


    authors: Kramer LD,Locke GE,Rasmus SC

    更新日期:1990-06-01 00:00:00

  • Scheuermann kyphosis: the importance of tight hamstrings in the surgical correction.

    abstract:STUDY DESIGN:A historic cohort study of the sagittal alignment in 33 consecutive patients with surgically corrected thoracic Scheuermann kyphosis. OBJECTIVES:To determine if postsurgical imbalance, sagittal malalignment, and decreased lumbar-pelvic range of motion in patients with thoracic Scheuermann kyphosis is rela...


    pub_type: 临床试验,杂志文章


    authors: Hosman AJ,de Kleuver M,Anderson PG,van Limbeek J,Langeloo DD,Veth RP,Slot GH

    更新日期:2003-10-01 00:00:00