VERTEBROPLASTY, CAN INTRAOPERATIVE SYSTEMIC COMPLICATIONS BE PREVENTED?
Journal Title: Journal of Turkish Spinal Surgery - Year 2011, Vol 22, Issue 3
Abstract
Aim: To evaluate the anesthesia monitor changes and to review the possibilities to prevent Intraoperative medical complications in the percutaneous vertebroplasty applied patient group. Patients and Methods: The data of the percutaneous vertebroplasty applied patients, between October 2001 and August 2007, were retrospectively evaluated. The study group included 40 patients (24 women, 16 men) with a mean age of 68.2. Most of the patients (92.5 %) were operated under local anesthesia and sedation. Anesthesia monitor changes during the operation were evaluated and the preventions against the possible complications were reviewed. Results: In the study group, which was mostly formed by thoracolumbar (62.5 %) and osteoporotic fractures (80 %), hypotansive attacks during percutaneous vertebroplasty were observed in 5 patients. Two patients had tension irregularities and 1 patient had dyspne. In the postoperative computerized tomography scans, 22 asymptomatic cement leakages were observed. Conclusions: Most of the complications are the result of cement leakage. In order to prevent cement leakage, appropriate surgical technique should be applied and the patient must be well hydrated. The treatment regimen for the existing cardiac and pulmonary diseases should be put into order preoperatively. During the operation, anesthetist must be ready to manage the probable complications.
Authors and Affiliations
Cem ÇOPUROĞLU, Elif ÇOPUROĞLU, Mert ÇİFTDEMİR, Mert ÖZCAN, Erol YALNIZ
Keywords
Related Articles
- EP ID EP676691
- DOI -
- Views 115
- Downloads 0
SAGITTAL SPINOPELVIC PARAMETERS IN THE YOUNG ADULT TURKISH POPULATION
Objective: A radiological analysis of the spinopelvic paramaters and sagittal balance in a young adult Turkish population. Method: From radiology archive, full lateral spinal radiographs were scanned. The individu...
CORRELATION OF EPIDURÂL FIBROSIS AND THE SİZE OF LAMINA DEFECT PERFORMED ON OPERATION
İn thls study, 1000 patients in the ages of 20-60 are evaluated retrospectively according to their surgical ap-proaches. 36 and 7 patients who had fibrosis after hemipartial and hemiiaminectomy respectiveiy were reported...
DIASTEMATOMYELIA
From 1992 to 1994, 3 patients with diastematomyelia were treated. This anomaly is very rare and character-ized by a duplication of the spinal cord with a band or a spur, which is attached to the corpus of the vertebra. B...
DELAYED BRUCELLAR SPONDYLITIS IN A PATIENT WITH A HISTORY OF SPINAL INSTRUMENTATION
Objective: To present and discuss some of the difficulties in the diagnosis of brucellar spondylitis. Case Report: We report a patient with lower back pain and pain in both hips, misdiagnosed with a delayed infect...
LASER DISCECTOMY İN CERVîCAL DISC HERNIATIONS
Since March 1993, percutaneous intradiscaf İaser nucleotomy had been used in our department for the treaiment of a selected group of patients with herniated cervica! disc disease. We operaîed 59 paîients until January 19...