RT Journal Article
SR Electronic
T1 Rescue technique for trapped bone needle in cement cast
JF Journal of NeuroInterventional Surgery
JO J NeuroIntervent Surg
FD BMJ Publishing Group Ltd.
SP 1158
OP 1158
DO 10.1136/neurintsurg-2021-018343
VO 14
IS 11
A1 Alexandru Dimancea
A1 Kevin Premat
A1 Eimad Shotar
A1 Evelyne Cormier
A1 Pierre-Marie Chiaroni
A1 Jugurtha Mahtout
A1 Frédéric Clarençon
YR 2022
UL http://jnis.bmj.com/content/14/11/1158.abstract
AB Avascular necrosis, or Kummel disease, is a potential complication of vertebral compression fractures. It is believed to arise as a result of a failed fracture healing process,1 2 leading to the formation of an air or fluid filled cavity within the vertebral body.3 Percutaneous vertebroplasty seems to provide both pain relief and increased spinal stability in avascular necrosis.4 In this technical video, we present the case of an osteoporotic patient with a complicated vertebroplasty, caused by trapping of the bone needle inside the intravertebral cement cast. Two methods were used sequentially, leading to retrieval of the bone needle. We identified several technical aspects, such as injection speed, quasi-filling of the vertebral cavity, and frequent rotation of the bone needle as essential for the success of the procedural. We suggest that improving these parameters may prevent intravertebral bone needle trapping in patients with avascular necrosis. Video 1