Vertebral Compression Fracture with Intravertebral Vacuum Cleft Sign: Pathogenesis, Image, and Surgical Intervention
نویسندگان
چکیده
The intravertebral vacuum cleft (IVC) sign in vertebral compression fracture patients has obtained much attention. The pathogenesis, image character and efficacy of surgical intervention were disputed. Many pathogenesis theories were proposed, and its image characters are distinct from malignancy and infection. Percutaneous vertebroplasty (PVP) or percutaneous kyphoplasty (PKP) have been the main therapeutic methods for these patients in recent years. Avascular necrosis theory is the most supported; PVP could relieve back pain, restore vertebral body height and correct the kyphotic angulation (KA), and is recommended for these patients. PKP seems to be more effective for the correction of KA and lower cement leakage. The Kümmell's disease with IVC sign reported by modern authors was incomplete consistent with syndrome reported by Dr. Hermann Kümmell.
منابع مشابه
Pathogenesis of the intravertebral vacuum of Kümmell's disease
In this review, we explored the progress of the pathogenesis of Kümmell's disease intravertebral vacuum. Using different expressions of the same disease including 'Kümmell's disease', 'avascular necrosis after vertebral compression fracture (VCF)', 'post-traumatic vertebral osteonecrosis', 'vertebral pseudarthrosis', 'intravertebral vacuum (cleft or gas)', 'delayed vertebral collapse', 'VCF non...
متن کاملVertebral Osteonecrosis
Vertebral osteonecrosis (ON) is a rare, underdiagnosed disease, also called pseudarthrosis due to ischemia following a compression fracture (CF). The main features include the air-occupied intravertebral cleft visualized as a radiolucent shade of linear or semilunar X-ray, namely an intravertebral vacuum cleft (IVC) sign. Usually, this phenomenon shows low signal intensity with all magnetic res...
متن کاملVertebral osteonecrosis: MR imaging findings and related changes on adjacent levels.
BACKGROUND AND PURPOSE No prior report has comprehensively discussed the intravertebral vacuum cleft sign and the fluid sign on MR images of vertebral osteonecrosis. The purpose of this study was to investigate MR images of osteonecrotic vertebral bodies and adjacent intervertebral disks and vertebral bodies. METHODS We retrospectively reviewed MR images of patients with vertebral osteonecros...
متن کاملRisk factors for recollapse of the augmented vertebrae after percutaneous vertebroplasty for osteoporotic vertebral fractures with intravertebral vacuum cleft
To determine risk factors related to recollapse of the augmented vertebrae after percutaneous vertebroplasty (PVP) for osteoporotic vertebral compression fractures (OVCFs) with intravertebral vacuum cleft (IVC).Fifty-two patients treated with PVP for single OVCFs with the IVC were retrospectively reviewed. The follow-up period was at least 2 years. Vertebral height loss ≥15% or kyphotic angle ≥...
متن کاملOutcomes of percutaneous kyphoplasty in patients with intravertebral vacuum cleft.
An intravertebral vacuum cleft (IVC) is not an uncommon finding; it is more likely to occur in patients with osteoporotic vertebral compression fractures (OVCF). There are scarce data on the treatment of these patients with percutaneous balloon kyphoplasty (PKP). Between August 2005 and March 2010, 35 single vertebral fracture patients with an IVC sign were treated by PKP. Visual Analogue Score...
متن کامل