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Published online November 20, 2002, 10.1148/rg.e10
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Percutaneous Vertebroplasty: Indications, Technique, and Results1

Afshin Gangi, MD, PhD, Stephane Guth, MD, Jean Pierre Imbert, MD, Horia Marin, MD and Jean-Louis Dietemann, MD

1 From the Department of Radiology, University Louis Pasteur, Strasbourg, France. Presented as a scientific exhibit at the 2001 RSNA scientific assembly. Received April 15, 2002, revision requested June 11, revision received and accepted October 13. Address correspondence to S.G., 194 route de Lyon, 67400 Illkirch, France (e-mail: guth.stephane.str@evc.net).



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Figure 1a.  Drawings in (a) sagittal and (b) axial views demonstrate the principle of percutaneous cementoplasty at the lumbar level, showing vertebral puncture via the posterolateral route and vertebral filling.

 


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Figure 1b.  Drawings in (a) sagittal and (b) axial views demonstrate the principle of percutaneous cementoplasty at the lumbar level, showing vertebral puncture via the posterolateral route and vertebral filling.

 


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Figure 2.  Drawing in sagittal view demonstrates percutaneous cementoplasty and vertebral filling.

 


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Figure 3a.  Drawings show leaks in the (a) axial and (b) sagittal planes.

 


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Figure 3b.  Drawings show leaks in the (a) axial and (b) sagittal planes.

 


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Figure 4a.  (a, c) Fluoroscopy and (b, d) CT scans show leaks toward the disk.

 


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Figure 4b.  (a, c) Fluoroscopy and (b, d) CT scans show leaks toward the disk.

 


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Figure 4c.  (a, c) Fluoroscopy and (b, d) CT scans show leaks toward the disk.

 


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Figure 4d.  (a, c) Fluoroscopy and (b, d) CT scans show leaks toward the disk.

 


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Figure 5a.  (a, c) CT scans and (b) fluoroscopy show venous leaks.

 


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Figure 5b.  (a, c) CT scans and (b) fluoroscopy show venous leaks.

 


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Figure 5c.  (a, c) CT scans and (b) fluoroscopy show venous leaks.

 


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Figure 6a.  (a, b) CT scans show pulmonary cement embolisms (arrows).

 


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Figure 6b.  (a, b) CT scans show pulmonary cement embolisms (arrows).

 


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Figure 7a.  (a, b) CT scans show epidural space leaks.

 


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Figure 7b.  (a, b) CT scans show epidural space leaks.

 





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