In the realm of spinal healthcare, the reliability and functionality of medical devices are pivotal. The case report by Dr. Giuseppe Iannucci and Dr. Marco Santi from the UOC Neuroradiology, Ospedale San Bortolo, ULSS 8, Vicenza, Italy, presents a compelling narrative of how VERTEBROSTEEL™ has reliably supported percutaneous vertebroplasty (VTP) procedures over a span of two and a half years.
Methodology
Between January 2016 and June 2018, the study observed 348 patients undergoing VTP, with the majority (306 procedures) utilizing VERTEBROSTEEL™. The report meticulously documented variables such as patient age, sex, fracture causes, procedural duration, needle specifics, and complications. Notably, the patient demographic predominantly consisted of elderly individuals with an average age of 79, highlighting osteoporosis as the leading cause of fractures.
Procedure Insights
The VERTEBROSTEEL™ system has been instrumental in enhancing the precision and safety of VTP. The process begins with placing the patient in a prone position, followed by local anesthesia. Using biplanar fluoroscopic guidance, a bevel needle is positioned within the vertebral body. The subsequent cement injection is meticulously controlled to ensure optimal distribution and avoid complications.
Results
The study’s outcomes underscore the efficacy and reliability of VERTEBROSTEEL™. A total of 680 vertebrae were treated, averaging two vertebrae per procedure, with an impressively low complication rate. Major complications like pulmonary cement embolization and epidural leakage were absent, while minor issues such as cement leakage into the disc space and venous migration were minimal and manageable.
Advantages of VERTEBROSTEEL™
- Unibody Needle Design: VERTEBROSTEEL™’s needle, a single piece, allows for precise force transmission without the need for a hammer, thus ensuring controlled needle progression even in areas of varying bone density.
- Compact Handle: The small handle size facilitates the treatment of multiple, closely located vertebrae, even in patients with scoliosis, without the problem of handles crowding each other.
- Stylet-Assisted Cement Ejection: The additional stylet ensures complete cement ejection into the vertebral body, minimizing the risk of spinal canal leakage.
Conclusion
The case report by Dr. Iannucci and Dr. Santi demonstrates that VERTEBROSTEEL™ significantly advances the safety and effectiveness of VTP procedures. The system’s innovative design and meticulous procedural approach have resulted in remarkable patient outcomes, setting a new benchmark in the treatment of vertebral fractures.
For healthcare professionals and stakeholders in spinal health, the findings from this single-centre experience underscore the potential of VERTEBROSTEEL™ in transforming vertebroplasty, ensuring better patient care and enhanced procedural success.
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