Development of patient-tailored preoperative assessment of percutaneous vertebroplasty.

IF 1.6 4区医学 Q2 SURGERY

Frontiers in Surgery Pub Date : 2024-10-24 eCollection Date: 2024-01-01 DOI:10.3389/fsurg.2024.1444817

Yian Lu, Qunhua Jiang

引用次数: 0

Abstract

Percutaneous vertebroplasty (PVP), a minimally invasive surgery technique, has become the common treatment for osteoporotic vertebral compression fractures (OVCF). The complications of PVP will lead to severe damage to spinal neuro systems due to bone cement leakage. A patient tailored preoperative assessment approach was developed to reduce the risks of complications in this study. The porcine OVCF model was fabricated to mimic the patient vertebral fracture in vitro using decalcification process. The 3D reconstructed model based on the imagological examination data acquired from the porcine vertebral bone was implemented for finite element (FE) simulation. The vertebral body with bone cement injected was scanned using CT for comparison with the finite element simulation results. This study showed a practical method for predicting the flow of bone cement in OVCF, which enabled the surgeons to evaluate the bone cement flow during preoperative assessment to reduce the cement leakage risks.

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为患者量身定制经皮椎体成形术术前评估。

经皮椎体成形术（PVP）是一种微创手术技术，已成为治疗骨质疏松性椎体压缩骨折（OVCF）的常用方法。经皮椎体成形术的并发症会导致骨水泥渗漏，严重损害脊髓神经系统。本研究开发了一种为患者量身定制的术前评估方法，以降低并发症的风险。猪 OVCF 模型是通过脱钙过程在体外模拟患者椎体骨折而制作的。根据从猪椎骨获取的成像检查数据重建的三维模型被用于有限元（FE）模拟。使用 CT 扫描注入骨水泥的椎体，以便与有限元模拟结果进行比较。这项研究展示了一种预测骨水泥在 OVCF 中流动的实用方法，使外科医生能够在术前评估中评估骨水泥的流动情况，从而降低骨水泥渗漏的风险。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Frontiers in Surgery Medicine-Surgery

CiteScore

1.90

自引率

11.10%

发文量

1872

审稿时长

12 weeks

期刊介绍： Evidence of surgical interventions go back to prehistoric times. Since then, the field of surgery has developed into a complex array of specialties and procedures, particularly with the advent of microsurgery, lasers and minimally invasive techniques. The advanced skills now required from surgeons has led to ever increasing specialization, though these still share important fundamental principles. Frontiers in Surgery is the umbrella journal representing the publication interests of all surgical specialties. It is divided into several “Specialty Sections” listed below. All these sections have their own Specialty Chief Editor, Editorial Board and homepage, but all articles carry the citation Frontiers in Surgery. Frontiers in Surgery calls upon medical professionals and scientists from all surgical specialties to publish their experimental and clinical studies in this journal. By assembling all surgical specialties, which nonetheless retain their independence, under the common umbrella of Frontiers in Surgery, a powerful publication venue is created. Since there is often overlap and common ground between the different surgical specialties, assembly of all surgical disciplines into a single journal will foster a collaborative dialogue amongst the surgical community. This means that publications, which are also of interest to other surgical specialties, will reach a wider audience and have greater impact. The aim of this multidisciplinary journal is to create a discussion and knowledge platform of advances and research findings in surgical practice today to continuously improve clinical management of patients and foster innovation in this field.