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Updated: Aug 17, 2026
Three-Dimensional Printing Guide Template Assisted Percutaneous Vertebroplasty (PVP)
Published on: October 17, 2019
Initial experience of percutaneous vertebroplasty using single-plane C-arm fluoroscopy for guidance
Masamichi Koyama1, Kenji Takizawa, Ken Kobayashi
1Department of Radiology, St. Marianna University School of Medicine, Kawasaki, Kanagawa, Japan.
Purpose:
The purpose of this study was to evaluate the feasibility and safety of percutaneous vertebroplasty (PVP) using single-plane C-arm fluoroscopy.
Materials And Methods:
Lesions in the present study all comprised compression fractures with intact pedicles. A polymethylmethacrylate (PMMA) mixture was injected by the transpedicular approach under C-arm fluoroscopy using a lateral projection. Before and after PVP, the pain score was determined using visual analog scale methods.
Results:
Between June 2002 and May 2004, we performed 31 PVPs in 17 patients during 22 treatment sessions. Underlying pathology comprised neoplasm-related compression fracture (n=9) and fractures attributed to osteoporosis (n=8). Mean pain score was 8.0 (range, 4.5-10) immediately before PVP, and 1.9 (range, 0-7) at 24 h after PVP. Mean time needed to perform PVP was 59 min. Mean time to approach a pedicle was 36 min (range, 20 min for 1 pedicle to 110 min for 3 pedicles). No complications requiring surgical intervention or exacerbating conditions beyond pre-treatment levels were noted.
Conclusion:
PVP using single-plane C-arm fluoroscopy for guidance is feasible, safe, and quick.
