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Updated: Apr 30, 2026

Author Spotlight: Improving Percutaneous Vertebroplasty Surgical Accuracy and Efficiency Through Advanced Puncture Techniques
Published on: August 9, 2024
A method of percutaneous vertebroplasty under the guidance of two C-arm fluoroscopes
Ren-Jie Xu1, Yong-Qing Yan2, Guang-Xiang Chen3
1Ren-Jie Xu, MD, Department of Orthopaedics, Suzhou Municipal Hospital, Suzhou 215002, China.
Objective:
To compare the clinical application in the percutaneous vertebroplasty under the guidance of one or two C-arm fluoroscopes.
Methods:
One hundred forty three elderly patients with Osteoporotic vertebral compression fractures (OVCFs) underwent percutaneous vertebroplasty under the guidance of one or two C-arm fluoroscopes. The number of pulsed imagings, the time of operation and the incidence of cement leakage were recorded.
Results:
The average number of pulsed imagings was 16.00±1.58 vs 13.07±2.00 per patient under the guidance of one vs two C-arm fluoroscopes. The average time of operation was 48.42±5.00 minutes vs 39.70±7.42 minutes per patient under the guidance of one vs two C-arm fluoroscopes. The incidence of cement leakage was 20% vs 15.7% of the patients under the guidance of one vs two C-arm fluoroscopes. The differences in the number of pulsed imagings and the time of operation were statistically significant. The difference in incidence of cement leakage was not statistically significant.
Conclusion:
The two-fluoroscopic technique reduce the labor cost, the radiation, the time of operation and the operation risk.

