PMC4353440_01
Computed tomography of thoracic spine in (a) sagittal, (b) coronal, and (c) axial projections revealed a T10 vertebral osteoporotic compression fracture and generalized spondylosis of thoracic and lumbar spine. Normal thoracic curvature was affected. (d) 3-dimensional images revealed in detail the wedge-shaped thoracic vertebrae and degenerative changes.
CRIOR2015-260240.001.jpg
PMC4353440_01_CRIOR2015-260240.001.jpg
fig1
Computed tomography of the spine revealed a T10 vertebral fracture with a 70-80% of reduction of vertebral height (Figure 1).
Orthogonal fluoroscopic projections allowed adequate detection of vertebral pedicles of T10 vertebrae for placement of kyphoplasty and vertebroplasty systems.
CRIOR2015-260240.002.jpg
PMC4353440_01_CRIOR2015-260240.002.jpg
fig2
Under fluoroscopic evaluation, a vertebral body remodelling procedure was performed with placement of vertebral body stenting system (DePuy Synthes Spine, Raynham, MA) and subsequent instillation of polymethyl methacrylate guided by a high-quality angiographic unit (Artis Zeego, Siemens, Erlangen, Germany) (Figures 2, 3, and 4).
Lateral fluoroscopic projections showed progressive deployment of vertebral body stent with vertebral size augmentation up to 1 cm.
CRIOR2015-260240.003.jpg
PMC4353440_01_CRIOR2015-260240.003.jpg
fig3
Under fluoroscopic evaluation, a vertebral body remodelling procedure was performed with placement of vertebral body stenting system (DePuy Synthes Spine, Raynham, MA) and subsequent instillation of polymethyl methacrylate guided by a high-quality angiographic unit (Artis Zeego, Siemens, Erlangen, Germany) (Figures 2, 3, and 4).
AP and lateral ((a) and (b)) fluoroscopic projections showed the placement of intravertebral cement inside the device previously deployed.
CRIOR2015-260240.004.jpg
PMC4353440_01_CRIOR2015-260240.004.jpg
fig4
Under fluoroscopic evaluation, a vertebral body remodelling procedure was performed with placement of vertebral body stenting system (DePuy Synthes Spine, Raynham, MA) and subsequent instillation of polymethyl methacrylate guided by a high-quality angiographic unit (Artis Zeego, Siemens, Erlangen, Germany) (Figures 2, 3, and 4).
Dual-volume 3D reconstructions in sagittal and coronal projections ((b), (c), and (d)) allowed the separate recognition of prostheses and vertebrae in all angles. Different magnification of the processed images can be done.
CRIOR2015-260240.005.jpg
PMC4353440_01_CRIOR2015-260240.005.jpg
fig5
Post-processing resulted in volume data sets with a 512 A~512 pixel matrix per slice by using different 2D (multiplanar Reformat, MPR) and 3D (volume rendering, VR, or maximum intensity projection, MIP) algorithms (Figures 5, 6, and 7).
Flat panel detector computed tomography allowed visualization of the disposal of cement inside the affected vertebrae in all angles ((a), (b), and (c)) and the detailed characterization of the intravertebral device (d).
CRIOR2015-260240.006.jpg
PMC4353440_01_CRIOR2015-260240.006.jpg
fig6
Post-processing resulted in volume data sets with a 512 A~512 pixel matrix per slice by using different 2D (multiplanar Reformat, MPR) and 3D (volume rendering, VR, or maximum intensity projection, MIP) algorithms (Figures 5, 6, and 7).
Flat panel detector-CT native images allow CT-like visualization of the disposal of intravertebral cement and its relation to neural foramina and the spinal canal ((a) and (c)).
CRIOR2015-260240.007.jpg
PMC4353440_01_CRIOR2015-260240.007.jpg
fig7
Post-processing resulted in volume data sets with a 512 A~512 pixel matrix per slice by using different 2D (multiplanar Reformat, MPR) and 3D (volume rendering, VR, or maximum intensity projection, MIP) algorithms (Figures 5, 6, and 7).