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By Stephan Becker, Michael Ogon

This can be the 1st booklet to hide minimal-invasive therapy of osteoporotic, tumorous and tense vertebral fractures within the English language. as well as specified descriptions of the concepts, together with advice and tips from specialists, the e-book features a bankruptcy concerning the scientific therapy of osteoporosis, that's quintessential within the interdisciplinary method of osteoporosis. This acclaimed cutting edge proposal unites numerous therapy facets. extra conservative therapy tools also are offered during this paintings. All chapters replicate new advancements and scientific findings within the box of orthopaedics, surgical procedure, traumatology and neurosurgery.

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The problem of insufficient filling of a vertebral body resulting from an injection pressure that is too high is not associated with an increase of the intravertebral pressure and is therefore only explainable by a change in the required extravertebral pressure, which has to be regarded as the key factor of the injection process. Methods such as the opening of the shell for release of pressure or making a cavity in the spongiosa do not contribute significantly to reduction in the risk of insufficient filling.

2001; San Millan Ruiz et al. 1999; Wilson et al. 2000]. Until now it has not been possible to develop uniform standards for the cement-injection procedure. Furthermore, there are no clear guidelines from which to choose the parameters necessary for ensuring reproducible and safe injection with a predictable outcome. Because of this situation, the outcome of cement injection is often unpredictable. In the following, we present various studies that have contributed to a clearer understanding and therefore to potential enhancements of the injection process.

2003] 36 sues. The broad finding was that there is a redistribution of pressure in the augmented model. Closer examination of the pressures shows several important changes. There was a significant increase in intravertebral disc pressure (19%), an increased load on L4 (17%), and an increase in joint flexibility (11%). In addition, there was a decrease in the endplate bulge of the superior endplate of L5 and a resulting increase in the endplate bulge of the inferior endplate of L4. These findings represent an important change in the mechanical loading of the augmented model [Berlemann et al.

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