Advertisement
Advertisement

The Internet Journal of Minimally Invasive Spinal Technology ISSN: 1937-8254


Percutaneous Vertebral Augmentation and Reconstruction with an Intravertebral Mesh and Morcelized Bone Graft

John C. Chiu M.D., FRCS, D.Sc, Director, Neurospine Surgery, California Spine Institute Medical Center Thousand Oaks, CA USA
Citation:  J.C. Chiu: Percutaneous Vertebral Augmentation and Reconstruction with an Intravertebral Mesh and Morcelized Bone Graft. The Internet Journal of Minimally Invasive Spinal Technology. 2007 Volume 1 Number 1

Abstract

This presentation is to discuss the percutaneous outpatient vertebral augmentation (VA) and reconstruction with a polyethylene intravertebral mesh (OptiMesh® Spineology, Inc., Stillwater, MN, USA) and biologic morcelized bone graft, the surgical indications, operating technique, case illustrations and clinical outcome. In the past vertebroplasty and kyphoplasty have provided excellent pain relief for vertebral compression fracture (VCF), but with a high incidence of complication; i.e., leakage of Polymethylmethacrylate (PMMA) into spinal canal or vasculature, cardiopulmonary complication, and adjacent vertebral fracture. This percutaneous VA system, is designed, developed, and used for VCF treatment without above complications, and is a true biologic vertebral reconstruction. An OptiMesh® consists of, multi-strand polyester mesh or sac to be packed with specially ground bone chips or morcelized bone chips inside the mesh device to create a hyperdensed graft pack for restoring height resulting in pain relief. This minimally invasive outpatient percutaneous OptiMesh® VA provides an efficacious and controlled delivery mechanism to stabilize and treat painful osteoporotic, traumatic and neoplastic VCF. In addition it can easily be used as an excellent intravertebral spacer and for intravertebral spinal fusion/fixation.

References

1. Chiu J, Stechison M. OptiMesh Vertebral Augmentation: In: Savitz M, Chiu J, Rauschning W, Yeung A, eds. The Practice of Minimally Invasive Spinal Technique: 2005 Edition, AAMISS Press, New City, New York, 2005: 66:p489-493
2. Chiu J, Stechison M, Percutaneous Vertebral Augmentation and Reconstruction with an Intervertebral Mesh and Morecelized Bone Graft: In, Szabo Z, Coburg AJ, Savalgi R, Reich H, Yamamotto M, eds. Surgical Technology International XIV, UMP, San Francisco, CA 2005: p.287-296
3. Chiu J, Vertebral Augmentation with an Intervertebral Mesh and Bone Graft for Vertebral Compression Fractures, 2006 Annual Meeting of Taiwan Spine Society, National Defense Medical Center - Taipei, Taiwan, Repulic of China, 4/15/2006, Proceedings; pp. 18
4. Chiu J, Stechison M, Percutaneous Vertebral Augmentation and Reconstruction with an Intravertebral Mesh and Morcelized Bone Graft. In:. Sukovich W. Rand N.eds. The Internet Journal of Spine Surgery. Volume 2 Number 1. Internet Scientific Publications, LLC, 1996 to 2006, http://www.ispub.com
5. Chiu, JC, Chairman, Neurosurgery Session, Technological Developments for Computer Assisted Endoscopic Minimally Invasive Spinal Surgery (MISS)CARS 2006, Computer Assisted Radiology and Surgery, 20th International Congress, Osaka, Japan, June 28 - July 1, 2006, Oral Presentation
Generated at: Wed, 23 May 2012 06:48:47 -0500 (0000273f) — http://www.ispub.com:80/journal/the-internet-journal-of-minimally-invasive-spinal-technology/volume-1-number-1/percutaneous-vertebral-augmentation-and-reconstruction-with-an-intravertebral-mesh-and-morcelized-bone-graft.html