title: Significance and targeting of small, central clefts in severe fractures treated with vertebroplasty.
abstract: We report a small cohort of patients with severe osteoporotic fractures treated with vertebroplasty. We note a high prevalence of small, central, intraosseous clefts in these severe fractures. Rather than filling the small amount of residual bone marrow around the periphery of these severe fractures, as suggested by previous authors, we suggest central needle placement to fill these central clefts.
authors.affiliation: Department of Radiology, Mayo Clinic, Rochester, MN 55905, USA.
authors.forename: A Ehteshami
authors.initials: AE
authors.lastname: Rad
authors.forename: L A
authors.initials: LA
authors.lastname: Gray
authors.forename: D F
authors.initials: DF
authors.lastname: Kallmes
mesh_terms: D000368:Aged; D005260:Female; D005500:Follow-Up Studies; D050815:Fractures, Compression / Q000175:diagnosis / Q000601:surgery*; D005598:Fractures, Spontaneous / Q000175:diagnosis / Q000601:surgery*; D006801:Humans; D008159:Lumbar Vertebrae / Q000293:injuries* / Q000473:pathology / Q000601:surgery; D008279:Magnetic Resonance Imaging; D008297:Male; D009339:Needles; D010024:Osteoporosis / Q000175:diagnosis / Q000601:surgery*; D010147:Pain Measurement; D013904:Thoracic Vertebrae / Q000293:injuries* / Q000473:pathology / Q000601:surgery*; D014057:Tomography, X-Ray Computed; D054854:Vertebroplasty / Q000379:methods*