Lower PAP and d-dimer levels with high viscosity cement vs low viscosity cement in vertebroplasty
J Orthop Surg (Hong Kong). 2020 Jan-Apr;28(1):2309499019897659.Fifty-two patients presenting with multilevel osteoporotic compression fractures were randomized to receive a multilevel vertebroplasty procedure utilizing high viscosity or low viscosity bone cement, delivered through a 2.8mm diameter narrow cannula or 4.2mm diameter wide cannula, respectively. The outcome of interest was the risk of pulmonary cement embolism, as measured by pulmonary arterial pressure and d-dimer levels. Results revealed significantly lower pulmonary arterial pressure and d-dimer levels post-operation in the high viscosity group compared to the low viscosity group.
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