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Additional Magnetic Resonance or Nuclear Scintigraphy Imaging Influences Approach to Vertebral Augmentation: A Single Institution Experience.

Publication ,  Journal Article
Martin, JG; Goldman, DT; Dabrowiecki, AM; Newsome, J; Bercu, ZL; Gilliland, C
Published in: Spine (Phila Pa 1976)
August 1, 2020

STUDY DESIGN: Retrospective review. OBJECTIVE: To ascertain impact of preprocedural magnetic resonance imaging (MRI) or nuclear medicine Tc99m-DMP scintigraphy on the treatment plan when compared with plain films and/or computed tomography prior to vertebral augmentation procedures. SUMMARY OF BACKGROUND DATA: Over 1 million vertebral compression fractures (VCFs) occur in the United States annually with over 150,000 individuals hospitalized each year. Physical examination and history are essential to the workup of VCFs, but imaging remains necessary for confirming the diagnosis. VCFs can be imaged with various modalities and there is limited data on the comparative effectiveness of different imaging modalities. METHODS: Six hundred fifty consecutive patients treated with vertebral augmentation at a single institution between May of 2013 and April of 2018 were reviewed. Preprocedure imaging of the spine obtained within 30 days prior to the procedure were reviewed. Preprocedure imaging results were cross-referenced against the levels treated by vertebral augmentation to determine whether there was a change in the levels treated after receiving an MRI or NM imaging study. RESULTS: Three hundred sixty-three patients had adequate imaging for inclusion. One hundred fifty-four of these 363 patients (42.4%) had an alteration of their treatment plan based upon the MR or NM imaging. Fewer vertebral levels were treated in 33, different levels were treated in 41, and more levels were treated in 80 patients. CONCLUSION: MRI or nuclear medicine bone scan imaging prior to vertebral augmentation altered the location and number of levels treated in a large percentage of patients, adding specificity to treatment over findings on radiographs or computed tomography alone. LEVEL OF EVIDENCE: 3.

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Published In

Spine (Phila Pa 1976)

DOI

EISSN

1528-1159

Publication Date

August 1, 2020

Volume

45

Issue

15

Start / End Page

E927 / E932

Location

United States

Related Subject Headings

  • Vertebroplasty
  • Tomography, X-Ray Computed
  • Technetium Tc 99m Aggregated Albumin
  • Sulfhydryl Compounds
  • Spinal Fractures
  • Retrospective Studies
  • Radionuclide Imaging
  • Orthopedics
  • Middle Aged
  • Male
 

Citation

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Martin, J. G., Goldman, D. T., Dabrowiecki, A. M., Newsome, J., Bercu, Z. L., & Gilliland, C. (2020). Additional Magnetic Resonance or Nuclear Scintigraphy Imaging Influences Approach to Vertebral Augmentation: A Single Institution Experience. Spine (Phila Pa 1976), 45(15), E927–E932. https://doi.org/10.1097/BRS.0000000000003420
Martin, Jonathan G., Daryl T. Goldman, Alexander M. Dabrowiecki, Janice Newsome, Zachary L. Bercu, and Charles Gilliland. “Additional Magnetic Resonance or Nuclear Scintigraphy Imaging Influences Approach to Vertebral Augmentation: A Single Institution Experience.Spine (Phila Pa 1976) 45, no. 15 (August 1, 2020): E927–32. https://doi.org/10.1097/BRS.0000000000003420.
Martin JG, Goldman DT, Dabrowiecki AM, Newsome J, Bercu ZL, Gilliland C. Additional Magnetic Resonance or Nuclear Scintigraphy Imaging Influences Approach to Vertebral Augmentation: A Single Institution Experience. Spine (Phila Pa 1976). 2020 Aug 1;45(15):E927–32.
Martin, Jonathan G., et al. “Additional Magnetic Resonance or Nuclear Scintigraphy Imaging Influences Approach to Vertebral Augmentation: A Single Institution Experience.Spine (Phila Pa 1976), vol. 45, no. 15, Aug. 2020, pp. E927–32. Pubmed, doi:10.1097/BRS.0000000000003420.
Martin JG, Goldman DT, Dabrowiecki AM, Newsome J, Bercu ZL, Gilliland C. Additional Magnetic Resonance or Nuclear Scintigraphy Imaging Influences Approach to Vertebral Augmentation: A Single Institution Experience. Spine (Phila Pa 1976). 2020 Aug 1;45(15):E927–E932.

Published In

Spine (Phila Pa 1976)

DOI

EISSN

1528-1159

Publication Date

August 1, 2020

Volume

45

Issue

15

Start / End Page

E927 / E932

Location

United States

Related Subject Headings

  • Vertebroplasty
  • Tomography, X-Ray Computed
  • Technetium Tc 99m Aggregated Albumin
  • Sulfhydryl Compounds
  • Spinal Fractures
  • Retrospective Studies
  • Radionuclide Imaging
  • Orthopedics
  • Middle Aged
  • Male