Vertebral Augmentation, L3

PhysicianDr. Bryan Pukenas
TitleInterventional Neuroradiologist
HospitalUniversity of Pennsylvania, Philadelphia PA
Patient GenderF
Patient Age83
Prior to Treatment
9/10. Patient wheelchair bound secondary to pain.
Level TreatedL3. Previous L4-5 fusion
Age of Fracture(s)6-8 weeks old
ResultsPatient discharged home after 2 hours post procedure. Ambulating with walker 4 days later. Significant decrease in pain medication post-procedure. Pain score: 2/10.

Image 1

Vertebral body is accessed transpedicularly using only a single pedicle.

pukenas-1-1

Image 2

Unipedicular access into the middle 1/3 of the vertebral body using the StabiliT Introducer.

pukenas-1-2

Image 3

Created a targeted channel across the midline to the contralateral pedicle with the VertecoR MidLine Osteotome.

pukenas-1-3

Image 4

Created a targeted channel across the midline to the contralateral pedicle with the VertecoR MidLine Osteotome.

pukenas-1-4

Image 5

Targeted StabiliT ER² Bone Cement delivery into targeted channels created in the vertebral body using the VertecoR MidLine Osteotome

pukenas-1-5

Image 6

Targeted StabiliT ER² Bone Cement delivery into targeted channels created in the vertebral body using the VertecoR MidLine Osteotome

pukenas-1-6

Image 7

Controlled and preferential cement flow results in cement across the midline and site-specific delivery.

pukenas-1-7

Image 8

Controlled and preferential cement flow results in cement across the midline and site-specific delivery.

pukenas-1-8