AVAmax kyphoplasty brochure - CareFusion

Clinical case: Balloon kyphoplasty for
acute T8 compression fracture
11G AVAmax vertebral balloon and AVAflex curved needle
Background
A 97-year old osteoporotic female presented with a four-day history of
progressively worsening atraumatic back pain. Patient refused to sit, walk or
lay on her side due to the severity of her pain. Pain was reported as 10/10.
MRI of the thoracic spine indicated a recent osteoporotic compression
fracture at the T8 vertebral body.
Procedure
An 11G access cannula was placed into the posterior one-third of the T8
vertebral body under fluoroscopic imaging, using a transpedicular approach
from the patient’s left. At this point, an 11G AVAmax vertebral balloon was
inserted, then inflated, creating a cavity for cement deposition. Next, the
AVAflex curved needle was inserted for targeted cement placement. Post
procedure imaging demonstrated PMMA distribution within the T8 vertebral
body, opacifying the anterior two-thirds with satisfactory midline crossage.
Result
Five hours following the procedure, the patient reported a 50% improvement
of original pain symptoms. The following morning the patient’s pain had
completely resolved, she regained her mobility and she was discharged from
the hospital.
Access with vertebral balloon
Targeted cement delivery with
AVAflex curved needle
Conclusion
The new 11G AVAmax vertebral balloon enabled a balloon kyphoplasty
procedure to be performed at a higher level in the vertebral column which,
in the past, has traditionally been limited to vertebroplasty.
Complete fill of superior end plate fracture