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The Use Of Drilling Instead Of Hammering In Percutaneous Vertebral Augmentations 2013

Category Interventional Nassim Akle, MD
Kevan Stewart, M.D.
Mel Ghaleb, M.D.
Purpose Vertebral augmentation techniques have commonly utilized a hammer to access the pedicle and advance the bone needle into the vertebral body.  This study’s purpose is to evaluate the technical aspects of using a bone drill instead of a hammer to access the vertebral body and some of the benefits that may be associated with this technique. Materials & Methods Ten vertebral augmentations were performed using a hammerless approach with the DFINE Verteco® Bone Drill 3.0 to access the pedicle and the vertebral body. Results Ten vertebral augmentations were successfully performed using the DFINE VertecoR® Bone Drill 3.0 without the need for a hammer.  The bone drill was able to access the anterior third of the vertebral body.  The drill provided bone fragments that can be used for biopsy as needed.  Reduced amounts of medications may be used, and in some cases only local anesthesia (lidocaine) was given to the patient during the procedure.  The patients did not have to experience the anxiety and discomfort that hammering during vertebral augmentation can cause. Conclusion Vertebral augmentations can be performed without the use of a hammer using the DFINE VertecoR® Bone Drill 3.0.  Benefits may include a biopsy sample containing solid bone fragments, decreased need for intraprocedural medications, and less patient anxiety and discomfort. References None