Vertebroplasty: experimental characterization of polymethylmethacrylate bone cement spreading as a function of viscosity, bone porosity, and flow rate

STUDY DESIGN: This is an experimental study on an artificial vertebra model and human cadaveric spine. OBJECTIVE: Characterization of polymethylmethacrylate (PMMA) bone cement distribution in the vertebral body as a function of cement viscosity, bone porosity, and injection speed. Identification of relevant parameters for improved cement flow predictability and leak prevention in vertebroplasty. SUMMARY OF BACKGROUND DATA: Vertebroplasty is an efficient procedure to treat vertebral fractures and stabilize osteoporotic bone in the spine. Severe complications result from bone cement leakage into the spinal canal or the vascular system. Cement viscosity has been identified as an important parameter for leak prevention but the influence of bone structure and injection speed remain obscure. METHODS: An artificial vertebra model based on open porous aluminum foam was used to simulate bone of known porosity. Fifty-six vertebroplasties with 4 different starting viscosity levels and 2 different injection speeds were performed on artificial vertebrae of 3 different porosities. A validation on a human cadaveric spine was executed. The experiments were radiographically monitored and the shape of the cement clouds quantitatively described with the 2 indicators circularity and mean cement spreading distance. RESULTS: An increase in circularity and a decrease in mean cement spreading distance was observed with increasing viscosity, with the most striking change occurring between 50 and 100 Pas. Larger pores resulted in significantly reduced circularity and increased mean cement spreading distance whereas the effect of injection speed on the 2 indicators was not significant. CONCLUSION: Viscosity is the key factor for reducing the risk of PMMA cement leakage and it should be adapted to the degree of osteoporosis encountered in each patient. It may be advisable to opt for a higher starting viscosity but to inject the material at a faster rate.

Porosity and Oil Absorption Properties of Metal Compacts of Copper - Tin - Graphite

Powder metallurgy, the most recent innovation in met­allurgical process, is not a new art; although not until recently did it become a matter of general interest, this being due not only to the products formed but also to the possibilities of future developments. The manufacture and application of metal powders is now beginning to take a position as a recognized part of the science of metallurgy.

Permeability and Porosity Studies of the Cut Bank Oil Sand

In studying the Cut Bank field and its numerous wells, it is found that dry holes are surrounded by producing wells, and also that the field as a whole is very irregular; water, oil, and gas zones in many cases following no definite pattern. In some instances, this phenomenon may be due to the lensing and thinning of the producing sands, but it is evident that this is not the only factor. There­fore, the controlling factors must be porosity and permeability.

An Attempt to Increase the Permeability and Porosity of the Cut Bank Oil Sand By Treatment with Various Reagents

The purpose of this investigation was to attempt to find some means of increasing the effective porosity and permeabil­ity of the producing sands of the Cut Bank Oil Field, with the hope that thereby the ultimate recovery of petroleum from this field may be increased. Although the percentage increase in production thus effected would undoubtedly be small, it would represent a substantial volume of petroleum in view of the great quantity of oil and gas present in this field.

Methods of Determining Porosity and Spatter Losses of Arc Welds

The original objective of this project was to determine the effect of varying current intensity and electrode coating composition upon the spatter losses and porosity of arc welds made by alternating current. This subject was suggested by the Welding Research Council of the Engineering Foundation, which is a clearing house for welding research in order to avoid du­plication of work.

Permability and Porosity of Devonian Dolomites in Northwestern Montana

The purpose of this investigation is to record data per­taining to porosity and permeability derived from physical tests performed on Devonian dolomites occurring in northwestern Montana, and to subsequently summarize the results obtained as an aid in determining the possibility of those dolomites being suitable reservoir rocks for oil and gas accumulation.