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Free-hand C1 pedicle screw attachment using the direct visual images means of the actual pedicle and sequential dilatation strategy has been done in Five successive individuals along with C1-2 fluctuations in a individual commence from March in order to Dec 2018. The strategy required defending the vertebral artery (VA) and C1 main while using the Penfield Zero. One particular, acquiring the particular feeder point from the posterior posture twist as well as the pedicle had been obvious straight inside Trendelenburg placement. The outlet at the entry way from the C1 posterior mid-foot ( arch ) had been serially dilated by using a Two.5×3.Zero millimeter routine tad, along with the C1 pedicle twist ended up being placed with all the totally free side strategy. We all assessed postoperative radiological parameters along with recorded intraoperative problems, postoperative neurological cutbacks and the incidence involving occipital neuralgia. Postoperative computed tomography (CT) ended up being done to test attach malposition or perhaps construction malfunction. From the 12 C1 pedicle screws upon postoperative CT, 20% of anchoring screws (rank Any) were within the ideal position whilst 80% involving nails (rank B) busy a secure place. Overall, 100% regarding screws have been safe (level A new or perhaps W https://www.selleckchem.com/products/rvx-208.html ). There have been simply no iatrogenic neural cutbacks, Veterans administration injuries. Freehand keeping your C1 pedicle mess with the immediate visualization means of the actual pedicle along with sequential dilatation method is safe and efficient without intraoperative fluoroscopy direction.Freehand placement of your C1 pedicle attach over the direct visual image strategy of the particular pedicle and also serial dilatation method is safe and effective without having intraoperative fluoroscopy guidance. Percutaneous vertebroplasty (Vice president) has been utilized for the secure treatments for osteoporotic retention crack. Nevertheless, bare concrete seapage is the most frequent complication. To lessen the actual leakage regarding bone fragments cement, many of us do the gelfoam embolization in the course of Vice president. The objective of this research is usually to examine the security and possibility of various two gelfoam embolization strategy through VP. Complete 127 individuals (146 level) who'd the thoracolumbar osteoporotic compression bone fracture ended up registered. Team A new had been handled by simply gelfoam-only approach along with, Party N has been handled by gelfoam together with venography strategy. We in comparison the actual likelihood regarding bone fragments concrete loss between 2 groupings making use of post-operative worked out tomography scan as well as X-ray. Seventy-four people (81 quantities) were treated with gelfoam-only approach (Any), along with 53 patients (Sixty five amounts) were given gelfoam along with venography method (B). There was Twenty two leaking on party Any, and also Twenty leaking about class N. There wasn't any stats factor involving a pair of groups (Chi-square test, Problem brought on through the bone tissue bare concrete seapage are the the majority of mindful point throughout Vice president. Gelfoam embolization along with venography is incredibly basic and safe approach. Gelfoam together with venography strategy could make decrease the occurrence regarding concrete leakage in order to spinal canal.