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| 1 | Vertebral fracture assessment:Current research status and application in patients with kyphoplasty显示文摘Imaging of the spine is of paramount importance for the recognition of osteoporotic vertebral fractures(VFs), and standard radiography(SR) of the spine is the suggested diagnostic method but is not routinely used because of the cost and radiation exposure considerations. VF assessment(VFA) is an efficient, low radiation method for identifying VFs at the time of bone mineral density(BMD) measurement. Prediction models used to indicate the need for VFA may have little predictive power in subspecialty referral populations such as rheumatologic patients or patients who underwent kyphoplasty. Rheumatologic patients are frequently at increased risk for VFs, and VFA should be performed on an individual basis, also taking in account the guidelines for the general population. Kyphoplasty is a new minimal invasive procedure for the treatment of VFs and is being performed with increasing frequency. Following kyphoplasty, there may be a risk of new VFs in adjacent vertebrae. The assessment and follow-up of patients who underwent kyphoplasty requires repetitive X-ray imaging with the known limitations of SR. Thus, VFA may facilitate the evaluation of VFs in these patients because most of the kyphoplasty patients would fulfill the criteria. In a pilot study, we measured the BMD and performed VFA in 28 patients treated with kyphoplasty. Ratios of anterior to posterior(A/P) and middle to posterior(M/P) height were measured, and Genant's method was used to classify vertebrae accordingly. Intraobserver and interobserver reliability for A/P, M/P and the Genant's method were determined. Only 1 patient did not meet the criteria for VFA. Of the 364 available vertebrae, 295 could be analyzed. Most missing data(concerning 69 vertebrae) occurred in the upper thoracic region. Three of the 69 non-eligible vertebrae were lumbar vertebrae with cement leakage from the kyphoplasty procedure. In our hands, VFA was highly reproducible, demonstrating very good agreement in terms of intraobserver and interobserver reliability. Agreement was very good onthe vertebral level, 'vertebrae with kyphoplasty' level and '2 above and 1 below the kyphoplasty vertebrae'level. The application of Genant's method to these patients also resulted in perfect agreement. We believe that the potential value of VFA in patients treated with kyphoplasty requires further evaluation, particularly comparing VFA with SR and performing a longitudinal follow-up. More research will help to adopt care processes that determine which patients require VFA and how often VFA should be performed, while also considering the impact of this technique on the cost of healthcare organizations. | Efstathios Drampalos Konstantinos Nikolopoulos Christos Baltas Alexia Balanika Antonis Galanos Nikolaos Papaioannou Spyros Pneumaticos | 2015 | World Journal of Orthopedics2015，6，9： | 4 |
| 2 | Posterior Spinal Fusion Using Pedicle Screws显示文摘 | Athanasakopoulos Michael Mavrogenis Andreas F Triantafyllopoulos George Koufos Spiros Pneumaticos Spiros G | 2013 | Orthopedics (Online)2013，，7： | 1 |
| 3 | Low back pain: prediction of short term outcome of facet joint injection with bone scintigraphy 显示文摘 | Pneumaticos S G Chatziioannou S N Hipp J A | 2006 | Radiology2006，238，2： | 1 |
| 4 | Low back pain:prediction of short-term outcome of facet joint injection with bone scintigraphy显示文摘 | Pneumaticos SG Chatziioannou SN Hipp JA | 2006 | Radiology2006，238，2： | 1 |
| 5 | Efficacy of prolonged antimicrobial chemotherapy for brucellar spondylo- discitis显示文摘 | Ioannou S Karadima D Pneumaticos S | 2011 | Clin Microbiol Infect2011，17，5： | 1 |
| 6 | Advances made in the treatment of thoracolumbar fractures:current trends and future directions显示文摘 | Pneumaticos SG Triantafyllopoulos GK Giannoudis PV | 2013 | Injury2013，44，6： | 1 |
| 7 | Advances made in the treatment of thoracolumbar fractures: Current trends and future directions显示文摘 | Pneumaticos SG Triantafyllopoulos GK Giannoudis PV | 2013 | Injury2013，44，6： | 1 |
| 8 | The effects of rotation on radiographic evaluation of the tibiofibular syndesmosis显示文摘 | Pneumaticos SG Noble PC Chatziioannou SN | 2002 | Foot Ankle Int2002，23，2： | 1 |
| 9 | Sensitivity and specificity of dural sac and herriated discimensions in patients with low back related leg pain显示文摘 | Spiros G Pneumaticos John A | 2000 | Magn Resonance Imag2000，12，： | 1 |
| 10 | Advances made in the treatment of thoracolumbar fractures: Current trends and future directions显示文摘 | Spyros G. Pneumaticos Georgios K. Triantafyllopoulos Peter V. Giannoudis | 2013 | Injury2013，，： | 1 |
| 11 | Fracture non-union:can biomarkers predict outcome? 显示文摘 | Pountos I Georgouli T Pneumaticos S et aI | 2013 | Injury2013，44，12： | 1 |
| 12 | The effects of rotation on radiographic evaluation of the tibiofibular syndesmosis显示文摘 | Pneumaticos SG Noble PC Chatziioannou SN | 2002 | Foot Ankle Int2002，23，2： | 1 |
| 13 | The effects of rotation on radiographic evaluation of the tibiofibular syndesmosis显示文摘 | Pneumaticos SG Noble PC Chatziioannou SN | | 0，，02： | 1 |
| 14 | Fracture non- union: Can biomarkers predict outcome 显示文摘 | Pountos I Georgouli T Pneumaticos S | 2013 | Injury2013，44，12： | 1 |
| 15 | Biomolecular strategies of bone augmentation in spinal surgery 显示文摘 | Pneumaticos SG Triantafyllopoulos GK Chatziioannou S etal | 2011 | Trends Mol Med2011，17，4： | 1 |
| 16 | Sensitivity and specificity of dural sac and herniated discdimensions in patients with low back-related leg pain显示文摘 | Pneumaticos SG Hipp JA Esses SI | 2000 | J Magn Reson Imaging2000，12，3： | 1 |
| 17 | Low back pain: prediction of short-term' outcome of facet joint injection with bone scintigraphy显示文摘 | Pneumaticos SG Chatziioannou SN Hipp JA | 2006 | Radiology2006，238，2： | 1 |
| 18 | Scoliosis associated with lu-mbar spondylolisthesis:a case presentation and review of the literature显示文摘 | Pneumaticos SG Esses SI | 2003 | Spine J2003，3，4： | 1 |
| 19 | Preoperative embolization of bone metastases from renal cell carcinoma显示文摘 | Chatziioannou AN Johnson ME Pneumaticos SG | 2000 | Eur Radiol2000，10，4： | 1 |
| 20 | Preopera- tive embolization of bone metastases from renal cell carcinoma显示文摘 | ChatLiioannou AN Johnson ME Pneumaticos 5 G | 2000 | Eur Radiol2000，10，4： | 1 |
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