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, Vertebroplasty and kyphoplasty are used for the Position the patient in prone body alignment with padding to prevent skin and
treatment of vertebral compression fractures attributes to nerve injury.
osteoporosis or pathologic conditions. Bone cement is
injected into the vertebral body to decrease back pain
and prevent further vertebral body height loss.
Equipment includes C-arm, radiolucent OR bed, and x-
ray vests for staff as well as bone biopsy needles,
vertebroplasty system, and cement injection system. An
important consideration relevant to this interventional
radiology-assisted procedure would be:
A. shield the patient with a lead apron, covering from
thyroid to reproductive organs.
B. organize and have casting supplies available outside of
the room.
C. position the patient in prone body alignment with
padding to prevent skin and nerve injury.
D. abduct both arms less than 90 degrees on attached
arm boards.
Polymethyl methacrylate (PMMA, or bone cement) is an Barium
acrylic, cement-like substance composed of a liquid
methyl methacrylate monomer and a powder methyl
methacrylate-styrene co-polymer. What element is
added to the powder component to make the finished
product radiopaque?
A. Radiografinpaque
B. Polucrylate Sodium
C. Barium
D. Granular allograft bone
The surgeon may treat distal limb fractures with a closed When soft tissue entrapment is suspected
reduction, rather than open or external fixation,
manipulating the fragments into position without incising
the skin. When possible, this is the treatment of choice
because it decreases the opportunity for infection,
improves results (including bone union of the fracture),
and minimizes the recovery period. Closed reduction
with local or light anesthesia may permit ambulatory
surgery. Select a situation where closed reduction would
be performed in addition to open reduction and fixation
surgery to a distal limb.
A. Significant bone comminution
B. Where periosteal damage is evident
C. Before an open procedure to reduce the fracture site.
D. When soft tissue entrapment is suspected.