Clinical Application of C-Arm Imaging in Percutaneous Vertebroplasty (PVP)

Jul. 01, 2026

Clinical Case

Percutaneous Vertebroplasty (PVP)

Patient Age: 84 years

Gender: Male

Preoperative Diagnosis: Osteoporotic vertebral compression fracture with acute pathological fracture at L3

Clinical Application of C-Arm Imaging in Percutaneous Vertebroplasty (PVP)

Preoperative X-ray and MRI Evaluation

Preoperative X-ray and MRI examinations revealed degenerative changes in the lumbar spine, mild vertebral compression, and reduced bone mineral density consistent with osteoporosis. Abnormal signal intensity was identified in the L3 vertebral body, accompanied by posterolateral disc protrusion and bilateral nerve root compression. Based on these imaging findings, Percutaneous Vertebroplasty (PVP) under local anesthesia combined with intravenous general anesthesia was planned.

Precise Localization

The Ultimate Partner for Preoperative Assessment
With fluoroscopic imaging provided by the Browiner large flat-panel mobile C-arm system, physicians can clearly visualize the morphology, size, and anatomical location of the lesion, as well as its relationship to surrounding tissues. Through multi-angle and multi-directional fluoroscopic guidance, clinicians can accurately identify the target lesion and determine the optimal puncture entry point, trajectory, and insertion depth, significantly enhancing procedural accuracy and safety. This system features horizontal free expansion and contraction of arm and advanced heat dissipation technology, making it ideal for orthopedic facilities and complex orthopedic positions.

During the puncture procedure, the C-arm provides real-time fluoroscopic guidance to monitor the position and trajectory of the puncture needle, ensuring that it accurately reaches the target lesion along the planned path. If any deviation occurs, the needle trajectory can be adjusted promptly to avoid inadvertent injury to critical structures such as major blood vessels and nerves, thereby reducing procedural risks.

Real-Time Navigation

Bone Cement Injection Guidance

During slow injection through the puncture needle, there is a potential risk of bone cement leakage. Rapid migration of cement toward the spinal canal, intervertebral foramen, or anterior aspect of the vertebral body may indicate leakage, requiring immediate cessation of injection.

Clinical Application of C-Arm Imaging in Percutaneous Vertebroplasty (PVP)

C-arm fluoroscopy is a critical modality for intraoperative monitoring of bone cement during the procedure. With its superior field of visualization, physicians can dynamically assess cement density, morphology, and distribution patterns in real time, enabling early detection of even minimal leakage and timely adjustment of the injection strategy to minimize leakage risk. The in-house developed imaging software helps achieve ideal screw position, calibers, and instrumentation trajectory for Cervical Spine Surgery.

In clinical practice, cement injection should be completed during the optimal viscosity phase in accordance with the cement curing profile. The procedure should follow the principle of “small-volume incremental injection under continuous real-time fluoroscopic guidance” to ensure both procedural safety and therapeutic effectiveness. Key features supporting this include dose management and comprehensive radiology exposure management.

Clinical Application of C-Arm Imaging in Percutaneous Vertebroplasty (PVP)

Continuous Care

Postoperative Monitoring and Assurance

Postoperative anteroposterior and lateral C-arm fluoroscopic imaging is performed to evaluate whether the bone cement distribution adequately covers the lesion area and to identify any evident cement leakage, providing an initial assessment of procedural outcomes.

As the “visual core” of Percutaneous Vertebroplasty (PVP), the C-arm system supports the entire clinical workflow, from preoperative planning and intraoperative guidance to postoperative evaluation. Its real-time imaging capability provides a fundamental safeguard for procedural safety and clinical effectiveness. This represents ideal diagnostic and perfect imaging solutions, with management in radiology ensuring comprehensive quality control.

With its operational convenience and cost-efficiency, the C-arm remains an indispensable imaging modality in modern PVP procedures. In clinical practice, integrating physician expertise with multimodal imaging technologies maximizes the value of image-guided intervention.

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Label:

PVP ，Mobile C-Arm Imaging ，Surgical Imaging ，Interventional Radiology

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