material

• 10-gauge vertebroplasty beveled needle (Optimed®) for thoracic and lumbar spine and a 15-gauge needle for cervical spine
• Surgical hammer
• Acrylic glue (methyl methacrylate Simplex ® Howmedica, Osteopal V ® Biomet Merck, Palacos ® Biomet)
• Pressure syringe (Optimed®) to facilitate the injection of this viscous glue
• and 3g tantalum or tungsten (acrylic cement is not sufficiently radio-opaque)
• Sterile drapes, towels
• 22-gauge needle for anesthesia,
• scalpel
• Iodine
• 1% lidocaine

Figure 4a. Percutaneous Cementoplasty material Cemento® acrylic glue, pressure gun, 3g tantalum, 10-g needle.

Figure 4b. Percutaneous Cementoplasty material: Cemento®, surgical hammer, pressure gun, 10-g needle.

Figure 4c. Percutaneous Cementoplasty Cemento® set pressure gun 1-quick release lever (immediate stopping of the injection) 2- Screw applicator, pressure resistant.

Figure 4d. Percutaneous Cementoplasty, 10-g needle.