The performance of the CONFIDENCE SPINAL CEMENT SYSTEM™ has been tested in the laboratory and in the operating room.

Dr. B. A. Georgy, Interventional Radiologist, Valley Radiology Consultants, Assistant Professor, UCSD
Dr. M. E. Majd, Orthopedic Surgeon, Spine Surgery PSC, Louisville, Kentucky

Clinical Experience with CONFIDENCE SPINAL CEMENT SYSTEM™ in Single and Multi-level Cases - Retrospective Review of Four Cases

Osteoporosis is often defined as the epidemic of aging Western and Asian societies. In
the spine, this condition can lead to vertebral body fractures (VBF), often associated with
severe pain and disability1. An effective treatment to alleviate the pain of VBF consists of
injecting polymethylmethacrylate (PMMA) bone cement to reinforce vertebral bodies and
reduce fractures2. This procedure is percutaneous and minimally invasive.

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Dr. Bassem. A. Georgy, Interventional Radiologist, Valley Radiology Consultants, Assistant Clinical Professor University of California, San Diego

Clinical Experience with CONFIDENCE SPINAL CEMENT SYSTEM™ Single Level Case Report

This is the case of a 68 year-old male suffering from severe back pain since 3 months. The
patient failed conservative treatment with high doses of analgesics. MRI was performed
as shown in Figure 1 below. This T2-weighted image clearly revealed evidence of acute
fracture with bone marrow edema at the L1 level.

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