Percutaneous vertebroplasty is an effective treatment for many focal verteb
ral lesions. Methyl methacrylate is too viscous to be handled without diffi
culty in the conventional way because injection time is short. The operator
is left with little time and must fumble with multiple syringes. We descri
be a special screw-system syringe that decreases the effort needed to injec
t the cement. In addition, it can standardize the injection pressures and c
ontrol the injected volume because the threaded plunger affords greater con
trol of injection pressure and volume delivered than does the conventional
method.