Risk Factors for Subsequent Fracture after Osteoporotic Vertebral Compression Fracture / 대한신경손상학회지
Korean Journal of Neurotrauma
;
: 120-124, 2013.
Article
in English
| WPRIM
| ID: wpr-142812
ABSTRACT
OBJECTIVE:
Percutaneous vertebroplasty is an effective treatment that relieves pain caused by vertebral compression fracture. However, vertebroplasty may increase the risk for subsequent vertebral compression fracture. The purpose of this study is to evaluate the incidence of and risk factors for subsequent fracture after vertebroplasty.METHODS:
A retrospective analysis was performed for 112 patients who were diagnosed with a first osteoporotic compression fracture at a single level and underwent vertebroplasty at that level. Possible risk factors for subsequent fracture, such as age, sex, bone mineral density (BMD), location of treated vertebrae, pattern of cement distribution, cement volume, presence of intradiscal cement leakage, and direction of cement leakage, were analyzed.RESULTS:
During the follow-up period, 18 new subsequent vertebral fractures developed (16.1%). Subsequent fractures were more common in osteoporotic patients (T-score or =3.5 cc were also associated with a significantly higher risk of fracture (p=0.012, r=0.238).CONCLUSION:
Low BMD and volume of intravertebral cement were the factors most strongly associated with subsequent fracture after percutaneous vertebroplasty.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Spine
/
Bone Density
/
Incidence
/
Retrospective Studies
/
Risk Factors
/
Follow-Up Studies
/
Fractures, Compression
/
Vertebroplasty
Type of study:
Etiology study
/
Incidence study
/
Observational study
/
Prognostic study
/
Risk factors
Limits:
Humans
Language:
English
Journal:
Korean Journal of Neurotrauma
Year:
2013
Type:
Article
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