Risk Factors for Subsequent Fracture after Osteoporotic Vertebral Compression Fracture / 대한신경손상학회지
Korean Journal of Neurotrauma
;
: 120-124, 2013.
Artigo
em Inglês
| WPRIM
| ID: wpr-142809
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.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Coluna Vertebral
/
Densidade Óssea
/
Incidência
/
Estudos Retrospectivos
/
Fatores de Risco
/
Seguimentos
/
Fraturas por Compressão
/
Vertebroplastia
Tipo de estudo:
Estudo de etiologia
/
Estudo de incidência
/
Estudo observacional
/
Estudo prognóstico
/
Fatores de risco
Limite:
Humanos
Idioma:
Inglês
Revista:
Korean Journal of Neurotrauma
Ano de publicação:
2013
Tipo de documento:
Artigo
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