Gradual Height Decrease of Augmented Vertebrae after Vertebroplasty at the Thoracolumbar Junction / 대한신경손상학회지
Korean Journal of Neurotrauma
;
: 18-21, 2016.
Artigo
em Inglês
| WPRIM
| ID: wpr-167781
ABSTRACT
OBJECTIVE:
Vertebroplasty is an effective treatment for vertebral compression fracture, but may progress gradual vertebral height decrease in spite of vertebroplasty. Gradual vertebral height decrease also may induce aggravation of kyphotic change without severe pain. The purpose of this study was to evaluate risk factors for gradual vertebral height decrease in the absence of recurrent severe back pain.METHODS:
A retrospective analysis was performed on 44 patients who were diagnosed with a first osteoporotic compression fracture at a single level at the thoracolumbar junction. All patients were taken vertebroplasty. Possible risk factors for gradual vertebral height decrease, such as sex, age, bone mineral density, body mass index, level of compression fracture, volume of injected cement, cement leakage into disc space, and air clefts within fractured vertebrae, were analyzed.RESULTS:
Gradual vertebral height decrease of augmented vertebrae occurred commonly when more than 4 cc of injected cement was used, and when air clefts within fractured vertebrae were seen on admission. In addition, the sagittal Cobb angle more commonly increased during the follow-up period in such cases.CONCLUSION:
Injection of more than 4 cc of cement during vertebroplasty and air cleft within fractured vertebrae on admission induced gradual vertebral height decrease in augmented vertebrae. Thus, longer follow-up will be needed in such cases, even when patients do not complain of recurrent severe back pain.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Coluna Vertebral
/
Índice de Massa Corporal
/
Densidade Óssea
/
Estudos Retrospectivos
/
Fatores de Risco
/
Seguimentos
/
Dor nas Costas
/
Fraturas por Compressão
/
Vertebroplastia
/
Cifose
Tipo de estudo:
Estudo de etiologia
/
Estudo observacional
/
Estudo prognóstico
/
Fatores de risco
Limite:
Humanos
Idioma:
Inglês
Revista:
Korean Journal of Neurotrauma
Ano de publicação:
2016
Tipo de documento:
Artigo
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