Early Adjacent Vertebral Fractures after Balloon Kyphoplasty for Osteoporotic Vertebral Compression Fractures
Asian Spine Journal
; : 210-215, 2019.
Article
in English
| WPRIM (Western Pacific)
| ID: wpr-762934
Responsible library:
WPRO
ABSTRACT
STUDY DESIGN:
Retrospective cohort study.PURPOSE:
To evaluate the incidence and risk factors for early adjacent vertebral fractures following balloon kyphoplasty (KP). OVERVIEW OF LITERATURE KP is a safe and effective treatment for pain alleviation in patients with osteoporotic vertebral compression fractures (OVCF). However, some studies have reported that the risk of newly developed fractures increases at the adjacent vertebra after KP.METHODS:
Total 123 consecutive patients with painful OVCF who underwent KP were enrolled from January 2009 to June 2016. Early adjacent vertebral fractures were defined as new fractures that had developed within 3 months after surgery. Sex, age, body mass index (BMI), bone mineral density (BMD), vertebral height, kyphotic angle, Visual Analog Scale score, cement amount, and leakage were evaluated as risk factors for adjacent vertebral fractures. Only cement leakage into the disc space was included in this study.RESULTS:
Early adjacent vertebral fractures were identified in 20 (16.2%) of the 123 patients. The mean time to diagnosis of fractures was 1.7±0.7 months after KP. The average patient age was 78.0±0.7 years, average BMI was 23.06±3.83 kg/m², and mean BMD was −3.61±1.22 g/m². Cement leakage was present in 16 patients, and fractures developed in 11 (68.7%). In contrast, fractures developed in nine patients (8.2%) without cement leakage. There were no significant differences in terms of age, BMI, BMD, kyphotic angle, or vertebral body height ratio between the fracture and control groups.CONCLUSIONS:
Cement leakage into the disc increased the risk of early adjacent vertebral fractures after balloon KP.
Full text:
Available
Health context:
SDG3 - Target 3.4 Reduce premature mortality due to noncommunicable diseases
Health problem:
Musculoskeletal Diseases and Rheumatic Disorders
/
Obesity
Database:
WPRIM (Western Pacific)
Main subject:
Spine
/
Body Height
/
Body Mass Index
/
Bone Density
/
Incidence
/
Retrospective Studies
/
Risk Factors
/
Cohort Studies
/
Diagnosis
/
Fractures, Compression
Type of study:
Diagnostic study
/
Etiology study
/
Incidence study
/
Observational study
/
Prognostic study
/
Risk factors
Limits:
Humans
Language:
English
Journal:
Asian Spine Journal
Year:
2019
Document type:
Article