Cluster Phenomenon of Vertebral Refractures After Percutaneous Vertebroplasty in a Patient With Glucocorticosteroid-Induced Osteoporosis

Sun, Haolin; Sharma, Shallu; Li, Chunde

doi:10.1097/brs.0b013e3182a8c488

Cited by 8 publications

(3 citation statements)

References 13 publications

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“…Previous work showed PVP and PKP may induce vertebra refracture after a long time such as one year, which is commonly associated with solid or trabecular cement pattern. [ 24 , 25 ] Therefore, mixed cement pattern is preferred for the treatment of VCFs. Compared with PVP and PKP treatments, PMCP treatment had a controlled cement pattern.…”

Section: Discussionmentioning

confidence: 99%

Safety and Efficacy Studies of Vertebroplasty, Kyphoplasty, and Mesh-Container-Plasty for the Treatment of Vertebral Compression Fractures: Preliminary Report

Chen

Li²,

Wang

et al. 2016

PLoS ONE

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To evaluate the clinical safety and efficacies of percutaneous vertebroplasty (PVP), percutaneous kyphoplasty (PKP), and percutaneous mesh-container-plasty (PMCP) for the treatment of vertebral compression fractures (VCFs), a retrospective study of 90 patients with VCFs who had been treated by PVP (n = 30), PKP (n = 30), and PMCP (n = 30) was conducted. The clinical efficacies of these three treatments were evaluated by comparing their PMMA cement leakages, cement patterns, height restoration percentages, wedge angles, visual analogue scales (VAS), and oswestry disability index (ODI) at the pre- and post-operative time points. 6.67%, 3.33%, and 0% of patients had PMMA leakage in PVP, PKP, and PMCP groups, respectively. Three (solid, trabecular, and mixed patterns), two (solid and mixed patterns), and one (mixed patterns) types of cement patterns were observed in PVP, PKP, and PMCP groups, respectively. PKP and PMCP treatments had better height restoration ability than PVP treatment. PVP, PKP, and PMCP treatments had significant and similar ability in pain relief and functional recovery ability for the treatment of VCFs. These results indicate minimally invasive techniques were effective methods for the treatment of VCFs. Moreover, these initial outcomes suggest PMCP treatment may be better than both PVP treatment and PKP treatment.

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Section: Discussionmentioning

confidence: 99%

Safety and Efficacy Studies of Vertebroplasty, Kyphoplasty, and Mesh-Container-Plasty for the Treatment of Vertebral Compression Fractures: Preliminary Report

Chen

Li²,

Wang

et al. 2016

PLoS ONE

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show abstract

“…Finally, new fractures of L1 may have occurred during the 18 months after vertebroplasty, when the patient no longer received intervention treatment, such as immobilization or surgery. Sun et al [15] reported 3 new fracture signs on the other side of the previously augmented bodies in their case report.…”

Section: Discussionmentioning

confidence: 99%

Vertebral collapse and polymethylmethacrylate breakage after vertebroplasty

et al. 2019

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Rationale: Vertebral augmentation has become the main treatment for osteoporotic vertebral fractures (VFs). In this article, we report a very rare case of vertebral collapse and polymethylmethacrylate (PMMA) breakage after vertebroplasty. We describe the clinical characteristics and revision surgery performed to remove the broken PMMA cement, maintain stability, and corrects the kyphotic deformity, and we analyze the possible causes. Patient concerns: A 72-year-old man who suffered back pain underwent first lumbar vertebra (L1) percutaneous vertebroplasty (PVP) due to osteoporosis and a vertebral fracture in May 2013. Postoperatively, the patient's back pain was markedly alleviated. Unfortunately, his lumbar back pain recurred in November 2015. Diagnoses: Plain radiographs showed collapse of the L1 vertebral body, breakage of the PMMA cement, and severe kyphosis at the thoracolumbar junction. Interventions: The posterior pedicle was internally fixed and an anterior artificial vertebral body implant was placed to maintain stability and correct the kyphotic deformity in a 2-step surgical procedure. Outcomes: The back pain was alleviated and the patient returned to daily life for more than two years. Lessons: This case demonstrates that PVP is not a simple minimally invasive surgery, and significant postsurgical care is necessary. The true cause of this rare phenomenon remains unclear, but the long-term use of steroids, new injuries, and poorly corrected kyphosis after PVP may play a role. Surgeons must be aware of the kinds of complications that may occur, including rare complications such as vertebral lysis.

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“…A review of the literature from January 1, 1995, to December 1, 2013, was conducted for relevant studies about PVP or PKP regarding glucocorticosteroid-induced osteoporotic vertebral compression fractures in the PubMed database. One hundred and seventeen patients with GIOPVCFs treated by PVP or PKP were included in the 11 eligible studies ( 3 , 4 , 5 , 6 , 7 , 8 , 9 , 10 , 11 , 12 , 13 ). Fifty of 117 (42.8%) patients sustained refractures after vertebropalsty and received repeated vertebroplasty procedures, of which 24 and 26 patients underwent PKP and PVP procedures, respectively.…”

Section: Discussionmentioning

confidence: 99%

Percutaneous Vertebroplasty of the Entire Thoracic and Lumbar Vertebrae for Vertebral Compression Fractures Related to Chronic Glucocorticosteriod Use: Case Report and Review of Literature

Tian

Quanping

et al. 2014

Korean J Radiol

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Glucocorticosteroid-induced osteoporosis is the most frequent of all secondary types of osteoporosis, and can increase the risk of vertebral compression fractures (VCFs). There are promising additions to current medical treatment for appropriately selected osteoporotic patients. Few studies have reported on the efficiency of percutaneous vertebroplasty (PVP) or kyphoplasty for whole thoracic and lumbar glucocorticosteroid-induced osteoporotic vertebral compression fractures. We report a case of a 67-year-old man with intractable pain caused by successional VCFs treated by PVP.

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Cluster Phenomenon of Vertebral Refractures After Percutaneous Vertebroplasty in a Patient With Glucocorticosteroid-Induced Osteoporosis

Cited by 8 publications

References 13 publications

Safety and Efficacy Studies of Vertebroplasty, Kyphoplasty, and Mesh-Container-Plasty for the Treatment of Vertebral Compression Fractures: Preliminary Report

Safety and Efficacy Studies of Vertebroplasty, Kyphoplasty, and Mesh-Container-Plasty for the Treatment of Vertebral Compression Fractures: Preliminary Report

Vertebral collapse and polymethylmethacrylate breakage after vertebroplasty

Percutaneous Vertebroplasty of the Entire Thoracic and Lumbar Vertebrae for Vertebral Compression Fractures Related to Chronic Glucocorticosteriod Use: Case Report and Review of Literature

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