Development of Lumbar Disc Herniation Following Percutaneous Vertebroplasty

Sonmez, Erkin; Yilmaz, Cem; Caner, Hakan

doi:10.1097/brs.0b013e3181b52e8e

Cited by 9 publications

(8 citation statements)

References 9 publications

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“…Lim et al 318 reported two cases of subarachnoid haemorrhage: both patients were treated successfully with medical management. Other rare complications included heterotopic ossification, 319 addisonian crisis, 320 lumbar disc herniation, 321 posterior spinal epidural abscess 322 and a fatal fat embolisation with no evidence of cement leakage. 323…”

Section: Other Adverse Eventsmentioning

confidence: 99%

Percutaneous vertebroplasty and percutaneous balloon kyphoplasty for the treatment of osteoporotic vertebral fractures: a systematic review and cost-effectiveness analysis

Stevenson

Gomersall

Jones

et al. 2014

Health Technology Assessment

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Section: Other Adverse Eventsmentioning

confidence: 99%

Percutaneous vertebroplasty and percutaneous balloon kyphoplasty for the treatment of osteoporotic vertebral fractures: a systematic review and cost-effectiveness analysis

Stevenson

Gomersall

Jones

et al. 2014

Health Technology Assessment

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“…However, its complications including cement leaks, soft tissue hematoma, osteomyelitis, and radiculopathy are uncommon. 4,[26][27][28][29] In a meta-analysis of complications, Lee et al reported that medical complication rate was 0.4% and 1.6% for vertebroplasty and kyphoplasty, respectively, whereas procedure-related complication was 3.8% and 0.6% for vertebroplasty and kyphoplasty, respectively. 30 Papanastassiou et al reported both surgical vertebroplasty and kyphoplasty were safe, with only occasional cases of symptomatic cement extravasations in the postvertebroplasty patients.…”

Section: Discussionmentioning

confidence: 99%

Subsequent Vertebral Fractures Post Cement Augmentation of the Thoracolumbar Spine

Hey

Tan

et al. 2015

SPINE

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Study Design. A case-control study.Objective. In this study, we investigated the correlation between level-specific preoperative bone mineral density and subsequent vertebral fractures. We also identified factors associated with subsequent vertebral fractures. Summary of Background Data. Complications of cement augmentation of the spine include subsequent vertebral fractures, leading to unnecessary morbidity and more treatment. Ability to predict at-risk vertebra will help guide management. Methods. We studied all patients with osteoporotic compression fractures who underwent cement augmentation in a single institution from November 2001 to December 2010 by a single surgeon. Association between level-specific bone mineral density T-scores and subsequent fractures was assessed. Multivariable analysis was performed to identify significant factors associated with subsequent vertebral fractures. Results. 93 patients followed up for a mean duration of 25.1 months (12 -96) had a mean age of 76.8 years (47 -99). Vertebroplasty was performed in 58 patients (62.4%) on 68 levels and kyphoplasty in 35 patients (37.6%) on 44 levels. Refracture was seen in 16 patients (17.2%). The time to subsequent fracture post cement augmentation was 20.5 months (2-90). For refracture cases, 43.8% (7/16) fractured in the adjacent vertebrae. Subsequently fractured vertebra had a mean T-score of À2.860 (95% confidence interval À3.268 to À2.452) and nonfractured vertebra had a mean T-score of À2.180 (95% confidence interval À2.373 to À1.986). A T-score of À2.2 or lower is predictive of refracture at that vertebra (P ¼ 0.047). Odds ratio increases with decreasing T-scores from À2.2 or lower to À2.6 or lower. A T-score of À2.6 or lower gives no additional predictive advantage. After multivariable analysis, age (P ¼ 0.049) and loss of preoperative anterior vertebral height (P ¼ 0.017) are associated with refracture. Conclusion. Level-specific T-scores are predictive of subsequent fractures and the odds ratio increases with lower Tscores from À2.2 or less to À2.6 or less. They have a low positive predictive value, but a high negative predictive value for subsequent fractures. Other significant associations with subsequent refractures include age and anterior vertebral height.

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“…The space occupying effect of PMMA within the disc increases the intradiscal pressure. Sonmez et al 29 reported a case that developed lumbar disc herniation after PVP (percutaneous vertebroplasty) accompanied by IDL. The authors stated that intradiscal PMMA increased the intradiscal pressure and accelerated the degenerative process.…”

Section: Discussionmentioning

confidence: 99%

Adjacent disc height reduction and clinical outcome after intradiscal cement leakage

et al. 2016

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Development of Lumbar Disc Herniation Following Percutaneous Vertebroplasty

Abstract: Although extremely rare, intradiscal cement leakage during percutaneous vertebroplasty may promote development of lumbar disc herniation.

Cited by 9 publications

References 9 publications

Percutaneous vertebroplasty and percutaneous balloon kyphoplasty for the treatment of osteoporotic vertebral fractures: a systematic review and cost-effectiveness analysis

Percutaneous vertebroplasty and percutaneous balloon kyphoplasty for the treatment of osteoporotic vertebral fractures: a systematic review and cost-effectiveness analysis

Subsequent Vertebral Fractures Post Cement Augmentation of the Thoracolumbar Spine

Adjacent disc height reduction and clinical outcome after intradiscal cement leakage

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