Repeat Vertebroplasty for the Subsequent Refracture of Procedured Vertebra

Choi, Sang Sik; Hur, Won Seok; Lee, Jae Jin; Oh, Seok Kyeong; Lee, Mi Kyoung

doi:10.3344/kjp.2013.26.1.94

Cited by 12 publications

(5 citation statements)

References 11 publications

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“…However, as with the three cases reported here, the cemented vertebrae can recollapse after PV 10 12 13 16 22 23. Regarding the risk factors for this complication, Kang et al 23 suggested that a higher preoperative local kyphotic angle and a higher sagittal index24 may result in refracture, based on a comparison of patients with or without refracture.…”

Section: Discussionsupporting

confidence: 57%

Anterior spinal fixation for recollapse of cemented vertebrae after percutaneous vertebroplasty

et al. 2016

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Although recollapse after percutaneous vertebroplasty (PV) is a serious complication that needs salvage surgery, there is no consensus regarding the best operative treatment for this failure. We present cases of 3 patients, diagnosed as having thoracic osteoporotic vertebral fractures, who had undergone PV at other institutes. Within less than half a year, recollapse occurred at the cemented vertebrae in all 3 patients, and we conducted anterior spinal fixation (ASF) on them. In all cases, ASF relieved the patient's severe low back pain, and there was no recurrence of symptoms during the follow-up period of 6 years, on average. ASF is the optimal salvage procedure, since it allows for the direct decompression of nerve tissue with reconstruction of the collapsed spinal column, and preservation of the ligaments and muscles that stabilise the posterior spine. Surgeons who perform PV need to be able to assess this failure early and to perform spinal fixation.

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Section: Discussionsupporting

confidence: 57%

Anterior spinal fixation for recollapse of cemented vertebrae after percutaneous vertebroplasty

et al. 2016

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“…As the safety and efficacy of PVP were gradually recognized by spine surgeons, this treatment was widely used in clinical practice. Recently, an increasing number of cases with the recollapse of cemented vertebrae after PVP without additional trauma have been reported[ 21 , 22 ]. This recollapse is considered a further insufficiency fracture that results in more severe symptoms, deserving our attention.…”

Section: Discussionmentioning

confidence: 99%

Predictive risk factors for recollapse of cemented vertebrae after percutaneous vertebroplasty: A meta-analysis

Ma¹,

Zhong²,

Liu³

et al. 2021

WJCC

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BACKGROUND As one of the most common complications of osteoporosis, osteoporotic vertebral compression fracture (OVCF) increases the risk of disability and mortality in elderly patients. Percutaneous vertebroplasty (PVP) is considered to be an effective, safe, and minimally invasive treatment for OVCFs. The recollapse of cemented vertebrae is one of the serious complications of PVP. However, the risk factors associated with recollapse after PVP remain controversial. AIM To identify risk factors for the recollapse of cemented vertebrae after PVP in patients with OVCFs. METHODS A systematic search in EMBASE, MEDLINE, the Cochrane Library, and PubMed was conducted for relevant studies from inception until March 2020. Studies investigating risk factors for the recollapse of cemented vertebrae after PVP without additional trauma were selected for analysis. Odds ratios (ORs) or standardized mean differences with 95% confidence interval (CI) were calculated and heterogeneity was assessed by both the chi-squared test and the I -squared test. The methodological quality of the included studies was assessed according to the Newcastle-Ottawa Scale. RESULTS A total of nine case-control studies were included in our meta-analysis comprising 300 cases and 2674 controls. The significant risk factors for the recollapse of cemented vertebrae after PVP in OVCF patients were fractures located at the thoracolumbar junction (OR = 2.09; 95%CI: 1.30 to 3.38; P = 0.002), preoperative intravertebral cleft (OR = 2.97; 95%CI: 1.93 to 4.57; P < 0.00001), and solid lump distribution pattern of the cement (OR = 3.11; 95%CI: 1.91 to 5.07; P < 0.00001). The analysis did not support that age, gender, lumbar bone mineral density, preoperative visual analogue scale score, injected cement volume, intradiscal cement leakage, or vertebral height restoration could increase the risk for cemented vertebra recollapse after PVP in OVCFs. CONCLUSION This meta-analysis suggests that thoracolumbar junction fractures, preoperative intravertebral cleft, and solid lump cement distribution pattern are associated with the recollapse of cemented vertebrae after PVP in OVCF patients.

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“…A small number of patients can develop disuse osteoporosis or become disabling and even fatal due to long-term bedridden, muscle atrophy and reduced weight-loading. Thus, scholars try to use surgical treatment for severe compression fracture [8,9] . But it is still controversial on the puncture path and bone cement injection.…”

Section: Discussionmentioning

confidence: 99%

Comparison of unilateral and bilateral percutaneous vertebroplasty in the treatment of severe vertebral compression fractures

Long

Duan

et al. 2020

Preprint

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BACKGROUND The purpose of this study was to comparison of unilateral and bilateral percutaneous vertebroplasty in the treatment of severe vertebral compression fractures. METHODS Sixty-four severe vertebral compression fractures patients were treated in our hospital were randomly divided into group A and group B(n = 32). Group A received Percutaneous vertebroplasty (PVP) treatment by unilateral vertebral pedicle approach. Group B received PVP treatment by bilateral vertebralpedicle approach. Visual Analogue scale (VAS) score and Oswesty Disability Index (ODI) were recorded before surgery, and at 1d,1 month, and 6 months after operation. Also, the puncture path, needle position, intraoperative bone cement injection volume, bone cement dispersion, intra-operative and postoperative complications were observed. RESULTS Sixty-four vertebrae were successfully punctured.The postoperative VAS,ODI were lower than preoperative, showed statistical difference compared with the preoperative VAS, ODI, but there are no difference between Group A and Group B.The cement leakage and operation time is lower in group A than that in Group B. CONCLUSION PVP by unilateral vertebral pedicle approach in treating severe vertebral compression fractures can significantly relieve pain and promote functional recovery, which has advantages such as convenient operation and low complication rate.

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Repeat Vertebroplasty for the Subsequent Refracture of Procedured Vertebra

Cited by 12 publications

References 11 publications

Anterior spinal fixation for recollapse of cemented vertebrae after percutaneous vertebroplasty

Anterior spinal fixation for recollapse of cemented vertebrae after percutaneous vertebroplasty

Predictive risk factors for recollapse of cemented vertebrae after percutaneous vertebroplasty: A meta-analysis

Comparison of unilateral and bilateral percutaneous vertebroplasty in the treatment of severe vertebral compression fractures

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