The Role of Bone Cement Augmentation in the Treatment of Chronic Symptomatic Osteoporotic Compression Fracture

Kim, Hyeun Sung; Kim, Sung Hoon; Ju, Chang Il; Kim, Seok Won; Lee, Sung Myung; Shin, Ho Seong

doi:10.3340/jkns.2010.48.6.490

Cited by 21 publications

(14 citation statements)

References 19 publications

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“…Osteoporotic compression fractures are common and a leading cause of disability and morbidity in the elderly7). Kummell disease is known to be a rare complication of osteoporotic compression fractures.…”

Section: Discussionmentioning

confidence: 99%

“…Kummell disease involves vertebral collapse and is a delayed complication of osteoporotic compression fractures. Multiple terms have been used to describe Kummell disease including delayed posttraumatic vertebral osteonecrosis, intravertebral pseudarthrosis, delayed vertebral collapse, and nonunion of a compression fracture6712). Regardless of terminology, Kummell disease is not common and most often encountered in patients with severe osteoporosis that have taken long-term courses of corticosteroids or sustained a spinal injury.…”

Section: Introductionmentioning

confidence: 99%

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Balloon Kyphoplasty: An Effective Treatment for Kummell Disease?

Kim

2016

Korean J Spine

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ObjectiveThe purpose of this study was to evaluate the efficacy of balloon kyphoplasty for treating Kummel disease accompanying severe osteoporosis.MethodsTwelve patients with single-level Kummell disease accompanied by severe osteoporosis were enrolled in this investigation. After postural reduction for 1 or 2 days, balloon kyphoplasty was performed on the collapsed vertebrae. Clinical results, radiological parameters, and related complications were assessed at 7 days, 1 month and 6 months after the procedure.ResultsPrior to kyphoplasty, the mean pain score (according to the visual analogue scale) was 8.0. Seven days after the procedure, this score improved to 2.5. Despite the significant improvement compared to preoperative value, the score increased to 4.0 at 6 months after the procedure. The mean preoperative vertebral height loss was 55.4%. Kyphoplasty reduced this loss to 31.6%, but it increased to 38.7% at 6 months after the procedure. The kyphotic angle improved significantly from 22.4°±4.9° (before the procedure) to 10.1°±3.8° after surgery, However, the improved angle was not maintained 6 months after the procedure. The mean correction loss for the kyphotic deformity was 7.2° at 6 months after the procedure. Three out of 12 patients sustained adjacent fractures after balloon kyphoplasty within 6 months.ConclusionAlthough balloon kyphoplasty for treating Kummell disease is known to provide stabilization and pain relief, it may be associated with the development of adjacent fractures and aggravated kyphosis.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Balloon Kyphoplasty: An Effective Treatment for Kummell Disease?

Kim

2016

Korean J Spine

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“…However, the benefit of vertebroplasty in patients with OVCFs older than one year have been described. 46,47 In conclusion, this study shows that patients with painful OVCFs sustained more than two months previously can be treated with percutaneous vertebroplasty, that the procedure can safely be timed as an efficient treatment modality between two and 12 months after the onset of symptoms without loss of efficacy, and that this is not at the cost of a worse pre-operative condition, progressive vertebral collapse or the development of nonunion as shown by the presence of an intravertebral cleft.…”

Section: Discussionmentioning

confidence: 64%

Percutaneous vertebroplasty for subacute and chronic painful osteoporotic vertebral compression fractures can safely be undertaken in the first year after the onset of symptoms

Nieuwenhuijse

Erkel

Dijkstra

2012

The Journal of Bone and Joint Surgery. British volume

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The optimal timing of percutaneous vertebroplasty as treatment for painful osteoporotic vertebral compression fractures (OVCFs) is still unclear. With the position of vertebroplasty having been challenged by recent placebo-controlled studies, appropriate timing gains importance. We investigated the relationship between the onset of symptoms - the time from fracture - and the efficacy of vertebroplasty in 115 patients with 216 painful subacute or chronic OVCFs (mean time from fracture 6.0 months (sd 2.9)). These patients were followed prospectively in the first post-operative year to assess the level of back pain and by means of health-related quality of life (HRQoL). We also investigated whether greater time from fracture resulted in a higher risk of complications or worse pre-operative condition, increased vertebral deformity or the development of nonunion of the fracture as demonstrated by the presence of an intravertebral cleft. It was found that there was an immediate and sustainable improvement in the level of back pain and HRQoL after vertebroplasty, which was independent of the time from fracture. Greater time from fracture was associated with neither worse pre-operative conditions nor increased vertebral deformity, nor with the presence of an intravertebral cleft. We conclude that vertebroplasty can be safely undertaken at an appropriate moment between two and 12 months following the onset of symptoms of an OVCF.

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“…These substances, such as barium salts and metal oxides, reduce the mechanical properties of cement. Conglomerates formed due to higher density and polarity, lead to concentration of stress forces and thus reduce elasticity, strength and increase the risk of fracture [17,23].…”

Section: Resultsmentioning

confidence: 99%

“…The bone cement presentation form is a kit with 2 components: one 40g powder vial and one ampoule with 20mL of liquid. Generally, the solid component exhibits 10% BaSO 4 and the remaining powder of PMMA or PMMApoly (styrene) copolymer [17,20].…”

Section: Experimental Partmentioning

confidence: 99%

Aspects of Cementation in Shoulder Hemiarthroplasty after Complex Fracture of the Proximal Humerus

Turcu¹,

Moga²,

Barbilian³

2018

Rev. Chim.

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The first uses of the polymers at the articular level were: joint components, cement fixation of prosthetic components at the bone, and sutures of tendons and ligaments. Since 1970, when polymethyl methacrylate (PMMA) was introduced, bone cement is the choice of choice to fix the prosthetic implant to bone. The cementation of the implant components is a commonly used procedure for hip, knee and shoulder arthroplasty: the femoral stem and the acetabular cup (in the case of total hip arthroplasty), the femoral and tibial components (in the case of total knee arthroplasty), the humeral stem (in hemiarthroplasty, total arthroplasty: anatomical or arthroplasty with inverse shoulder prosthesis) The objectives of this study are to establish the optimal indication of the cementing process, to evaluate and compare the results of cemented hemiarthroplasty, the real benefit from the immediate postoperative functional recovery program, for elderly patients with a diminished bone stock with complex fractures of proximal humerus. The success of the surgical treatment for complex fractures of proximal humerus depends to a large extent on establishing a correct diagnosis, an optimal surgical indication, a thorough preoperative planning, an optimal implant, a periarticular soft tissue reconstruction, and an effective postoperative recovery program.

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The Role of Bone Cement Augmentation in the Treatment of Chronic Symptomatic Osteoporotic Compression Fracture

Abstract: In the management of even long-standing osteoporotic vertebral compression fracture for over one year, bone cement augmentation procedures following postural reduction were considered safe and effective treatment in cases of non-healing evidence.

Cited by 21 publications

References 19 publications

Balloon Kyphoplasty: An Effective Treatment for Kummell Disease?

Balloon Kyphoplasty: An Effective Treatment for Kummell Disease?

Percutaneous vertebroplasty for subacute and chronic painful osteoporotic vertebral compression fractures can safely be undertaken in the first year after the onset of symptoms

Aspects of Cementation in Shoulder Hemiarthroplasty after Complex Fracture of the Proximal Humerus

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