Therapeutic Efficacy of Vertebroplasty in Osteoporotic Vertebral Compression Fractures With Avascular Osteonecrosis

Heo, Dong Hwa; Choi, Jong Hun; Kim, Moon Kyu; Choi, Hyeun Chul; Jeong, Je Hoon; Chin, Dong Kyu; Cho, Yong Jun

doi:10.1097/brs.0b013e318238f29a

Cited by 18 publications

(16 citation statements)

References 12 publications

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“…However, cement augmentation procedures appear to be favorable treatments for intervertebral pseudoarthrosis only during the immediate postoperative phase and within one year [1, 3–5, 10]. At the long-term follow-up period, augmented vertebral body had recollapsed, and kyphosis had aggravated [6, 7]. Also, back pain and the ODI were aggravated during the long-term follow-up period.…”

Section: Discussionmentioning

confidence: 99%

“…Also, back pain and the ODI were aggravated during the long-term follow-up period. A recollapsed augmented vertebral body can compress neural tissue and induce neurologic deficit [6]. …”

Section: Discussionmentioning

confidence: 99%

“…Sometimes, a radiolucent line named as “halo phenomenon” develops around the PMMA solid mass [13]. These phenomena may induce recollapse of the cemented vertebral body [6]. The PMMA mass has also spontaneously migrated to extravertebral lesions such as disc space or anterior vertebral space [14, 15].…”

Section: Discussionmentioning

confidence: 99%

“…A necrotic cavity can develop intravertebral pseudoarthrosis and result in spinal instability. Percutaneous vertebroplasty or kyphoplasty using polymethylmethacrylate (PMMA) has been attempted to treat compression fractures with avascular necrosis [1–6]. Several studies have reported that vertebroplasty to treat an osteoporotic vertebral compression fracture with osteonecrosis is highly effective [1–5].…”

Section: Introductionmentioning

confidence: 99%

“…However, these studies reported short-term clinical and radiological results within 12 months. Long-term clinical and radiologic results of percutaneous vertebroplasty or kyphoplasty were poor [6, 7]. Percutaneous vertebroplasty may not be supportive enough for the long-term stabilization effect.…”

Section: Introductionmentioning

confidence: 99%

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Percutaneous Pedicle Screw Fixation with Polymethylmethacrylate Augmentation for the Treatment of Thoracolumbar Intravertebral Pseudoarthrosis Associated with Kummell’s Osteonecrosis

Kim¹,

Heo

2016

BioMed Research International

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Purpose. The purpose of our study is to evaluate the therapeutic efficacy of short-segment percutaneous pedicle screw fixation with polymethylmethacrylate (PMMA) augmentation for the treatment of osteoporotic thoracolumbar compression fracture with osteonecrosis. Methods. Osteoporotic thoracolumbar compression fractures with avascular necrosis were treated by short-segment PPF with PMMA augmentation. Eighteen were followed up for more than 2 years. The kyphotic angle, compression ratio, visual analog scale (VAS) score for back pain, and the Oswestry Disability Index (ODI) were analyzed. In addition, radiologic and clinical parameters of PPF group were compared with percutaneous vertebroplasty (PVP) group. Results. Vertebral height and kyphotic angle of the compressed vertebral bodies were significantly corrected after the operation (P < 0.05). Further, restored vertebral height was maintained during the 2 or more years of postoperative follow-up. Compared to the PVP group the postoperative compression ratio and kyphotic angle were significantly lower in the PPF group (P < 0.05). The postoperative ODI and VAS of the PVP group were significantly higher than the PPF (P < 0.05). Conclusions. According to our results, short-segment PPF with PMMA augmentation may be an effective minimally invasive treatment for osteoporosis in cases of osteoporotic vertebral compression fractures with Kummell's osteonecrosis.

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Section: Discussionmentioning

confidence: 99%

“…Also, back pain and the ODI were aggravated during the long-term follow-up period. A recollapsed augmented vertebral body can compress neural tissue and induce neurologic deficit [6]. …”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Percutaneous Pedicle Screw Fixation with Polymethylmethacrylate Augmentation for the Treatment of Thoracolumbar Intravertebral Pseudoarthrosis Associated with Kummell’s Osteonecrosis

Kim¹,

Heo

2016

BioMed Research International

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Spinal bone marrow necrosis with vertebral compression fracture: differentiation of BMN from AVN

et al. 2014

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Bone marrow necrosis (BMN) is a rare malignancy-associated hematologic disorder characterized by necrosis of myeloid and stromal marrow elements with preservation of cortical bone. Overlap between the imaging appearances of BMN and avascular necrosis (AVN) raises the potential for diagnostic confusion. We report a case of BMN presenting with a traumatic multi-level vertebral body collapse, and finding that may potentially confound distinction between the two entities. We discuss important pathophysiologic, clinical, and radiologic differences between BMN and AVN with emphasis on features important in the differential diagnosis.

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Percutaneous vertebral augmentation using drill rotation for osteoporotic vertebral compression fractures with intravertebral vacuum cleft

Li¹,

Zhang

Peng³

et al. 2020

Skeletal Radiol

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Therapeutic Efficacy of Vertebroplasty in Osteoporotic Vertebral Compression Fractures With Avascular Osteonecrosis

Abstract: After vertebroplasty, the compression and kyphosis of avascular necrotic vertebral bodies progressed continuously for 2 years or longer. Vertebroplasty may not provide sufficient stability. Therefore, we strongly recommend that strict observation and follow-up be used after vertebroplasty.

Cited by 18 publications

References 12 publications

Percutaneous Pedicle Screw Fixation with Polymethylmethacrylate Augmentation for the Treatment of Thoracolumbar Intravertebral Pseudoarthrosis Associated with Kummell’s Osteonecrosis

Percutaneous Pedicle Screw Fixation with Polymethylmethacrylate Augmentation for the Treatment of Thoracolumbar Intravertebral Pseudoarthrosis Associated with Kummell’s Osteonecrosis

Spinal bone marrow necrosis with vertebral compression fracture: differentiation of BMN from AVN

Percutaneous vertebral augmentation using drill rotation for osteoporotic vertebral compression fractures with intravertebral vacuum cleft

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