| Relationship between Percutaneous Vertebroplasty and the Incidence of Subsequent Vertebral Compression Fracture |
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Sang-Bin Choi, Kyoung-Soo Ryou, Sang-Pyung Lee, Seong-Hwan Kim |
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Department of Neurosurgery, Cheju Halla General Hospital, Jeju, Korea |
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| Abstract |
Objective
The purpose of this study was to evaluate the effect of percutaneous vertebroplasty(PVP) on the occurrence of the subsequent vertebral compression fracture(SVCF) and discuss about how to reduce the probability of SVCF.
Methods
We performed a retrospective review of 145 patients(200 vertebrae) who developed SVCFs from 2007 to 2019. SVCFs were diagnosed as recurrent intractable back pain with MR image. Data from medical record and radiographs were collected and analyzed. Variables included clinical parameters, radiologic parameters, operative parame- ters. We also compared the PVP group with the non-PVP group and the adjacent fracture group with the non-adjacent fracture group.
Results
SVCF in patients with a lower bone mineral density(BMD) tended to occur sooner, and it was statistically significant(log-rank test, p<0.001). PVP related complications were not statistically associated with SVCF. When the location of the initial vertebral compression fracture was on thoracolumbar(T-L) junction, adjacent SVCF occurred more often, and it was statistically significant(p<0.001). In the PVP group, SVCF occurred slowly if the height restoration was more than 30%, although it did not reach statistical significance.
Conclusion
According to our study, the implementation of PVP does not have a significant association with SVCF. Addi- tionally SVCF tended to occur sooner in patients with a lower BMD. We suggest that PVP is one of the helpful treatment option for vertebral compression fracture patient, additionally active prevention and treatment of osteoporosis are needed to decrease incidents of SVCF. |
| Key Words:
Risk factors, Fractures, compression, Vertebroplasty, Osteoporosis |
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