본문 바로가기
  • Home

Cement Leakage after Vertebroplasty; Correlation with Patterns of Compression Fractures and Bone Mineral Density (BMD)

  • Journal of Korean Society of Spine Surgery
  • Abbr : J Kor Spine Sur
  • 2014, 21(4), pp.145-150
  • Publisher : Korean Society Of Spine Surgery
  • Research Area : Medicine and Pharmacy > Orthopedic Surgery

김성완 1 안영준 1 양보규 1 Seung Rim Yi 1 Se Hyuk Im 1 Ye Hyun Lee 1 김현세 1 남석우 1 양성욱 1

1국립경찰병원 정형외과

Accredited

ABSTRACT

Study Design: Retrospective studyObjectives: To analyze the influence of fracture patterns and the result of bone mineral density on cement leakage after percutaneousvertebroplasty for osteoporotic vertebral compression fractures. Summary of Literature Review: Leakage of bone cement after vertebroplasty has known to be related with the direction of corticaldisruption of fractured vertebral body and low bone mineral density (BMD). Materials and Methods: One hundred eighty-two patients with osteoporotic vertebral compressions were studied from January 2009to August 2013. The patients’ fracture levels and patterns were compared. Among them, the cement leakage patterns were analyzedin 105 patients who had undergone vertebroplasty. The findings were compared with fracture patterns including cortical disruption andBMD. Results: Seventy-five cases of cement leakage were observed. Among them, intradiscal leakage was the most common type of leakage. In the patient group with low BMD, there was a high incidence of lower and posterior cortical disruption in the fractures. Patientswith posterior cortical disruption demonstrated a higher incidence of leakage into the spinal canal and anterior cortex. No significantcorrelation was observed between fracture patterns and leakage. Conclusions: A surgeon should use caution in performing vertebroplasty in patients with low BMD and posterior disruption of thevertebral cortex.

Citation status

* References for papers published after 2022 are currently being built.