Myung-Ho Kim; Sang-Hyuk Min; Suk-Ha Jeon

doi:10.12671/jkfs.2007.20.3.260

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Original Article
Risk Factors of New Compression Fractures in Adjacent Vertebrae after Percutaneous Vertebroplasty: Myung-Ho Kim, Sang-Hyuk Min, Suk-Ha Jeon; Journal of the Korean Fracture Society 2007;20(3):260-265.
DOI: https://doi.org/10.12671/jkfs.2007.20.3.260
Published online: June 14, 2016

Department of Orthopedic Surgery, Dankook University College of Medicine, Cheonan, Korea.

Address reprint requests to: Sang-Hyuk Min, M.D. Department of Orthopaedic Surgery, Dankook University Medical Center, 16-5, Anseo-dong, Cheonan 330-715, Korea. Tel: 82-41-550-395, Fax: 82-41-550-3950, osmin71@naver.com

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Abstract
REFERENCES

Abstract

Purpose
To evaluate the risk factors related to the development of new fractures in adjacent vertebrae after vertebroplasty.
Materials and Methods
The study was conducted on 46 patients in whom 296 patients were performed during last 9 years. We were especially concerned with the restoration rate of vertebral height and kyphotic angle and estimated them on simple X-ray films.
Results
In patients experienced subsequent vertebral fractures and no subsequent vertebral fractures after vertebroplasty, the mean height restoration rate of treated vertebra were 16.7% and 7.07%, and the kyphotic angle difference were 2.53 degree and 4.2 degree. The greater degree of height restoration of the vertebral body, especially in middle vertebral height and the lesser degree of kyphotic angle difference increased the risk of adjacent vertebral fracture risk. This results were available statistically (all p<0.05, Logistic regression test, SPSS 13.0).
Conclusion
It may be thought that the vertebral body height restoration rate will become risk factor of adjacent vertebral fractures.
Key words: Adjacent vertebral fractures, Vertebroplasty

REFERENCES

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Fig. 1

The method of estimating in vertebral body height restoration rate.

Fig. 2

The method of estimating in Kyphotic angle differences. Kyphotic angle difference = p-q.

Fig. 3

72 year-old female visited in our hospital because of back pain after vertebroplasty of T12 Without trauma history. (A) Simple radiograph and (B) Magnetic Resonance Image after 6 months since T12 vertebroplasty in local clinic. The large amount of cement augmented in midportion of vertebral body.

Table 1

The comparison between subsequent fractures group & no subsequent fractures group

Table 2

The distance from previous treated vertebra to adjacent new fracture

Table 3

The statistic analysis using Logistic regression test (SPSS13.0)

Table 4

The statistic analysis using Pearson correlation analysis (SPSS 13.0)

Figure & Data

REFERENCES

Citations

Citations to this article as recorded by

Outcome Comparison between Percutaneous Vertebroplasty and Conservative Treatment in Acute Painful Osteoporotic Vertebral Compression Fracture
Hwa-Yeop Na, Young-Sang Lee, Tae-Hoon Park, Tae-Hwan Kim, Kang-Won Seo
Journal of Korean Society of Spine Surgery.2014; 21(2): 70. CrossRef
Adjacent Vertebral Compression Fracture after Percutaneous Vertebroplasty
Chung-Hwan Kim, Jae-Kwang Hwang, Jun-Seok Park
Journal of Korean Society of Spine Surgery.2013; 20(4): 163. CrossRef
Cement Leakage into Disc after Kyphoplasty: Does It Increases the Risk of New Adjacent Vertebral Fractures?
Hoon-Sang Sohn, Seong-Kee Shin, Eun-Seok Seo, Kang-Seob Chang
Journal of the Korean Fracture Society.2011; 24(4): 361. CrossRef
Risk Factors of New Compression Fractures in Adjacent Vertebrae after Percutaneous Vertebroplasty
Myung-Ho Kim, Andrew S. Lee, Sang-Hyuk Min, Sung-Hyun Yoon
Asian Spine Journal.2011; 5(3): 180. CrossRef
The Effect of Adjacent Vertebral Body on Vertebroplasty for Compression Fracture
Yong-Chan Kim, Ho-Geun Chang, Kee-Byung Lee
Journal of the Korean Fracture Society.2010; 23(1): 97. CrossRef
The Factors that Affect the Deformity Correction of Vertebral Body during Kyphoplasty of Osteoporotic Vertebral Compression Fracture
Young-Do Koh, Jong-Seok Yoon, Sung-Il Kim
Journal of the Korean Fracture Society.2008; 21(1): 57. CrossRef

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Risk Factors of New Compression Fractures in Adjacent Vertebrae after Percutaneous Vertebroplasty

J Korean Fract Soc. 2007;20(3):260-265. Published online July 31, 2007

DOI: https://doi.org/10.12671/jkfs.2007.20.3.260

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Figure

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Risk Factors of New Compression Fractures in Adjacent Vertebrae after Percutaneous Vertebroplasty

Fig. 1 The method of estimating in vertebral body height restoration rate.

Fig. 2 The method of estimating in Kyphotic angle differences. Kyphotic angle difference = p-q.

Fig. 3 72 year-old female visited in our hospital because of back pain after vertebroplasty of T12 Without trauma history. (A) Simple radiograph and (B) Magnetic Resonance Image after 6 months since T12 vertebroplasty in local clinic. The large amount of cement augmented in midportion of vertebral body.

Fig. 1

Fig. 2

Fig. 3

Risk Factors of New Compression Fractures in Adjacent Vertebrae after Percutaneous Vertebroplasty

Table 1

The comparison between subsequent fractures group & no subsequent fractures group

Table 2

The distance from previous treated vertebra to adjacent new fracture

Table 3

The statistic analysis using Logistic regression test (SPSS13.0)

Table 4

The statistic analysis using Pearson correlation analysis (SPSS 13.0)

Table 1 The comparison between subsequent fractures group & no subsequent fractures group

Table 2 The distance from previous treated vertebra to adjacent new fracture

Table 3 The statistic analysis using Logistic regression test (SPSS13.0)

Table 4 The statistic analysis using Pearson correlation analysis (SPSS 13.0)