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Minimally Invasive Treatment for Thoracolumbar Burst Fracture Using Sagittal Alignment Screws and A Trauma Reduction Device
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Gradual Height Decrease of Augmented Vertebrae after Vertebroplasty at the Thoracolumbar Junction.

Han San Oh1, Tae Wan Kim1, Hyun Gon Kim1

  • 1Department of Neurosurgery, VHS Medical Center, Seoul, Korea.

Korean Journal of Neurotrauma
|May 17, 2016
PubMed
Summary
This summary is machine-generated.

Vertebroplasty using over 4 cc of cement or with air clefts in fractured vertebrae can lead to gradual height loss. This height decrease may worsen kyphosis, necessitating longer follow-up even without severe pain.

Keywords:
Cement volumeFractures, compressionKyphosisVertebroplasty

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Area of Science:

  • Orthopedics
  • Radiology
  • Biomedical Engineering

Background:

  • Vertebroplasty effectively treats vertebral compression fractures but can lead to gradual height loss and kyphotic changes.
  • This height decrease may occur without severe pain, complicating monitoring.

Purpose of the Study:

  • To identify risk factors for gradual vertebral height decrease after vertebroplasty in patients without recurrent severe pain.
  • To understand factors contributing to post-vertebroplasty vertebral height loss.

Main Methods:

  • Retrospective analysis of 44 patients with single-level thoracolumbar osteoporotic compression fractures treated with vertebroplasty.
  • Evaluation of risk factors including cement volume, cement leakage, air clefts, BMD, BMI, sex, age, and fracture level.

Main Results:

  • Gradual vertebral height decrease was common with >4 cc cement injection and presence of air clefts.
  • Increased sagittal Cobb angle during follow-up was associated with these cases.

Conclusions:

  • Injection of >4 cc cement and pre-existing air clefts are significant risk factors for post-vertebroplasty vertebral height decrease.
  • Extended follow-up is crucial for patients with these risk factors, irrespective of pain levels.