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Updated: Sep 2, 2025

Minimally Invasive Treatment for Thoracolumbar Burst Fracture Using Sagittal Alignment Screws and A Trauma Reduction Device
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[Cement augmentation in spinal surgery].

Philipp Schleicher1, Alexander Wengert2, Jonathan Neuhoff2

  • 1Zentrum für Wirbelsäulenchirurgie und Neurotraumatologie, BG Unfallklinik Frankfurt am Main gGmbH, Friedberger Landstr. 430, 60389, Frankfurt, Deutschland. philipp.schleicher@bgu-frankfurt.de.

Unfallchirurgie (Heidelberg, Germany)
|August 4, 2022
PubMed
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Bone cement is widely used in spinal surgery for vertebral augmentation and pedicle screw fixation. Preventing cement leakage, a rare but serious complication, is crucial for patient safety.

Area of Science:

  • Orthopedic Surgery
  • Neurosurgery
  • Biomaterials Science

Background:

  • Bone cement has a 50-year history in spinal surgery.
  • Vertebroplasty/kyphoplasty and pedicle screw augmentation are standard procedures.
  • These procedures are effective, though vertebroplasty/kyphoplasty benefits have been debated.

Purpose of the Study:

  • To comprehensively review risk factors for bone cement leakage.
  • To outline preventive measures against cement leakage in spinal surgery.
  • To consolidate current literature on bone cement complications and safety.

Main Methods:

  • Literature review of scientific articles on bone cement in spinal surgery.
  • Analysis of reported complications, focusing on cement leakage.
Keywords:
Bone cementsCement leakageImplant fixationOsteoporosisSpinal fractures

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  • Identification of risk factors and preventative strategies from published data.

    • Main Results:

    • Cement leakage is the most significant complication, though often asymptomatic.
    • Severe complications like neurological deficits and embolic events are rare but possible.
    • Numerous risk factors and effective preventive measures have been identified in the literature.

    Conclusions:

    • Bone cement augmentation remains a valuable tool in spinal surgery.
    • Strict adherence to preventive measures is essential to minimize cement leakage risks.
    • Further research may refine techniques to enhance safety and efficacy.