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Causes of Late Revision Surgery after Bone Cement Augmentation in Osteoporotic Vertebral Compression Fractures

STUDY DESIGN: A retrospective study. PURPOSE: To elucidate the causes of late revision following bone cement augmentation for osteoporotic vertebral compression fractures (OVCFs). OVERVIEW OF LITERATURE: Percutaneous vertebroplasty (PVP) or kyphoplasty (KP) is thought to be effective for the treatme...

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Autores principales: Ha, Kee-Yong, Kim, Young-Hoon, Chang, Dong-Gunn, Son, Il-Nam, Kim, Ki-Won, Kim, Sung-Eun
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Korean Society of Spine Surgery 2013
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3863655/
https://www.ncbi.nlm.nih.gov/pubmed/24353846
http://dx.doi.org/10.4184/asj.2013.7.4.294
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author Ha, Kee-Yong
Kim, Young-Hoon
Chang, Dong-Gunn
Son, Il-Nam
Kim, Ki-Won
Kim, Sung-Eun
author_facet Ha, Kee-Yong
Kim, Young-Hoon
Chang, Dong-Gunn
Son, Il-Nam
Kim, Ki-Won
Kim, Sung-Eun
author_sort Ha, Kee-Yong
collection PubMed
description STUDY DESIGN: A retrospective study. PURPOSE: To elucidate the causes of late revision following bone cement augmentation for osteoporotic vertebral compression fractures (OVCFs). OVERVIEW OF LITERATURE: Percutaneous vertebroplasty (PVP) or kyphoplasty (KP) is thought to be effective for the treatment of OVCFs. Many complications related to PVP or KP have been reported. However, there is a paucity of reports regarding the causes of late revision surgery after failed PVP or KP. METHODS: Twenty six patients who developed unremitted back pain and/or progressive neurological deficit after a symptom-free period since treatment with PVP or KP were enrolled. All patients underwent cement removal and anterior reconstruction. Among the 26 patients, 22 patients underwent anterior interbody fusion combined with posterior instrumentation; 4 patients underwent anterior reconstruction only. The causes of revision surgery were assessed. Clinical results were assessed using a visual analogue scale (VAS) and Oswestry Disability Index (ODI). The complications were analyzed. RESULTS: The average time to revision surgery was 18.9±14.6 months (range, 3-78 months). The causes of late revision surgery included 6 late infections, 8 progressive kyphoses, 10 proximal fractures after instrumented lumbar fusions, and 2 late neurological involvement. During the mean follow-up period of 13.5±7.8 months, pre-revision mean VAS (8.5±0.9) and ODI (81.2±12.5) were improved to 4.2±1.4 and 54.8±17.6, respectively. Five patients (19%) had serious complications after revision surgery. CONCLUSIONS: This study presents complications of PVP or KP in the treatment of OVCFs although PVP or KP can be an effective treatment strategy for OVCF when applied in highly selected patients.
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spelling pubmed-38636552013-12-18 Causes of Late Revision Surgery after Bone Cement Augmentation in Osteoporotic Vertebral Compression Fractures Ha, Kee-Yong Kim, Young-Hoon Chang, Dong-Gunn Son, Il-Nam Kim, Ki-Won Kim, Sung-Eun Asian Spine J Clinical Study STUDY DESIGN: A retrospective study. PURPOSE: To elucidate the causes of late revision following bone cement augmentation for osteoporotic vertebral compression fractures (OVCFs). OVERVIEW OF LITERATURE: Percutaneous vertebroplasty (PVP) or kyphoplasty (KP) is thought to be effective for the treatment of OVCFs. Many complications related to PVP or KP have been reported. However, there is a paucity of reports regarding the causes of late revision surgery after failed PVP or KP. METHODS: Twenty six patients who developed unremitted back pain and/or progressive neurological deficit after a symptom-free period since treatment with PVP or KP were enrolled. All patients underwent cement removal and anterior reconstruction. Among the 26 patients, 22 patients underwent anterior interbody fusion combined with posterior instrumentation; 4 patients underwent anterior reconstruction only. The causes of revision surgery were assessed. Clinical results were assessed using a visual analogue scale (VAS) and Oswestry Disability Index (ODI). The complications were analyzed. RESULTS: The average time to revision surgery was 18.9±14.6 months (range, 3-78 months). The causes of late revision surgery included 6 late infections, 8 progressive kyphoses, 10 proximal fractures after instrumented lumbar fusions, and 2 late neurological involvement. During the mean follow-up period of 13.5±7.8 months, pre-revision mean VAS (8.5±0.9) and ODI (81.2±12.5) were improved to 4.2±1.4 and 54.8±17.6, respectively. Five patients (19%) had serious complications after revision surgery. CONCLUSIONS: This study presents complications of PVP or KP in the treatment of OVCFs although PVP or KP can be an effective treatment strategy for OVCF when applied in highly selected patients. Korean Society of Spine Surgery 2013-12 2013-11-28 /pmc/articles/PMC3863655/ /pubmed/24353846 http://dx.doi.org/10.4184/asj.2013.7.4.294 Text en Copyright © 2013 by Korean Society of Spine Surgery http://creativecommons.org/licenses/by-nc/3.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Clinical Study
Ha, Kee-Yong
Kim, Young-Hoon
Chang, Dong-Gunn
Son, Il-Nam
Kim, Ki-Won
Kim, Sung-Eun
Causes of Late Revision Surgery after Bone Cement Augmentation in Osteoporotic Vertebral Compression Fractures
title Causes of Late Revision Surgery after Bone Cement Augmentation in Osteoporotic Vertebral Compression Fractures
title_full Causes of Late Revision Surgery after Bone Cement Augmentation in Osteoporotic Vertebral Compression Fractures
title_fullStr Causes of Late Revision Surgery after Bone Cement Augmentation in Osteoporotic Vertebral Compression Fractures
title_full_unstemmed Causes of Late Revision Surgery after Bone Cement Augmentation in Osteoporotic Vertebral Compression Fractures
title_short Causes of Late Revision Surgery after Bone Cement Augmentation in Osteoporotic Vertebral Compression Fractures
title_sort causes of late revision surgery after bone cement augmentation in osteoporotic vertebral compression fractures
topic Clinical Study
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3863655/
https://www.ncbi.nlm.nih.gov/pubmed/24353846
http://dx.doi.org/10.4184/asj.2013.7.4.294
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