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Analysis of Risk Factors for New Vertebral Fracture After Percutaneous Vertebroplasty

STUDY DESIGN: Retrospective analysis. Level of evidence III. OBJECTIVES: Low-energy vertebral compression fractures are an increasing socioeconomic problem among elderly patients. Percutaneous vertebroplasty has been extensively used for the treatment of painful fractures because of its effectivenes...

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Autores principales: Borensztein, Matias, Camino Willhuber, Gaston O., Posadas Martinez, Maria Lourdes, Gruenberg, Marcelo, Sola, Carlos A., Velan, Osvaldo
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6149051/
https://www.ncbi.nlm.nih.gov/pubmed/30258749
http://dx.doi.org/10.1177/2192568217732988
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author Borensztein, Matias
Camino Willhuber, Gaston O.
Posadas Martinez, Maria Lourdes
Gruenberg, Marcelo
Sola, Carlos A.
Velan, Osvaldo
author_facet Borensztein, Matias
Camino Willhuber, Gaston O.
Posadas Martinez, Maria Lourdes
Gruenberg, Marcelo
Sola, Carlos A.
Velan, Osvaldo
author_sort Borensztein, Matias
collection PubMed
description STUDY DESIGN: Retrospective analysis. Level of evidence III. OBJECTIVES: Low-energy vertebral compression fractures are an increasing socioeconomic problem among elderly patients. Percutaneous vertebroplasty has been extensively used for the treatment of painful fractures because of its effectiveness. However, some complications have been described; among them, new vertebral compression fractures, whether adjacent or not to the treated vertebra, are commonly reported complications (8% to 52%). METHODS: We retrospectively analyzed epidemiological and technical variables presumably associated with new vertebral compression fractures. To determine the relationship between new vertebral compression fracture and percutaneous vertebroplasty, 30 patients (study group) with this complication were compared with 60 patients treated with percutaneous vertebroplasty without this condition (control group). RESULTS: A higher cement percentage was found in the study group (40.3%) compared with the control group (30.5%). Initial vertebral kyphosis was significantly higher in the first group (15°) compared with the control group (9°). Epidemiological factors were similar in both groups. CONCLUSIONS: In our study, increased cement percentage injected and a higher kyphosis were associated with new vertebral compression fractures.
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spelling pubmed-61490512018-09-26 Analysis of Risk Factors for New Vertebral Fracture After Percutaneous Vertebroplasty Borensztein, Matias Camino Willhuber, Gaston O. Posadas Martinez, Maria Lourdes Gruenberg, Marcelo Sola, Carlos A. Velan, Osvaldo Global Spine J Original Articles STUDY DESIGN: Retrospective analysis. Level of evidence III. OBJECTIVES: Low-energy vertebral compression fractures are an increasing socioeconomic problem among elderly patients. Percutaneous vertebroplasty has been extensively used for the treatment of painful fractures because of its effectiveness. However, some complications have been described; among them, new vertebral compression fractures, whether adjacent or not to the treated vertebra, are commonly reported complications (8% to 52%). METHODS: We retrospectively analyzed epidemiological and technical variables presumably associated with new vertebral compression fractures. To determine the relationship between new vertebral compression fracture and percutaneous vertebroplasty, 30 patients (study group) with this complication were compared with 60 patients treated with percutaneous vertebroplasty without this condition (control group). RESULTS: A higher cement percentage was found in the study group (40.3%) compared with the control group (30.5%). Initial vertebral kyphosis was significantly higher in the first group (15°) compared with the control group (9°). Epidemiological factors were similar in both groups. CONCLUSIONS: In our study, increased cement percentage injected and a higher kyphosis were associated with new vertebral compression fractures. SAGE Publications 2017-10-05 2018-08 /pmc/articles/PMC6149051/ /pubmed/30258749 http://dx.doi.org/10.1177/2192568217732988 Text en © The Author(s) 2017 http://creativecommons.org/licenses/by-nc-nd/4.0/ This article is distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs 4.0 License (http://www.creativecommons.org/licenses/by-nc-nd/4.0/) which permits non-commercial use, reproduction and distribution of the work as published without adaptation or alteration, without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage).
spellingShingle Original Articles
Borensztein, Matias
Camino Willhuber, Gaston O.
Posadas Martinez, Maria Lourdes
Gruenberg, Marcelo
Sola, Carlos A.
Velan, Osvaldo
Analysis of Risk Factors for New Vertebral Fracture After Percutaneous Vertebroplasty
title Analysis of Risk Factors for New Vertebral Fracture After Percutaneous Vertebroplasty
title_full Analysis of Risk Factors for New Vertebral Fracture After Percutaneous Vertebroplasty
title_fullStr Analysis of Risk Factors for New Vertebral Fracture After Percutaneous Vertebroplasty
title_full_unstemmed Analysis of Risk Factors for New Vertebral Fracture After Percutaneous Vertebroplasty
title_short Analysis of Risk Factors for New Vertebral Fracture After Percutaneous Vertebroplasty
title_sort analysis of risk factors for new vertebral fracture after percutaneous vertebroplasty
topic Original Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6149051/
https://www.ncbi.nlm.nih.gov/pubmed/30258749
http://dx.doi.org/10.1177/2192568217732988
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