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Risk factors of postoperative bone cement leakage on osteoporotic vertebral compression fracture: a retrospective study
PURPOSE: To investigate risk factors of bone cement leakage in percutaneous vertebroplasty(PVP)for osteoporotic vertebral compression fracture (OVCF). METHODS: A total of 236 patients (344 vertebrae) who underwent PVP between November 2016 and June 2020 were enrolled in the study. Clinical and radio...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7945340/ https://www.ncbi.nlm.nih.gov/pubmed/33691731 http://dx.doi.org/10.1186/s13018-021-02337-1 |
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author | Zhang, Kui She, Jiang Zhu, Yandong Wang, Wenji Li, Erliang Ma, Ding |
author_facet | Zhang, Kui She, Jiang Zhu, Yandong Wang, Wenji Li, Erliang Ma, Ding |
author_sort | Zhang, Kui |
collection | PubMed |
description | PURPOSE: To investigate risk factors of bone cement leakage in percutaneous vertebroplasty(PVP)for osteoporotic vertebral compression fracture (OVCF). METHODS: A total of 236 patients (344 vertebrae) who underwent PVP between November 2016 and June 2020 were enrolled in the study. Clinical and radiological characteristics, including age, gender, course of disease, trauma, type of vertebral fracture, cortical continuity of vertebral body, intervertebral vacuum cleft (IVC), fracture severity, fracture level, basivertebral foramen, bone cement dispersion types, the cement injection volume, the type of cement leakage, puncture approach, and intrusion of the posterior wall, were considered as potential risk factors. Three types of leakage (type-B, type-C, and type-S) were defined and risk factors for each type were analyzed. Logistic analysis was used to study the relationship between each factor and the type of cement leakage. RESULTS: The incidences of the three types of leakage were 28.5%, 24.4%, and 34.3%. The multinomial logistic analysis revealed that the factors of type-B leakage were the shape of cement and basivertebral foramen. One significant factor related to type-C leakage was cortical disruption, and the factors of type-S leakage were bone cement dispersion types, basivertebral foramen, cleft, fracture severity, an intrusion of the posterior wall, and gender. CONCLUSION: Different types of cement leakage have their own risk factors, and the analysis of risk factors of these might be helpful in reducing the rate of cement leakage. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s13018-021-02337-1. |
format | Online Article Text |
id | pubmed-7945340 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-79453402021-03-10 Risk factors of postoperative bone cement leakage on osteoporotic vertebral compression fracture: a retrospective study Zhang, Kui She, Jiang Zhu, Yandong Wang, Wenji Li, Erliang Ma, Ding J Orthop Surg Res Research Article PURPOSE: To investigate risk factors of bone cement leakage in percutaneous vertebroplasty(PVP)for osteoporotic vertebral compression fracture (OVCF). METHODS: A total of 236 patients (344 vertebrae) who underwent PVP between November 2016 and June 2020 were enrolled in the study. Clinical and radiological characteristics, including age, gender, course of disease, trauma, type of vertebral fracture, cortical continuity of vertebral body, intervertebral vacuum cleft (IVC), fracture severity, fracture level, basivertebral foramen, bone cement dispersion types, the cement injection volume, the type of cement leakage, puncture approach, and intrusion of the posterior wall, were considered as potential risk factors. Three types of leakage (type-B, type-C, and type-S) were defined and risk factors for each type were analyzed. Logistic analysis was used to study the relationship between each factor and the type of cement leakage. RESULTS: The incidences of the three types of leakage were 28.5%, 24.4%, and 34.3%. The multinomial logistic analysis revealed that the factors of type-B leakage were the shape of cement and basivertebral foramen. One significant factor related to type-C leakage was cortical disruption, and the factors of type-S leakage were bone cement dispersion types, basivertebral foramen, cleft, fracture severity, an intrusion of the posterior wall, and gender. CONCLUSION: Different types of cement leakage have their own risk factors, and the analysis of risk factors of these might be helpful in reducing the rate of cement leakage. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s13018-021-02337-1. BioMed Central 2021-03-10 /pmc/articles/PMC7945340/ /pubmed/33691731 http://dx.doi.org/10.1186/s13018-021-02337-1 Text en © The Author(s) 2021 Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
spellingShingle | Research Article Zhang, Kui She, Jiang Zhu, Yandong Wang, Wenji Li, Erliang Ma, Ding Risk factors of postoperative bone cement leakage on osteoporotic vertebral compression fracture: a retrospective study |
title | Risk factors of postoperative bone cement leakage on osteoporotic vertebral compression fracture: a retrospective study |
title_full | Risk factors of postoperative bone cement leakage on osteoporotic vertebral compression fracture: a retrospective study |
title_fullStr | Risk factors of postoperative bone cement leakage on osteoporotic vertebral compression fracture: a retrospective study |
title_full_unstemmed | Risk factors of postoperative bone cement leakage on osteoporotic vertebral compression fracture: a retrospective study |
title_short | Risk factors of postoperative bone cement leakage on osteoporotic vertebral compression fracture: a retrospective study |
title_sort | risk factors of postoperative bone cement leakage on osteoporotic vertebral compression fracture: a retrospective study |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7945340/ https://www.ncbi.nlm.nih.gov/pubmed/33691731 http://dx.doi.org/10.1186/s13018-021-02337-1 |
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