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Refracture of the cemented vertebrae after percutaneous vertebroplasty: risk factors and imaging findings
BACKGROUND: To determine the related imaging findings and risk factors to refracture of the cemented vertebrae after percutaneous vertebroplasty (PVP) treatment. METHODS: Patients who were treated with PVP for single vertebral compression fractures (VCFs) and met this study’s inclusion criteria were...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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BioMed Central
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8136062/ https://www.ncbi.nlm.nih.gov/pubmed/34011339 http://dx.doi.org/10.1186/s12891-021-04355-w |
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author | Xiong, Yu-chao Guo, Wei Xu, Fan Zhang, Ci-ci Liang, Zhi-ping Wu, Li Chen, Song Zeng, Xu-wen |
author_facet | Xiong, Yu-chao Guo, Wei Xu, Fan Zhang, Ci-ci Liang, Zhi-ping Wu, Li Chen, Song Zeng, Xu-wen |
author_sort | Xiong, Yu-chao |
collection | PubMed |
description | BACKGROUND: To determine the related imaging findings and risk factors to refracture of the cemented vertebrae after percutaneous vertebroplasty (PVP) treatment. METHODS: Patients who were treated with PVP for single vertebral compression fractures (VCFs) and met this study’s inclusion criteria were retrospectively reviewed from January 2012 to January 2019. The follow-up period was at least 2 years. Forty-eight patients with refracture of the cemented vertebrae and 45 non-refractured patients were included. The following variates were reviewed: age, sex, fracture location, bone mineral density (BMD), intravertebral cleft (IVC), kyphotic angle (KA), wedge angle, endplate cortical disruption, cement volume, surgical approach, non-PMMA-endplate-contact (NPEC), cement leakage, other vertebral fractures, reduction rate (RR), and reduction angle (RA). Multiple logistic regression modeling was used to identify the independent risk factors of refracture. RESULTS: Refracture was found in 48 (51.6%) patients. Four risk factors, including IVC (P = 0.005), endplate cortical disruption (P = 0.037), larger RR (P = 0.007), and NPEC (P = 0.006) were found to be significant independent risk factors for refracture. CONCLUSIONS: Patients with IVC or larger RR, NPEC, or endplate cortical disruption have a high risk of refracture in the cemented vertebrae after PVP. |
format | Online Article Text |
id | pubmed-8136062 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-81360622021-05-21 Refracture of the cemented vertebrae after percutaneous vertebroplasty: risk factors and imaging findings Xiong, Yu-chao Guo, Wei Xu, Fan Zhang, Ci-ci Liang, Zhi-ping Wu, Li Chen, Song Zeng, Xu-wen BMC Musculoskelet Disord Research Article BACKGROUND: To determine the related imaging findings and risk factors to refracture of the cemented vertebrae after percutaneous vertebroplasty (PVP) treatment. METHODS: Patients who were treated with PVP for single vertebral compression fractures (VCFs) and met this study’s inclusion criteria were retrospectively reviewed from January 2012 to January 2019. The follow-up period was at least 2 years. Forty-eight patients with refracture of the cemented vertebrae and 45 non-refractured patients were included. The following variates were reviewed: age, sex, fracture location, bone mineral density (BMD), intravertebral cleft (IVC), kyphotic angle (KA), wedge angle, endplate cortical disruption, cement volume, surgical approach, non-PMMA-endplate-contact (NPEC), cement leakage, other vertebral fractures, reduction rate (RR), and reduction angle (RA). Multiple logistic regression modeling was used to identify the independent risk factors of refracture. RESULTS: Refracture was found in 48 (51.6%) patients. Four risk factors, including IVC (P = 0.005), endplate cortical disruption (P = 0.037), larger RR (P = 0.007), and NPEC (P = 0.006) were found to be significant independent risk factors for refracture. CONCLUSIONS: Patients with IVC or larger RR, NPEC, or endplate cortical disruption have a high risk of refracture in the cemented vertebrae after PVP. BioMed Central 2021-05-19 /pmc/articles/PMC8136062/ /pubmed/34011339 http://dx.doi.org/10.1186/s12891-021-04355-w Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/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/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://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 Xiong, Yu-chao Guo, Wei Xu, Fan Zhang, Ci-ci Liang, Zhi-ping Wu, Li Chen, Song Zeng, Xu-wen Refracture of the cemented vertebrae after percutaneous vertebroplasty: risk factors and imaging findings |
title | Refracture of the cemented vertebrae after percutaneous vertebroplasty: risk factors and imaging findings |
title_full | Refracture of the cemented vertebrae after percutaneous vertebroplasty: risk factors and imaging findings |
title_fullStr | Refracture of the cemented vertebrae after percutaneous vertebroplasty: risk factors and imaging findings |
title_full_unstemmed | Refracture of the cemented vertebrae after percutaneous vertebroplasty: risk factors and imaging findings |
title_short | Refracture of the cemented vertebrae after percutaneous vertebroplasty: risk factors and imaging findings |
title_sort | refracture of the cemented vertebrae after percutaneous vertebroplasty: risk factors and imaging findings |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8136062/ https://www.ncbi.nlm.nih.gov/pubmed/34011339 http://dx.doi.org/10.1186/s12891-021-04355-w |
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