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Evaluation of Adjoining Fractures after Two-Stage Percutaneous Vertebroplasty: Is the Intervening Vertebral Physique Susceptible to Re-fracture?
Asian Backbone J. 2018 Jun;12(three):524-532
Authors: Han S, Jang IT
Summary
STUDY DESIGN: Retrospective examine.
PURPOSE: This retrospective examine aimed to find out the incidence of adjoining stage new fractures in a sandwich constellation (one or two untreated vertebrae between two cemented vertebrae) in contrast with that in different constellations fashioned by two-level percutaneous vertebroplasty (PVP). It additionally aimed to analyze the potential elements contributing to adjoining new fractures in a sandwich constellation.
OVERVIEW OF LITERATURE: There are few research relating to the intervening intact vertebral physique between two cemented vertebrae. Medical information from earlier research investigation this sandwich scenario, too, have been obscure.
METHODS: Medical information have been obtained from 132 sufferers who had two cemented vertebral our bodies, no matter whether or not they had undergone one or two PVP periods between January 2013 and June 2016 at a single establishment. Instances with one or two intact vertebral ranges between the 2 cemented vertebrae have been categorized into group 1 (n=47), and instances with two consecutive cemented our bodies or greater than three ranges of intervening configurations have been categorized into group 2 (n=85). Demographic information and radiological parameters for brand new fractures after PVP have been in contrast between the 2 teams, and the charges of subsequent adjoining fractures have been investigated.
RESULTS: The incidence of single-level sandwich constellations was fairly unusual (7.7%). The general incidences of adjoining fracture have been 29.eight% (14/47) in group 1 and 14.1% (12/85) in group 2. This distinction was statistically important (p =zero.03). Roughly 80% (11/14) of the adjoining new fractures in group 1 developed at an intervening stage. The affected person demographics and radiological parameters for subsequent fractures after PVP didn’t statistically correlate with the chance of adjoining new fractures in group 1.
CONCLUSIONS: As a result of they have been subjected to double-load shifts, sandwich constellations have been susceptible to re-fractures after PVP. These vertebral configurations required extra aggressive administration for osteoporosis.
PMID: 29879781 [PubMed]