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Risk Factors For Bone Cement Dislodgement Following Balloon Kyphoplasty For Osteoporotic Vertebral Compression Fracture – Balloon Kyphoplasty

Balloon Kyphoplasty

The article discusses a retrospective study that aimed to determine the incidence and risk factors associated with bone cement dislodgement in patients with osteoporotic vertebral compression fractures following balloon kyphoplasty treatment. The study included 203 patients who underwent kyphoplasty in 255 vertebral bodies between 2017 and 2021. The results showed that factors such as split-type fracture, DISH, pedicle fracture, endplate deficit, posterior wall injury, and intervertebral vacuum cleft significantly differed between the bone cement dislodgement and non-dislodgement groups. Posterior wall injury and intervertebral vacuum cleft were identified as independent risk factors for cement dislodgement. The study highlights the importance of using preoperative radiologic parameters to predict the risk of bone cement dislodgement in patients undergoing balloon kyphoplasty

Summarised by Mr Mo Akmal – Lead Spinal Surgeon
The London Spine Unit : best recognised day surgery hospital in UK

Published article

The incidence of bone cement dislodgement in our study was 6.3%. This study underscores the importance of using preoperative radiologic parameters to predict the risk of bone cement dislodgement following balloon kyphoplasty.

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Abstract Objective: The study aimed to determine the incidence and risk factors associated with bone cement dislodgement in patients with osteoporotic vertebral compression fracture following balloon kyphoplasty treatment. Methods: A retrospective study was conducted on 203 patients who underwent kyphoplasty in 255 vertebral bodies between January 2017 and December 2021. The patients were categorized into,

Abstract

Objective: The study aimed to determine the incidence and risk factors associated with bone cement dislodgement in patients with osteoporotic vertebral compression fracture following balloon kyphoplasty treatment.

Methods: A retrospective study was conducted on 203 patients who underwent kyphoplasty in 255 vertebral bodies between January 2017 and December 2021. The patients were categorized into two groups: the bone cement dislodgment group (n = 16) and the non-bone cement dislodgement group (n = 239). Various patient characteristics and radiologic parameters were evaluated. Statistical analysis involved the assessment of the background homogeneity of the group by using independent sample t tests, chi-square tests, and Fisher’s exact. Univariate and multivariate logistic regression analyses were performed to explore the impact of background variables on cement dislodgement.

Results: The results revealed that split-type fracture (χ2 = 31.706, p < 0.001), DISH (χ2 = 18.827, p = 0.011), pedicle fracture (χ2 = 22.246, p < 0.001), endplate deficit (χ2 = 14.023, p < 0.001), posterior wall injury (χ2 = 29.124, p < 0.001), and intervertebral vacuum cleft (χ2 = 21.469, p < 0.001) were the factors that significantly differed between the two groups. The multivariate logistic regression analysis revealed posterior wall injury (OR = 12.983, p = 0.025) and intervertebral vacuum cleft (OR = 5.062, p = 0.024) to be independent risk factors.

The incidence of bone cement dislodgement in our study was 6.3%. This study underscores the importance of using preoperative radiologic parameters to predict the risk of bone cement dislodgement following balloon kyphoplasty.

Keywords: Balloon kyphoplasty; Bone cement dislodgment; Osteoporotic vertebral compression fracture.

The London Spine Unit : best recognised day surgery hospital in UK

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Risk factors for bone cement dislodgement following balloon kyphoplasty for osteoporotic vertebral compression fracture

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Abstract Objective: The study aimed to determine the incidence and risk factors associated with bone cement dislodgement in patients with osteoporotic vertebral compression fracture following balloon kyphoplasty treatment. Methods: A retrospective study was conducted on 203 patients who underwent kyphoplasty in 255 vertebral bodies between January 2017 and December 2021. The patients were categorized into

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