Threat Components for the Prevalence of Inadequate Cement Distribution within the Fractured Space after Percutaneous Vertebroplasty in Osteoporotic Vertebral Compression Fractures.
Ache Doctor. 2018 Jan;21(1):E33-E42
Authors: Ye LQ, Liang, Jiang XB, Yao ZS, Lu H, Qiu T, Yu WB, Mo L, Zhang SC, Jin DX
BACKGROUND: Inadequate cement distribution (ICD) within the fractured space has been advocated to be answerable for unhappy ache reduction after percutaneous vertebroplasty (PVP) for osteoporotic vertebral compression fractures (OVCFs). Nevertheless, little is thought about threat elements for the prevalence of ICD.
OBJECTIVE: The current examine aimed to determine impartial threat elements of the emergence of ICD.
STUDY DESIGN: A retrospective cohort examine.
SETTING: Division of spinal surgical procedure, an affiliated hospital of a medical college.
METHODS: Sufferers who underwent PVP for single-level OVCF from January 2012 to September 2014 and met this examine’s inclusion standards had been retrospectively reviewed. Associations of ICD with co-variates (age, gender, bone mass density with a T-score, quantity of injected cement, cement leakage, fracture stage, fracture age, fracture severity grade, and placement of the fractured space) and the affect of ICD on ache reduction had been analyzed.
RESULTS: A complete of 225 sufferers had been included. ICD was present in 26 (11.6%) sufferers. Fractured space positioned within the superior portion of the index vertebra was considerably related to prevalence of ICD. No additional vital associations between the studied co-variates and emergence of ICD had been seen within the adjusted evaluation. As well as, sufferers with ICD had considerably increased quick postoperative visible analog scale scores of again ache in contrast with these with adequate cement distribution within the fractured space.
LIMITATION: Location of the fractured space and cement distribution within the fractured space couldn’t be evaluated quantitatively.
CONCLUSIONS: The incidence of ICD is increased in sufferers with the fractured space positioned within the superior portion of the index vertebra and ICD is likely to be answerable for unhappy ache reduction after PVP for OVCFs.
KEY WORDS: Percutaneous vertebroplasty, inadequate cement distribution, fractured space, threat issue, osteoporosis, vertebral compression fracture, backbone, unhappy ache reduction, cement augmentation.
PMID: 29357338 [PubMed – in process]