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Risk Of Revision After Vertebral Augmentation For Osteoporotic Vertebral Fracture: A Narrative Review – Balloon Kyphoplasty

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This article focuses on the risks and complications associated with vertebral augmentation procedures, such as vertebroplasty and balloon kyphoplasty, for elderly patients with osteoporotic vertebral fractures (OVFs). While these procedures are commonly used, there have been instances of complications such as adjacent vertebral fractures, cement dislocation, and insufficient pain relief, which may require revision surgery. The article discusses the pooled incidence of revision surgery and highlights factors that increase the risk of revision, including female sex, advanced age, diabetes mellitus, cerebrovascular disease, and certain fracture characteristics. The article emphasizes the need for more substantial evidence to guide treatment strategies for OVFs and suggests considering other surgical and conservative treatment options in cases with a high risk of failure

Summarised by Mr Mo Akmal – Lead Spinal Surgeon
The London Spine Unit : the highest rated spine clinic in London

Published article

Osteoporotic vertebral fractures (OVFs) can hinder physical motor function, daily activities, and the quality of life in elderly patients when treated conservatively. Vertebral augmentation, which includes vertebroplasty and balloon kyphoplasty, is a commonly used procedure for OVFs. However, there have been reports of complications. Although serious complications are rare, there have been instances of adjacent vertebral fractures, cement dislocation, and insufficient pain relief due to cement…

Balloon Kyphoplasty Surgery Expert. Best Spinal Surgeon UK
Abstract Osteoporotic vertebral fractures (OVFs) can hinder physical motor function, daily activities, and the quality of life in elderly patients when treated conservatively. Vertebral augmentation, which includes vertebroplasty and balloon kyphoplasty, is a commonly used procedure for OVFs. However, there have been reports of complications. Although serious complications are rare, there have been instances of,

Abstract

Osteoporotic vertebral fractures (OVFs) can hinder physical motor function, daily activities, and the quality of life in elderly patients when treated conservatively. Vertebral augmentation, which includes vertebroplasty and balloon kyphoplasty, is a commonly used procedure for OVFs. However, there have been reports of complications. Although serious complications are rare, there have been instances of adjacent vertebral fractures, cement dislocation, and insufficient pain relief due to cement failure, sometimes necessitating revision surgery. This narrative review discusses the common risks associated with vertebral augmentation for OVFs, such as cement leakage and adjacent vertebral fractures, and highlights the risk of revision surgery. The pooled incidence of revision surgery was 0.04 (0.02-0.06). The risks for revision are reported as follows: female sex, advanced age, diabetes mellitus, cerebrovascular disease, dementia, blindness or low vision, hypertension, hyperlipidemia, split type fracture, large angular motion, and large endplate deficit. Various treatment strategies exist for OVFs, but they remain a subject of controversy. Current literature underscores the lack of substantial evidence to guide treatment strategies based on the risks of vertebral augmentation. In cases with a high risk of failure, other surgeries and conservative treatments should also be considered as treatment options.

Keywords: Complication; Osteoporotic vertebral fracture; Revision; Vertebral augmentation.

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Risk of Revision After Vertebral Augmentation for Osteoporotic Vertebral Fracture: A Narrative Review

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Abstract Osteoporotic vertebral fractures (OVFs) can hinder physical motor function, daily activities, and the quality of life in elderly patients when treated conservatively. Vertebral augmentation, which includes vertebroplasty and balloon kyphoplasty, is a commonly used procedure for OVFs. However, there have been reports of complications. Although serious complications are rare, there have been instances of

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