Cement Leakage into Adjacent Vertebral Body Following Percutaneous Vertebroplasty

Park, Jae Hoo; Kim, Hyeun Sung; Kim, Seok Won

doi:10.14245/kjs.2016.13.2.74

Cited by 3 publications

(3 citation statements)

References 6 publications

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“…The greater the amount of bone cement injection, the higher the risk of bone cement leakage. 16 In a previous study, 17 the highest rate of bone cement leakage occurred in the unilateral PVP group because the internal inclination angle of puncture was enlarged, the bone cement injection volume was increased and the pressure on the diseased vertebrae was elevated, leading to bone cement leakage. In terms of bilateral PVP, the injection pressure was less and the injection volume was smaller, thereby the cement leakage rate was lower.…”

Section: Discussionmentioning

confidence: 93%

Percutaneous curved vertebroplasty in the treatment of thoracolumbar osteoporotic vertebral compression fractures

Yong-hong

Liu

2019

J Int Med Res

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Objective To evaluate the clinical efficacy of percutaneous curved vertebroplasty (PCVP) in treating thoracic and lumbar osteoporotic vertebral compression fractures (OVCFs). Methods Patients with thoracolumbar OVCFs were recruited and randomly divided into three treatment groups: PCVP, unilateral percutaneous vertebroplasty (PVP) or bilateral PVP. Bone cement dispersion in the fractured vertebrae was observed. Surgery duration, X-ray frequency, bone cement injection volume, bone cement leakage rate and visual analogue scale (VAS) scores were recorded. Results Among 78 patients included, surgery duration and X-ray frequency were significantly lower in the PCVP and unilateral PVP groups versus bilateral PVP group. Bone cement injection volume was significantly higher in the bilateral PVP group (6.3 ± 1.4 ml) versus unilateral PVP (3.5 ± 1.1 ml) and PCVP groups (4.6 ± 1.2 ml). VAS scores at 24 h and 3 months post-surgery were significantly decreased versus baseline in all groups. The bone cement leakage rate was lowest in the PCVP group (8.8% [3/34 patients]). Conclusion PCVP is associated with reduced trauma, less complicated surgery with shorter duration, fewer X-rays, lower complication rate, and quicker postoperative recovery versus unilateral and bilateral PVP.

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Section: Discussionmentioning

confidence: 93%

Percutaneous curved vertebroplasty in the treatment of thoracolumbar osteoporotic vertebral compression fractures

Yong-hong

Liu

2019

J Int Med Res

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“…Regarding complications, PCVP had a lower incidence of cement leakage. Cement leakage could be a serious complication, 20 correlated with the amount of bone cement injection, the pressure of bone cement perfusion, and rupture of perivertebral cortex 51–53 . In the conventional unilateral approach, the needle needs to be excessively introverted to inject cement into the contralateral side of the vertebral body, which may lead to impairment of the pedicle inner cortical bone and paravertebral nerve injury 54 .…”

Section: Discussionmentioning

confidence: 99%

“…Cement leakage could be a serious complication, 20 correlated with the amount of bone cement injection, the pressure of bone cement perfusion, and rupture of perivertebral cortex. 51 , 52 , 53 In the conventional unilateral approach, the needle needs to be excessively introverted to inject cement into the contralateral side of the vertebral body, which may lead to impairment of the pedicle inner cortical bone and paravertebral nerve injury. 54 Additionally, unilateral puncture is demanding at the thoracic level, while bilateral approaches may contribute to cement distribution and reduce the rate of epidural cement leakage.…”

Section: Discussionmentioning

confidence: 99%

Therapeutic Efficacy and Safety of Percutaneous Curved Vertebroplasty in Osteoporotic Vertebral Compression Fractures: A Systematic Review and Meta‐Analysis

Sun

Zhang

Sun

et al. 2023

Orthopaedic Surgery

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This systematic review and meta‐analysis is aimed to provide higher quality evidence regarding the efficacy and safety between PCVP and PVP/KP in OVCFs. We searched the Cochrane Library, PubMed, Web of Science, and Embase databases for all randomized controlled trials (RCTs) and observational studies (cohort or case–control studies) that compare PCVP to PVP/KP for OVCFs. The Cochrane Collaboration's Risk of Bias Tool and Newcastle–Ottawa Scale (NOS) were used to evaluate the quality of the RCTs and non‐RCTs, respectively. Meta‐analysis was performed using RevMan 5.4 software. A total of seven articles consisting of 562 patients with 593 diseased vertebral bodies were included. Statistically significant differences were found in the postoperative visual analog scale (VAS) at 1 day (MD = −0.11; 95% CI: [−0.21 to −0.01], p = 0.03), but not at 3 months (MD = −0.21; 95% CI: [−0.41–0.00], p = 0.05) or 6 months (MD = 0.03; 95% CI: [−0.13–0.20], p = 0.70). There was no statistically significant difference in postoperative Oswestry disability index (ODI) at 1 day (MD = −0.28; 95% CI: [−0.62–0.05], p = 0.10), 3 months (MD = −1.52; 95% CI: [−3.11–0.07], p = 0.06), or 6 months (MD = 0.18; 95% CI: [−0.13–0.48], p = 0.25). Additionally, there were no statistically significant differences in Cobb angle (MD = 0.30; 95% CI: [−1.69–2.30], p = 0.77) or anterior vertebral body height (SMD = −0.01; 95% CI: [−0.26–0.23], p = 0.92) after surgery. Statistically significant differences were found in surgical time (MD = −8.60; 95% CI: [−13.75 to −3.45], p = 0.001), cement infusion volume (MD = −0.82; 95% CI: [−1.50 to −0.14], P = 0.02), and dose of fluoroscopy (SMD = −1.22; 95% CI: [−1.84 to −0.60], p = 0.0001) between curved and noncurved techniques, especially compared to bilateral PVP. Moreover, cement leakage showed statistically significant difference (OR = 0.40; 95% CI: [0.27–0.60], p < 0.0001). Compared with PVP/KP, PCVP is superior for pain relief at short‐term follow‐up. Additionally, PCVP has the advantages of significantly lower surgical time, radiation exposure, bone cement infusion volume, and cement leakage incidence compared to bilateral PVP, while no statistically significant difference is found when compared with unilateral PVP or PKP. In terms of quality of life and radiologic outcomes, the effects of PCVP and PVP/KP are not significantly different. Overall, this meta‐analysis reveals that PCVP was an effective and safe therapy for patients with OVCFs.

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Adjacent Intravertebral Cement Leakage During Percutaneous Vertebroplasty for Osteoporotic Vertebral Compression Fractures

2020

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Cement Leakage into Adjacent Vertebral Body Following Percutaneous Vertebroplasty

Cited by 3 publications

References 6 publications

Percutaneous curved vertebroplasty in the treatment of thoracolumbar osteoporotic vertebral compression fractures

Percutaneous curved vertebroplasty in the treatment of thoracolumbar osteoporotic vertebral compression fractures

Therapeutic Efficacy and Safety of Percutaneous Curved Vertebroplasty in Osteoporotic Vertebral Compression Fractures: A Systematic Review and Meta‐Analysis

Adjacent Intravertebral Cement Leakage During Percutaneous Vertebroplasty for Osteoporotic Vertebral Compression Fractures

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