Influence of Bone Cement Distribution on Outcomes Following Percutaneous Vertebroplasty: a Retrospective Matched-cohort Study

Overview

Journal J Int Med Res

Publisher Sage Publications

Specialty General Medicine

Date 2021 Jul 8

PMID 34233516

Citations 8

Authors

Ling Mo

Zixian Wu

De Liang

Linqiang Y

Zhuoyan Cai

Jinjing Huang

Shunxin Lin

Jianchao Cui

Shuncong Zhang

Zhidong Yang

Zhensong Yao

Xiaobing Jiang

Affiliations

Soon will be listed here.

Abstract

Objective: To evaluate the influence of insufficient bone cement distribution on outcomes following percutaneous vertebroplasty (PVP).

Methods: This retrospective matched-cohort study included patients 50-90 years of age who had undergone PVP for single level vertebral compression fractures (VCFs) from February 2015 to December 2018. Insufficient (Group A)/sufficient (Group B) distribution of bone cement in the fracture area was assessed from pre- and post-operative computed tomography (CT) images. Assessments were before, 3-days post-procedure, and at the last follow-up visit (≥12 months).

Result: Of the 270 eligible patients, there were 54 matched pairs. On post-operative day 3 and at the last follow-up visit, significantly greater visual analogue scale (VAS) pain scores and Oswestry Disability Index (ODI) scores were obtained in Group B over Group A, while kyphotic angles (KAs) and vertebral height (VH) loss were significantly larger in Group A compared with Group B. Incidence of asymptomatic cement leakage and re-collapse of cemented vertebrae were also greater in Group A compared with Group B.

Conclusions: Insufficient cement distribution may relate to less pain relief and result in progressive vertebral collapse and kyphotic deformity post-PVP.

Citing Articles

Clinical effect analysis of unilateral percutaneous vertebral cement distribution in the repair of osteoporotic thoracolumbar vertebral compression fractures.

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Continuity and volume of bone cement and anti osteoporosis treatment were guarantee of good clinical outcomes for percutaneous vertebroplasty: a multicenter study.

Cheng Z, Ren G, Li Z, Gao X, Zhang D, Chen G BMC Musculoskelet Disord. 2025; 26(1):133.

PMID: 39920627 PMC: 11806568. DOI: 10.1186/s12891-024-08153-y.

Developing predictive models for residual back pain after percutaneous vertebral augmentation treatment for osteoporotic thoracolumbar compression fractures based on machine learning technique.

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Enhanced bone cement distribution in percutaneous vertebroplasty using a curved guide wire: a propensity score matching analysis.

Hu X, Zhang Z, Yang Y, Zhang G, Cao S, Yu B BMC Musculoskelet Disord. 2024; 25(1):835.

PMID: 39438870 PMC: 11495001. DOI: 10.1186/s12891-024-07951-8.

Cemented vertebra and adjacent vertebra refractured in a chronic kidney disease-mineral and bone disorder patient: A case report.

Zhang T, Cao S, Ren H, Li Y, Yuan Y World J Clin Cases. 2024; 12(10):1804-1809.

PMID: 38660087 PMC: 11036482. DOI: 10.12998/wjcc.v12.i10.1804.

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