Recompression of Augmented Vertebrae After Balloon Kyphoplasty Is a Risk of Adjacent Vertebral Fracture

Overview

Journal Spine Surg Relat Res

Date 2023 Feb 23

PMID 36819632

Authors

Yohei Yamada

Yasumitsu Toribatake

Shumpei Okamoto

Satoshi Kato

Motoya Kobayashi

Hiroyuki Tsuchiya

Affiliations

Soon will be listed here.

Abstract

Introduction: This study aimed to identify factors associated with adjacent vertebral fracture (AVF) incidence after balloon kyphoplasty (BKP).

Methods: To perform the analyses, 133 vertebrae of 128 patients who underwent BKP for osteoporotic vertebral compression fracture were retrospectively investigated. According to the presence of AVF throughout a 1-year period following BKP, patients were divided into AVF (n = 22) and non-AVF (n = 111) groups. The groups were compared with respect to pre- and postoperative parameters, including the incidence of recompression of augmented vertebrae (RAV). RAV was defined as a decrease in anterior vertebral body height of at least 5 mm within the 3 months that followed BKP. To identify factors associated with AVF incidence, univariate and multivariate analyses were performed.

Results: The univariate analysis revealed that the AVF group had a lower cement augmentation ratio, greater preoperative wedge angle, lower preoperative vertebral body height, lower postoperative vertebral body height 3 months post-BKP, and a greater change in vertebral body height and rate of RAV than the non-AVF group. Multivariate analysis revealed that low preoperative vertebral body height and RAV occurrence were associated with AVF incidence.

Conclusions: To the best of our knowledge, this study is the first to indicate that RAV is a risk factor for AVF. Study findings indicate that the incidence of AVF can be decreased if RAV development is avoided.

Citing Articles

The Risk of Adjacent Vertebral Fracture Following Balloon Kyphoplasty in Patients With Previous Adjacent Vertebral Fracture.

Matsumoto K, Hoshino M, Sawada H, Saito S, Furuya T, Miyanaga Y Cureus. 2024; 16(10):e72627.

PMID: 39610576 PMC: 11604024. DOI: 10.7759/cureus.72627.

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