Vertebral internal reinforcement operation for the treatment of osteoporotic vertebral compressive fractures com-bined with bone cement leakage
10.3969/j.issn.1003-0034.2014.06.015
- VernacularTitle:椎体内部强化术治疗骨质疏松性椎体压缩骨折并发骨水泥渗漏的临床观察
- Author:
Gang DONG
1
;
Jun YUE
;
Hui ZHOU
;
Dong XIANG
Author Information
1. 杭州市中医院骨伤科
- Keywords:
Osteoporosis;
Fractures,compression;
Postoperative complications
- From:
China Journal of Orthopaedics and Traumatology
2014;(6):504-507
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore incidence rate,influencing factors,leakage routes,and preventative measures of bone cement leakages in vertebral internal reinforcement operation including percutaneous vertebroplasty and percutaneous kypho-plasty. Methods:From January 2010 to January 2012,94 patients with osteoporotic vertebral compressive fracture,vertebral metastases and vertebral hemangioma were treated by vertebral internal reinforcement operation. Among them ,there were 39 males and 55 females aged 55 to 86 with an average of 69.4 years old. The reasons ,types,incidence and complications of bone cement leakage were analyzed. Results:Totally 21 patients (26 vertebral) occurred bone cement leakage,the main routes in-cluded basivertebral veins,and bone cortex,which mainly located on adjacent intervertebrae and around vertebral body,and most of them were asymptomatic leakage. For the treatment of OVCFs ,incidence of bone cement leakage in PKP was lower than that of PVP (P<0.05),while incidince of PVP in treating vertebral metastases was worse than in treating OVCFs (P<0.05). Conclusion:Bone cement leakage is a common complication in PVP and PKP. Careful analysis before operation ,cautiously monitors and grasp operation indication in operation can decrease incidence of it.
