Predictive Risk Factors for Refracture after Percutaneous Vertebroplasty.
10.5535/arm.2011.35.6.844
- Author:
Sang Kuk KANG
1
;
Chan Woo LEE
;
Noh Kyoung PARK
;
Tae Wook KANG
;
Jeong Wook LIM
;
Ki Yong CHA
;
Jung Hwan KIM
Author Information
1. Department of Rehabilitation Medicine, Sun General Hospital, Daejeon 301-725, Korea. sky20525@naver.com
- Publication Type:Original Article
- Keywords:
Risk factor;
Refracture;
Percutaneous vertebroplasty;
Local kyphotic angle;
Sagittal index
- MeSH:
Follow-Up Studies;
Humans;
Retrospective Studies;
Risk Factors;
Spine;
Vertebroplasty
- From:Annals of Rehabilitation Medicine
2011;35(6):844-851
- CountryRepublic of Korea
- Language:English
-
Abstract:
OBJECTIVE: To identify risk factors for developing a vertebral refracture after percutaneous vertebroplasty. METHOD: A retrospective analysis of 60 patients who had undergone percutaneous vertebroplasty between January 2008 and April 2010 was conducted. All patients were observed for a 1 year follow-up period, and fracture was defined when it was both clinically reported and radiographically confirmed. Twenty-seven patients with a refractured vertebra and 33 patients without a refracture were included. Of the 60 patients, 20 presented with a refracture from a cemented vertebra, whereas the remaining 40 patients did not. Clinical, imaging and procedure-related factors for each group were analyzed by the Fisher's exact, chi-square, and the Mann-Whitney U-tests. RESULTS: Local kyphotic angle and sagittal index were significant as a result of researching various risk factors related to vertebral refracture (p<0.001, p<0.001, respectively) and refracture from a cemented vertebra itself (p=0.004, p<0.001, respectively). Other factors were not significant. CONCLUSION: Patients who had a high preoperative local kyphotic angle and a high sagittal index required a close follow-up and attention.
