Repeat Vertebroplasty for the Subsequent Refracture of Procedured Vertebra.
- Author:
Sang Sik CHOI
1
;
Won Seok HUR
;
Jae Jin LEE
;
Seok Kyeong OH
;
Mi Kyoung LEE
Author Information
- Publication Type:Brief Communication
- Keywords: refracture; repeat; vertebral compression fractures; vertebroplasty
- MeSH: Female; Flank Pain; Fractures, Compression; Humans; Lumbar Vertebrae; Polymethyl Methacrylate; Spine; Vertebroplasty
- From:The Korean Journal of Pain 2013;26(1):94-97
- CountryRepublic of Korea
- Language:English
- Abstract: Vertebroplasty (VP) can effectively treat pain and immobility caused by vertebral compression fracture. Because of complications such as extravasation of bone cement (polymethylmethacrylate, PMMA) and adjacent vertebral fractures, some practitioners prefer to inject a small volume of PMMA. In that case, however, insufficient augmentation or a subsequent refracture of the treated vertebrae can occur. A 65-year-old woman visited our clinic complaining of unrelieved severe low back and bilateral flank pain even after she had undergone VP on the 1st and 4th (L1 and L4) lumbar vertebrae a month earlier. Radiologic findings showed the refracture of L1. We successfully performed the repeat VP by filling the vertebra with a sufficient volume of PMMA, and no complications occurred. The patient's pain and immobility resolved completely three days after the procedure and she remained symptom-free a month later. In conclusion, VP with small volume cement impaction may fail to relieve fracture-induced symptoms, and the refracture of an augmented vertebral body may occur. In this case, repeat VP can effectively resolve both the persistent symptoms and problems of new onset resulting from refracture of the augmented vertebral body due to insufficient volume of bone cement.
