Overall, the percutaneous vertebroplasty has low complication rate. Nevertheless, severe complications can occur. The majority of these are related to cement leakage. The cement migration through perivertebral venous system can lead to fatal complication. We present a case of death by hemothorax due to cement leakage following percutaneous vertebroplasty with literature review.
Hemothorax* ; Vertebroplasty*

Percutaneous vertebroplasty, injection of bone cement into the vertebral body, is a very effective interventional technique to improve the pain intractable to the conservative treatment and to achieve the structural augmentation for the vertebral body fractures. The procedure has been widely performed to manage osteoporotic and other vertebral fractures because the technique is known as simple and low-risk. This review is about the several aspects of the percutaneous vertebroplasty for the sake of safe and effective procedure.
Osteoporosis ; Vertebroplasty*

OBJECTIVE: Recently, the definition of occult osteoporotic vertebral fracture has been established, and its clinical significance has come to our interest. We report the effect of early percutaneous vertebroplasty in occult osteoporotic vertebral fracture. METHODS: From January 2006 to January 2008, we performed percutaneous vertebroplasty for 50 levels in 47 patients. 21 levels (21 patients) of them were classified into occult osteoporotic vertebral fracture group, 29 levels (26 patients) were categorized into control group (not occult osteoporotic vertebral fracture) by the Pham T..s criteria. We obtained VAS score and measured the compression ratio at first hospital day and 1 day, 1 month, 3 months after procedure. RESULTS: There are noticeable improvements in VAS score. The mean VAS score at admission was 6.44 in occult group and 6.15 in control group, which changed 2.23 in occult group and 2.68 in control group after procedure. The compression rate was 1.008, 1.018, 1.016 in occult group and 0.862, 0.891, 0.881 in control group at admission and 1 month, 3 months after procedure. The conservative effect for vertebral height was higher than control group (p=0.011). CONCLUSION: Percutaneous vertebroplasty in occult osteoporotic compression fracture provided significant pain relief and conservative effect for vertebral height. It is probable that it can lower the rate of secondary adjacent vertebral compression fracture.
Fractures, Compression ; Humans ; Vertebroplasty

No abstract available.
Fractures, Compression* ; Osteoporosis* ; Vertebroplasty*

No abstract available.
Pulmonary Embolism ; Vertebroplasty

No abstract available.
Neoplasm Metastasis* ; Vertebroplasty*

No abstract available.
Fractures, Compression* ; Vertebroplasty*

No abstract available.
Quality of Life ; Vertebroplasty

One of the main restrictions of vertebroplasty is the high injection pressure that is required to inject sufficient cement into a fractured vertebral body. Kyphoplasty can be used to reduce injection pressure by making a void with a balloon tamp. During vertebroplasty, serious complications such as pulmonary embolism and neurologic compression have been reported, which usually occur when uncontrolled excessive pressure is applied to inject bone cement. We devised a technique of making small voids and connections with the fracture gaps to reduce cement delivery pressure during vertebroplasty that involves a simple modification of the conventional technique. The modification of vertebroplasty using a curved probe may be used to control the cement injection easily during the procedures and minimize complications related to cement leakage.
Kyphoplasty ; Pulmonary Embolism ; Vertebroplasty

PURPOSE: To analyze the effect of adjacent vertebral body on local sagittal segment in performing vertebroplasty for thoracolumabr vertebral compression fracture on the terms of radiological results. MATERIALS AND METHODS: We experienced 61 cases of T12 and L1 Compression fracture between June 2003 and November 2005. We classified with 3 groups; no collapse of adjacent body, collapse of adjacent upper body, and collapse of adjacent lower body. The measuring factors were anterior, middle, posterior vertebral height, wedge angle and local kyphotic angle. RESULTS: In group I, Increase rate of anterior, middle, posterior vertebral height and restoration rate of wedge angle, and local kyphotic angle were average of 0.41%, 0.31%, 0.16%, 1.47%, ?3.48% respectively. Group II was -3.19%, 0.11%, -3.02%, -1.23%, -4.63%. Group III was -2.28%, 4.72%, -1.01%, -2.41%, -13.12%. There are no significant differences among the groups except local kyphotic angle in Group III statistically. CONCLUSION: The previous wedged collapse of adjacent vertebral body do not affect local sagittal segment performed vertebroplasty in the thoracolumbar compression fracture. However the previous wedged collapse of adjacent lower body affect significantly local kyphotic angle.
Fractures, Compression ; Vertebroplasty