2.Percutaneous vertebroplasty complications.
China Journal of Orthopaedics and Traumatology 2013;26(3):257-260
Percutaneous vertebroplasty(PVP), among various other options,has become a mainstay in the management of osteoporotic compression vertebral fractures. The purpose of this article is to review complications arising from the procedure and describes methods to minimize them. Complications can be classified as mild,which may include a temporary increase in pain; transient hypotension and cement leakage in the intervertebral disc space or into paravertebral soft tissues, moderate, including infection; extravasation of cement into the foraminal or epidural space and severe such as cement leakage in the paravertebral veins, leading to pulmonary embolism, cardiac perforation, cerebral embolism or even death.
Humans
;
Postoperative Complications
;
etiology
;
prevention & control
;
Vertebroplasty
;
adverse effects
10.Risk factors of hidden blood loss in percutaneous vertebral augmentation.
Zhi-Hua WU ; Ling MO ; Huan-Tong CHENG ; De LIANG ; Jian-Chao CUI ; Jing-Jing TANG ; Hui REN ; Zhen-Song YAO ; Xiao-Bing JIANG
China Journal of Orthopaedics and Traumatology 2022;35(8):732-735
OBJECTIVE:
To explore the risk factors of hidden blood loss in osteoporosis vertebral compression fractures during percutaneous vertebral augmentation.
METHODS:
From October 2018 to December 2019, 360 patients with osteoporosis vertebral compression fractures who received percutaneous vertebral augmentation were enrolled in this study. The factors analyzed included gender, age, surgical methods, disease course, height, weight, the operative segment, bone mineral density, amount of bone cement, operative time, percentage of height loss, percentage of vertebral height restoration, cement leakage, blood clotting function, preoperative and postoperative hemoglobin and hematocrit and other internal diseases. Total blood loss was calculated by Gross's formula, influential factors of the hidden blood loss were further analyzed by t-test, multivariate linear regression and one-way ANOVA analysis.
RESULTS:
Surgical methods, the operative segment, disease course, cement leakage, preoperative hemoglobin, cement leakage via the basivertebral and segmental vein were significantly correlated with hidden blood loss(P<0.05).
CONCLUSION
Patients with percutaneous kyphoplasty, two-level and multi-level surgery, the course of the disease beyond 6 weeks, cement leakage via the basivertebral and segmental vein, and lower preoperative hemoglobin had more perioperative hidden blood loss.
Bone Cements/adverse effects*
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Fractures, Compression/etiology*
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Humans
;
Kyphoplasty/methods*
;
Osteoporosis/complications*
;
Osteoporotic Fractures/surgery*
;
Retrospective Studies
;
Risk Factors
;
Spinal Fractures/etiology*
;
Treatment Outcome
;
Vertebroplasty/adverse effects*
Result Analysis
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