TITLE:
Adjacent Level Vertebral Fractures in Patients Operated with Percutaneous Vertebroplasty
AUTHORS:
Dangol Bijendra, Xiaotao Wu, Zanli Jiang, Lei Zhu, Maharjan Promish, Singh Ratish
KEYWORDS:
Osteoporosis, Osteoporotic Vertebral Compression Fracture, Percutaneous Vertebroplasty, Polymethylmethacrylate, Kaplan-Meier Estimation
JOURNAL NAME:
Open Journal of Orthopedics,
Vol.8 No.3,
March
19,
2018
ABSTRACT: Percutaneous vertebroplasty is a minimally invasive procedure that involves filling of a fractured vertebral body with bone cement to relieve pain and to restore the vertebral height. It is a safe and effective treatment and is widely used for treating Osteoporotic Vertebral Compression Fracture. Despite of its beneficial advantages over primary conservative managements, adjacent level vertebral compression fracture remains the challenge for surgeons. Adjacent level vertebral compression fracture following percutaneous vertebroplasty using PMMA cement has been reported as a complication. Numerous risk factors have been reported for the occurrence of new adjacent VCFs after PVP. The multiple level osteoporotic vertebral compression fractures and the increasing age of the patients are directly proportional to the risk of developing new symptomatic adjacent vertebral compression fracture after PVP. Moreover, low BMD and cement leakage are other factors that directly affect the incidence of new symptomatic adjacent vertebral fractures. The aim of this review is to evaluate the adjacent level vertebral compression fracture following percutaneous vertebroplasty on the basis of radiographs, Kaplan-Meier Estimation index and also the factors that lead to adjacent level vertebral compression fractures.