Assessment of Cement Leakage in Decompressed Percutaneous Kyphoplasty
Symptomatic osteoporotic compression fractures are commonly addressed through vertebroplasty and kyphoplasty. However, cement leakage poses a significant risk of neurological damage. We introduced “aspiration percutaneous kyphoplasty”, also known as “decompressed kyphoplasty”, as a method to mitigat...
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MDPI AG
2024-01-01
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Online Access: | https://www.mdpi.com/2077-0383/13/2/345 |
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author | Shih-Hao Cheng Wen-Hsiang Chou Yu-Chuan Tsuei William Chu Woei-Chyn Chu |
author_facet | Shih-Hao Cheng Wen-Hsiang Chou Yu-Chuan Tsuei William Chu Woei-Chyn Chu |
author_sort | Shih-Hao Cheng |
collection | DOAJ |
description | Symptomatic osteoporotic compression fractures are commonly addressed through vertebroplasty and kyphoplasty. However, cement leakage poses a significant risk of neurological damage. We introduced “aspiration percutaneous kyphoplasty”, also known as “decompressed kyphoplasty”, as a method to mitigate cement leakage and conducted a comparative analysis with high viscosity cement vertebroplasty. We conducted a retrospective study that included 136 patients with single-level osteoporotic compression fractures. Among them, 70 patients underwent high viscosity cement vertebroplasty, while 66 patients received decompressed percutaneous kyphoplasty with low-viscosity cement. Comparison parameters included cement leakage rates, kyphotic angle alterations, and the occurrence of adjacent segment fractures. The overall cement leakage rate favored the decompressed kyphoplasty group (9.1% vs. 18.6%), although statistical significance was not achieved (<i>p</i> = 0.111). Nonetheless, the risk of intradiscal leakage significantly reduced in the decompressed kyphoplasty cohort (<i>p</i> = 0.011), which was particularly evident in cases lacking the preoperative cleft sign on X-rays. Kyphotic angle changes and the risk of adjacent segment collapse exhibited similar outcomes (<i>p</i> = 0.739 and 0.522, respectively). We concluded that decompressed kyphoplasty demonstrates efficacy in reducing intradiscal cement leakage, particularly benefiting patients without the preoperative cleft sign on X-rays by preventing intradiscal leakage. |
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format | Article |
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issn | 2077-0383 |
language | English |
last_indexed | 2024-03-08T09:51:34Z |
publishDate | 2024-01-01 |
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spelling | doaj.art-11085e172d274196a4e9d9741fc1629b2024-01-29T14:00:56ZengMDPI AGJournal of Clinical Medicine2077-03832024-01-0113234510.3390/jcm13020345Assessment of Cement Leakage in Decompressed Percutaneous KyphoplastyShih-Hao Cheng0Wen-Hsiang Chou1Yu-Chuan Tsuei2William Chu3Woei-Chyn Chu4Institute of Biomedical Engineering, National Yang-Ming Chiao-Tung University, Taipei 11221, TaiwanDepartment of Orthopedics, Cheng Hsin General Hospital, Taipei 11221, TaiwanInstitute of Biomedical Engineering, National Yang-Ming Chiao-Tung University, Taipei 11221, TaiwanInstitute of Biomedical Engineering, National Yang-Ming Chiao-Tung University, Taipei 11221, TaiwanInstitute of Biomedical Engineering, National Yang-Ming Chiao-Tung University, Taipei 11221, TaiwanSymptomatic osteoporotic compression fractures are commonly addressed through vertebroplasty and kyphoplasty. However, cement leakage poses a significant risk of neurological damage. We introduced “aspiration percutaneous kyphoplasty”, also known as “decompressed kyphoplasty”, as a method to mitigate cement leakage and conducted a comparative analysis with high viscosity cement vertebroplasty. We conducted a retrospective study that included 136 patients with single-level osteoporotic compression fractures. Among them, 70 patients underwent high viscosity cement vertebroplasty, while 66 patients received decompressed percutaneous kyphoplasty with low-viscosity cement. Comparison parameters included cement leakage rates, kyphotic angle alterations, and the occurrence of adjacent segment fractures. The overall cement leakage rate favored the decompressed kyphoplasty group (9.1% vs. 18.6%), although statistical significance was not achieved (<i>p</i> = 0.111). Nonetheless, the risk of intradiscal leakage significantly reduced in the decompressed kyphoplasty cohort (<i>p</i> = 0.011), which was particularly evident in cases lacking the preoperative cleft sign on X-rays. Kyphotic angle changes and the risk of adjacent segment collapse exhibited similar outcomes (<i>p</i> = 0.739 and 0.522, respectively). We concluded that decompressed kyphoplasty demonstrates efficacy in reducing intradiscal cement leakage, particularly benefiting patients without the preoperative cleft sign on X-rays by preventing intradiscal leakage.https://www.mdpi.com/2077-0383/13/2/345cement leakagehigh-viscosity cementkyphoplastyosteoporotic compression fracturevertebroplasty |
spellingShingle | Shih-Hao Cheng Wen-Hsiang Chou Yu-Chuan Tsuei William Chu Woei-Chyn Chu Assessment of Cement Leakage in Decompressed Percutaneous Kyphoplasty Journal of Clinical Medicine cement leakage high-viscosity cement kyphoplasty osteoporotic compression fracture vertebroplasty |
title | Assessment of Cement Leakage in Decompressed Percutaneous Kyphoplasty |
title_full | Assessment of Cement Leakage in Decompressed Percutaneous Kyphoplasty |
title_fullStr | Assessment of Cement Leakage in Decompressed Percutaneous Kyphoplasty |
title_full_unstemmed | Assessment of Cement Leakage in Decompressed Percutaneous Kyphoplasty |
title_short | Assessment of Cement Leakage in Decompressed Percutaneous Kyphoplasty |
title_sort | assessment of cement leakage in decompressed percutaneous kyphoplasty |
topic | cement leakage high-viscosity cement kyphoplasty osteoporotic compression fracture vertebroplasty |
url | https://www.mdpi.com/2077-0383/13/2/345 |
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