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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Main Authors: Shih-Hao Cheng, Wen-Hsiang Chou, Yu-Chuan Tsuei, William Chu, Woei-Chyn Chu
Format: Article
Language:English
Published: MDPI AG 2024-01-01
Series:Journal of Clinical Medicine
Subjects:
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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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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AT yuchuantsuei assessmentofcementleakageindecompressedpercutaneouskyphoplasty
AT williamchu assessmentofcementleakageindecompressedpercutaneouskyphoplasty
AT woeichynchu assessmentofcementleakageindecompressedpercutaneouskyphoplasty