Risk of Revision After Vertebral Augmentation for Osteoporotic Vertebral Fracture: A Narrative Review
Osteoporotic vertebral fractures (OVFs) can hinder physical motor function, daily activities, and the quality of life in elderly patients when treated conservatively. Vertebral augmentation, which includes vertebroplasty and balloon kyphoplasty, is a commonly used procedure for OVFs. However, there...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Korean Spinal Neurosurgery Society
2023-09-01
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| Series: | Neurospine |
| Subjects: | |
| Online Access: | http://e-neurospine.org/upload/pdf/ns-2346560-280.pdf |
| _version_ | 1797327209638133760 |
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| author | Shinji Takahashi Hiroyuki Inose Koji Tamai Masayoshi Iwamae Hidetomi Terai Hiroaki Nakamura |
| author_facet | Shinji Takahashi Hiroyuki Inose Koji Tamai Masayoshi Iwamae Hidetomi Terai Hiroaki Nakamura |
| author_sort | Shinji Takahashi |
| collection | DOAJ |
| description | Osteoporotic vertebral fractures (OVFs) can hinder physical motor function, daily activities, and the quality of life in elderly patients when treated conservatively. Vertebral augmentation, which includes vertebroplasty and balloon kyphoplasty, is a commonly used procedure for OVFs. However, there have been reports of complications. Although serious complications are rare, there have been instances of adjacent vertebral fractures, cement dislocation, and insufficient pain relief due to cement failure, sometimes necessitating revision surgery. This narrative review discusses the common risks associated with vertebral augmentation for OVFs, such as cement leakage and adjacent vertebral fractures, and highlights the risk of revision surgery. The pooled incidence of revision surgery was 0.04 (0.02–0.06). The risks for revision are reported as follows: female sex, advanced age, diabetes mellitus, cerebrovascular disease, dementia, blindness or low vision, hypertension, hyperlipidemia, split type fracture, large angular motion, and large endplate deficit. Various treatment strategies exist for OVFs, but they remain a subject of controversy. Current literature underscores the lack of substantial evidence to guide treatment strategies based on the risks of vertebral augmentation. In cases with a high risk of failure, other surgeries and conservative treatments should also be considered as treatment options. |
| first_indexed | 2024-03-08T06:35:00Z |
| format | Article |
| id | doaj.art-261a2c7ac66549aabbecc653c19cceb5 |
| institution | Directory Open Access Journal |
| issn | 2586-6583 2586-6591 |
| language | English |
| last_indexed | 2024-03-08T06:35:00Z |
| publishDate | 2023-09-01 |
| publisher | Korean Spinal Neurosurgery Society |
| record_format | Article |
| series | Neurospine |
| spelling | doaj.art-261a2c7ac66549aabbecc653c19cceb52024-02-03T10:19:33ZengKorean Spinal Neurosurgery SocietyNeurospine2586-65832586-65912023-09-0120385286210.14245/ns.2346560.2801454Risk of Revision After Vertebral Augmentation for Osteoporotic Vertebral Fracture: A Narrative ReviewShinji Takahashi0Hiroyuki Inose1Koji Tamai2Masayoshi Iwamae3Hidetomi Terai4Hiroaki Nakamura5 Department of Orthopaedic Surgery, Graduate School of Medicine, Osaka Metropolitan University, Osaka, Japan Department of Orthopaedic and Trauma Research, Graduate School, Tokyo Medical and Dental University, Tokyo, Japan Department of Orthopaedic Surgery, Graduate School of Medicine, Osaka Metropolitan University, Osaka, Japan Department of Orthopaedic Surgery, Graduate School of Medicine, Osaka Metropolitan University, Osaka, Japan Department of Orthopaedic Surgery, Graduate School of Medicine, Osaka Metropolitan University, Osaka, Japan Department of Orthopaedic Surgery, Graduate School of Medicine, Osaka Metropolitan University, Osaka, JapanOsteoporotic vertebral fractures (OVFs) can hinder physical motor function, daily activities, and the quality of life in elderly patients when treated conservatively. Vertebral augmentation, which includes vertebroplasty and balloon kyphoplasty, is a commonly used procedure for OVFs. However, there have been reports of complications. Although serious complications are rare, there have been instances of adjacent vertebral fractures, cement dislocation, and insufficient pain relief due to cement failure, sometimes necessitating revision surgery. This narrative review discusses the common risks associated with vertebral augmentation for OVFs, such as cement leakage and adjacent vertebral fractures, and highlights the risk of revision surgery. The pooled incidence of revision surgery was 0.04 (0.02–0.06). The risks for revision are reported as follows: female sex, advanced age, diabetes mellitus, cerebrovascular disease, dementia, blindness or low vision, hypertension, hyperlipidemia, split type fracture, large angular motion, and large endplate deficit. Various treatment strategies exist for OVFs, but they remain a subject of controversy. Current literature underscores the lack of substantial evidence to guide treatment strategies based on the risks of vertebral augmentation. In cases with a high risk of failure, other surgeries and conservative treatments should also be considered as treatment options.http://e-neurospine.org/upload/pdf/ns-2346560-280.pdfosteoporotic vertebral fracturevertebral augmentationrevisioncomplication |
| spellingShingle | Shinji Takahashi Hiroyuki Inose Koji Tamai Masayoshi Iwamae Hidetomi Terai Hiroaki Nakamura Risk of Revision After Vertebral Augmentation for Osteoporotic Vertebral Fracture: A Narrative Review Neurospine osteoporotic vertebral fracture vertebral augmentation revision complication |
| title | Risk of Revision After Vertebral Augmentation for Osteoporotic Vertebral Fracture: A Narrative Review |
| title_full | Risk of Revision After Vertebral Augmentation for Osteoporotic Vertebral Fracture: A Narrative Review |
| title_fullStr | Risk of Revision After Vertebral Augmentation for Osteoporotic Vertebral Fracture: A Narrative Review |
| title_full_unstemmed | Risk of Revision After Vertebral Augmentation for Osteoporotic Vertebral Fracture: A Narrative Review |
| title_short | Risk of Revision After Vertebral Augmentation for Osteoporotic Vertebral Fracture: A Narrative Review |
| title_sort | risk of revision after vertebral augmentation for osteoporotic vertebral fracture a narrative review |
| topic | osteoporotic vertebral fracture vertebral augmentation revision complication |
| url | http://e-neurospine.org/upload/pdf/ns-2346560-280.pdf |
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