Recompression of Augmented Vertebrae after Balloon Kyphoplasty Is a Risk of Adjacent Vertebral Fracture
Introduction: This study aimed to identify factors associated with adjacent vertebral fracture (AVF) incidence after balloon kyphoplasty (BKP). Methods: To perform the analyses, 133 vertebrae of 128 patients who underwent BKP for osteoporotic vertebral compression fracture were retrospectively inves...
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| Format: | Article |
| Language: | English |
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The Japanese Society for Spine Surgery and Related Research
2023-01-01
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| Series: | Spine Surgery and Related Research |
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| Online Access: | https://www.jstage.jst.go.jp/article/ssrr/7/1/7_2022-0012/_pdf/-char/en |
| _version_ | 1797924703431557120 |
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| author | Yohei Yamada Yasumitsu Toribatake Shumpei Okamoto Satoshi Kato Motoya Kobayashi Hiroyuki Tsuchiya |
| author_facet | Yohei Yamada Yasumitsu Toribatake Shumpei Okamoto Satoshi Kato Motoya Kobayashi Hiroyuki Tsuchiya |
| author_sort | Yohei Yamada |
| collection | DOAJ |
| description | Introduction: This study aimed to identify factors associated with adjacent vertebral fracture (AVF) incidence after balloon kyphoplasty (BKP).
Methods: To perform the analyses, 133 vertebrae of 128 patients who underwent BKP for osteoporotic vertebral compression fracture were retrospectively investigated. According to the presence of AVF throughout a 1-year period following BKP, patients were divided into AVF (n = 22) and non-AVF (n = 111) groups. The groups were compared with respect to pre- and postoperative parameters, including the incidence of recompression of augmented vertebrae (RAV). RAV was defined as a decrease in anterior vertebral body height of at least 5 mm within the 3 months that followed BKP. To identify factors associated with AVF incidence, univariate and multivariate analyses were performed.
Results: The univariate analysis revealed that the AVF group had a lower cement augmentation ratio, greater preoperative wedge angle, lower preoperative vertebral body height, lower postoperative vertebral body height 3 months post-BKP, and a greater change in vertebral body height and rate of RAV than the non-AVF group. Multivariate analysis revealed that low preoperative vertebral body height and RAV occurrence were associated with AVF incidence.
Conclusions: To the best of our knowledge, this study is the first to indicate that RAV is a risk factor for AVF. Study findings indicate that the incidence of AVF can be decreased if RAV development is avoided. |
| first_indexed | 2024-04-10T15:05:12Z |
| format | Article |
| id | doaj.art-489d00b4e03d4146b6547dfb2aee091c |
| institution | Directory Open Access Journal |
| issn | 2432-261X |
| language | English |
| last_indexed | 2024-04-10T15:05:12Z |
| publishDate | 2023-01-01 |
| publisher | The Japanese Society for Spine Surgery and Related Research |
| record_format | Article |
| series | Spine Surgery and Related Research |
| spelling | doaj.art-489d00b4e03d4146b6547dfb2aee091c2023-02-15T05:02:36ZengThe Japanese Society for Spine Surgery and Related ResearchSpine Surgery and Related Research2432-261X2023-01-0171899510.22603/ssrr.2022-00122022-0012Recompression of Augmented Vertebrae after Balloon Kyphoplasty Is a Risk of Adjacent Vertebral FractureYohei Yamada0Yasumitsu Toribatake1Shumpei Okamoto2Satoshi Kato3Motoya Kobayashi4Hiroyuki Tsuchiya5Department of Orthopaedic Surgery, JA Toyama Kouseiren Takaoka HospitalDepartment of Orthopaedic Surgery, JA Toyama Kouseiren Takaoka HospitalDepartment of Orthopaedic Surgery, JA Toyama Kouseiren Takaoka HospitalDepartment of Orthopaedic Surgery, Kanazawa University School of MedicineDepartment of Orthopaedic Surgery, JA Toyama Kouseiren Takaoka HospitalDepartment of Orthopaedic Surgery, Kanazawa University School of MedicineIntroduction: This study aimed to identify factors associated with adjacent vertebral fracture (AVF) incidence after balloon kyphoplasty (BKP). Methods: To perform the analyses, 133 vertebrae of 128 patients who underwent BKP for osteoporotic vertebral compression fracture were retrospectively investigated. According to the presence of AVF throughout a 1-year period following BKP, patients were divided into AVF (n = 22) and non-AVF (n = 111) groups. The groups were compared with respect to pre- and postoperative parameters, including the incidence of recompression of augmented vertebrae (RAV). RAV was defined as a decrease in anterior vertebral body height of at least 5 mm within the 3 months that followed BKP. To identify factors associated with AVF incidence, univariate and multivariate analyses were performed. Results: The univariate analysis revealed that the AVF group had a lower cement augmentation ratio, greater preoperative wedge angle, lower preoperative vertebral body height, lower postoperative vertebral body height 3 months post-BKP, and a greater change in vertebral body height and rate of RAV than the non-AVF group. Multivariate analysis revealed that low preoperative vertebral body height and RAV occurrence were associated with AVF incidence. Conclusions: To the best of our knowledge, this study is the first to indicate that RAV is a risk factor for AVF. Study findings indicate that the incidence of AVF can be decreased if RAV development is avoided.https://www.jstage.jst.go.jp/article/ssrr/7/1/7_2022-0012/_pdf/-char/enadjacent vertebral fractureballoon kyphoplastyosteoporotic vertebral compression fracturerecompression of augmented vertebrae |
| spellingShingle | Yohei Yamada Yasumitsu Toribatake Shumpei Okamoto Satoshi Kato Motoya Kobayashi Hiroyuki Tsuchiya Recompression of Augmented Vertebrae after Balloon Kyphoplasty Is a Risk of Adjacent Vertebral Fracture Spine Surgery and Related Research adjacent vertebral fracture balloon kyphoplasty osteoporotic vertebral compression fracture recompression of augmented vertebrae |
| title | Recompression of Augmented Vertebrae after Balloon Kyphoplasty Is a Risk of Adjacent Vertebral Fracture |
| title_full | Recompression of Augmented Vertebrae after Balloon Kyphoplasty Is a Risk of Adjacent Vertebral Fracture |
| title_fullStr | Recompression of Augmented Vertebrae after Balloon Kyphoplasty Is a Risk of Adjacent Vertebral Fracture |
| title_full_unstemmed | Recompression of Augmented Vertebrae after Balloon Kyphoplasty Is a Risk of Adjacent Vertebral Fracture |
| title_short | Recompression of Augmented Vertebrae after Balloon Kyphoplasty Is a Risk of Adjacent Vertebral Fracture |
| title_sort | recompression of augmented vertebrae after balloon kyphoplasty is a risk of adjacent vertebral fracture |
| topic | adjacent vertebral fracture balloon kyphoplasty osteoporotic vertebral compression fracture recompression of augmented vertebrae |
| url | https://www.jstage.jst.go.jp/article/ssrr/7/1/7_2022-0012/_pdf/-char/en |
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