| The Complications of Vertebroplasty |
| 경피적 척추 성형술의 부작용 |
| 김종필,김명호,박희곤,유문집,이성철,변우섭,박홍근 |
| 단국대학교 의과대학 정형외과학교실 |
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| Abstract |
Purpose
To evaluate the correlation of PMMA leakage with complications of percutaneous vertebroplasty in the treatment of osteoporotic compression fractures.
Materials and Methods: 329 patients (male 57, female 272, mean age 70 years old) treated by percutaneous vertebroplasty in Dankook University Hospital from 1998 to 2004 were reviewed. We evaluated the PMMA leakage by plain radiogragh and computed tomography, which were analized the postoperative complications.
Results
The average BMD was 0.676 (g/cm2), T-score -3.08, Z-score -1.780 and average amount of injected cement was 6.89 cc (2.2~15.8 cc) in each vertebral body. PMMA leakage was found in 122 cases (37%) on roentgenogram and MRI. 25 patients of patient had intercostals neuralgia and 25 patients had abdominal pain and 20 patient had back pains, 15 mild dyspnea, 14 headaches, 13 nausea and vomiting, 15 re-fracture, 8 voiding difficulty and 25 reported pain on the skin where the injection was done. In 122 cases, bone cement (PMMA) leakage were observed in the follow-up x-ray and CT screening. Significant correlation of PMMA leakage and complications was showed (p<0.05).
Conclusion
We found that significant correlation of PMMA leakage with complications of the treatment of percutaneous vertebroplasty in osteoporotic compression fractures, we believe that the operator should pay more attention to leakage to prevent the possible complications
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| Key Words:
Osteoporosis, Compression fracture, Vertebroplasty |
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