Korean J Bone Metab > Volume 12(1); 2005 > Article
Korean Journal of Bone Metabolism 2005;12(1):37-44.
Subsequent Vertebral Compression Fracture after Balloon Kyphoplasty in Osteoporotic Patients
풍선 척추 성형술 시행 후 인접 부위에 발생하는 척추 압박 골절
의료보험 공단 일산병원 정형외과학교실1, 연세대학교 의과대학 정형외과학교실2, 광명성애병원 정형외과학교실3
Osteoporosis is very important social health problem and osteoporotic vertebral compression fracture (VCF) is life-threatening disease in the advanced age. Until now it has been treated conservatively. Now conservative treatment were replaced by percutaneous vertebral augmentation procedures, especially balloon kyphoplasty. But many physicians wonder the mechanical adverse effect of cement in vertebral body on the adjacent vertebra. The purpose of this study is to know the fracture pattern and the frequency of adjacent vertebra after balloon kyphoplasty.
We performed the retrospective study about 120 vertebrae in 96 patients. Mean time interval between the onset of symptom and the date of procedure was 29.6 days (range, 1~365 days). Mean follow up period after balloon kyphoplasty was 12 months (range, 6~25 months). Radiographic examination was performed every 2 month after procedure for evaluation of additional vertebral fracture.
All of the patients experienced pain relief following the procedure (average improvement in VAS=7, p<0.01). Incidence of new vertebral compression fracture was 10% (10 new VCF in 96 patients). Among them there were only 5 adjacent fractures (5%). When we analyzed the cases, all adjacent fractures except one were located cephalad direction of previous fracture and fractured within 2 month after procedure. Adjacent fractures were occurred in the group which end plates were not completely reduced after kyphoplasty.
The additional fracture incidence of adjacent body after kyphoplasty is not higher than the incidence of natural osteoporotic fracture.
Key Words: Spinal Compression Fracture, Balloon Kyphoplasty, Osteoporosis


Browse all articles >

Editorial Office
#1001, Hyundai Kirim Officetel, 42 Seocho-daero 78-gil, Seocho-gu, Seoul 06626, Korea
Tel: +82-2-3473-2231    Fax: +82-70-4156-2230    E-mail: editors.jbm@gmail.com                

Copyright © 2024 by The Korean Society for Bone and Mineral Research.

Developed in M2PI

Close layer
prev next