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논문 기본 정보

자료유형
학술저널
저자정보
Bong-Seong Ko (Inha University School) Kyu Jung Cho (Orthopedic Surgery Inha University School of Medicine Incheon Korea) Jae-Woo Park (Inha University School)
저널정보
대한척추외과학회 Asian Spine Journal Asian Spine Journal Vol.13 No.2
발행연도
2019.1
수록면
210 - 215 (6page)

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Study Design: Retrospective cohort study. Purpose: To evaluate the incidence and risk factors for early adjacent vertebral fractures following balloon kyphoplasty (KP). Overview of Literature: KP is a safe and effective treatment for pain alleviation in patients with osteoporotic vertebral compression fractures (OVCF). However, some studies have reported that the risk of newly developed fractures increases at the adjacent vertebra after KP. Methods: Total 123 consecutive patients with painful OVCF who underwent KP were enrolled from January 2009 to June 2016. Early adjacent vertebral fractures were defined as new fractures that had developed within 3 months after surgery. Sex, age, body mass index (BMI), bone mineral density (BMD), vertebral height, kyphotic angle, Visual Analog Scale score, cement amount, and leakage were evaluated as risk factors for adjacent vertebral fractures. Only cement leakage into the disc space was included in this study. Results: Early adjacent vertebral fractures were identified in 20 (16.2%) of the 123 patients. The mean time to diagnosis of fractures was 1.7±0.7 months after KP. The average patient age was 78.0±0.7 years, average BMI was 23.06±3.83 kg/m2, and mean BMD was −3.61±1.22 g/m2. Cement leakage was present in 16 patients, and fractures developed in 11 (68.7%). In contrast, fractures developed in nine patients (8.2%) without cement leakage. There were no significant differences in terms of age, BMI, BMD, kyphotic angle, or vertebral body height ratio between the fracture and control groups. Conclusions: Cement leakage into the disc increased the risk of early adjacent vertebral fractures after balloon KP.
#Osteoporotic vertebral compression fracture #Adjacent vertebral fracture #Balloon kyphoplasty #Cement leakage

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참고문헌 (22)

참고문헌 신청
Johnell O / 2006 / An estimate of the worldwide prevalence and disability associated with osteoporotic fractures / Osteoporos Int 17:1726~1733 google schola Borgstrom F / 2006 / Costs and quality of life associated with osteoporosis-related fractures in Sweden / Osteoporos Int 17:637~650 google schola Ensrud KE / 2000 / Prevalent vertebral deformities predict mortality and hospitalization in older women with low bone mass. Fracture Intervention Trial Research Group / J Am Geriatr Soc 48:241~249 google schola Garfin SR / 2001 / New technologies in spine : kyphoplasty and vertebroplasty for the treatment of painful osteoporotic compression fractures / Spine(Phila Pa 1976) 26:1511~1515 google schola Garfin SR / 2006 / Balloon kyphoplasty for symptomatic vertebral body compression fractures results in rapid, significant, and sustained improvements in back pain, function, and quality of life for elderly patients / Spine(Phila Pa 1976) 31:2213~2220 google schola

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