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Is Redo Vertebroplasty an Effective Treatment on the Same Vertebra?

  • Clinical Investigation
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CardioVascular and Interventional Radiology Aims and scope Submit manuscript

Abstract

Objective

Redo vertebroplasty is rarely reported. Previous studies on redo vertebroplasty included a small number of patients and lacked radiographic analysis. The purpose of this study was to assess the radiographic outcomes (restoration of vertebral body) and clinical outcomes (pain relief) in patients with recurrent or unrelieved pain after vertebroplasty with a minimum follow-up duration of 12 months.

Materials and Methods

The records of 22 patients (23 cases), who underwent redo vertebroplasty between March 2001 and February 2014, were analyzed. Vertebral height loss (VHL) and wedge angle (WA) were measured before and after redo vertebroplasty. Subjective back pain was assessed via the numeric rating scale (NRS) score.

Results

VHL after the initial vertebroplasty was 18.7%. Preoperative and final VHL of redo vertebroplasty were 32.3 and 18.3%, respectively. WA after initial vertebroplasty was 9.5°. Preoperative and final WA of redo vertebroplasty was 13.9° and 9°, respectively. Changes of VHL and WA values at each time point were significant (p < 0.01). The change of NRS pain score at each time point, including the period between post-initial vertebroplasty and final follow-up, was statistically significant (p < 0.01); 18 patients (82%) showed marked pain relief and 4 patients (18%) showed partial pain relief.

Conclusions

Redo vertebroplasty seems to be an effective way to achieve pain relief and vertebral body height restorations without major complications in patients with unrelieved or recurrent back pain after vertebroplasty.

Level of Evidence

Level 4, case series.

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References

  1. Jang JS, Kim DY, Lee SH. Efficacy of percutaneous vertebroplasty in the treatment of intravertebral pseudarthrosis associated with noninfected avascular necrosis of the vertebral body. Spine (Phila Pa 1976). 2003;28(14):1588–92.

    Google Scholar 

  2. McGirt MJ, Parker SL, Wolinsky JP, Witham TF, Bydon A, Gokaslan ZL. Vertebroplasty and kyphoplasty for the treatment of vertebral compression fractures: an evidenced-based review of the literature. Spine J. 2009;9(6):501–8.

    Article  PubMed  Google Scholar 

  3. Lee SK, Lee SH, Yoon SP, et al. Quality of life comparison between vertebroplasty and kyphoplasty in patients with osteoporotic vertebral fractures. Asian Spine J. 2014;8(6):799–803.

    Article  PubMed  PubMed Central  Google Scholar 

  4. Elnoamany H. Percutaneous vertebroplasty: a first line treatment in traumatic non-osteoporotic vertebral compression fractures. Asian Spine J. 2015;9(2):178–84.

    Article  PubMed  PubMed Central  Google Scholar 

  5. Hadjipavlou AG, Tzermiadianos MN, Katonis PG, Szpalski M. Percutaneous vertebroplasty and balloon kyphoplasty for the treatment of osteoporotic vertebral compression fractures and osteolytic tumours. J Bone Joint Surg Br. 2005;87(12):1595–604.

    Article  PubMed  CAS  Google Scholar 

  6. Grados F, Depriester C, Cayrolle G, Hardy N, Deramond H, Fardellone P. Long-term observations of vertebral osteoporotic fractures treated by percutaneous vertebroplasty. Rheumatol (Oxford). 2000;39(12):1410–4.

    Article  CAS  Google Scholar 

  7. Uppin AA, Hirsch JA, Centenera LV, Pfiefer BA, Pazianos AG, Choi IS. Occurrence of new vertebral body fracture after percutaneous vertebroplasty in patients with osteoporosis. Radiology. 2003;226(1):119–24.

    Article  PubMed  Google Scholar 

  8. Li L, Lu Y, Li M, et al. Repeat percutaneous vertebroplasty for recurrent pain arising from previously treated vertebrae in patients with osteoporotic vertebral compression fractures. Clin Spine Surg. 2016;29(9):399–404.

    Article  PubMed  Google Scholar 

  9. Choi SS, Hur WS, Lee JJ, Oh SK, Lee MK. Repeat vertebroplasty for the subsequent refracture of procedured vertebra. Korean J Pain. 2013;26(1):94–7.

    Article  PubMed  PubMed Central  Google Scholar 

  10. Chiu YC, Yang SC, Chen HS, Kao YH, Tu YK, Chung KC. Clinical evaluation of repeat percutaneous vertebroplasty for symptomatic cemented vertebrae. J Spinal Disord Tech. 2012;25(8):E245–53.

    Article  PubMed  Google Scholar 

  11. Chen LH, Hsieh MK, Liao JC, et al. Repeated percutaneous vertebroplasty for refracture of cemented vertebrae. Arch Orthop Trauma Surg. 2011;131(7):927–33.

    Article  PubMed  Google Scholar 

  12. Lin CC, Chen IH, Yen PS, et al. Repeat percutaneous vertebroplasty at cemented vertebra with fluid sign and recurrent pain. Interv Neuroradiol. 2008;14(Suppl 2):85–90.

    Article  PubMed  Google Scholar 

  13. He SC, Teng GJ, Deng G, et al. Repeat vertebroplasty for unrelieved pain at previously treated vertebral levels with osteoporotic vertebral compression fractures. Spine (Phila Pa 1976). 2008;33(6):640–7.

    Article  Google Scholar 

  14. Gaughen JR Jr, Jensen ME, Schweickert PA, Marx WF, Kallmes DF. The therapeutic benefit of repeat percutaneous vertebroplasty at previously treated vertebral levels. AJNR Am J Neuroradiol. 2002;23(10):1657–61.

    PubMed  Google Scholar 

  15. Chen YJ, Chen WH, Chen HT, Hsu HC. Repeat needle insertion in vertebroplasty to prevent re-collapse of the treated vertebrae. Eur J Radiol. 2012;81(3):558–61.

    Article  PubMed  Google Scholar 

  16. Filippiadis DK, Binkert C, Pellerin O, Hoffmann RT, Krajina A, Pereira PL. Cirse quality assurance document and standards for classification of complications: the CIRSE classification system. Cardiovasc Intervent Radiol. 2017;40(8):1141–6.

    Article  PubMed  CAS  Google Scholar 

  17. Tsoumakidou G, Too CW, Koch G, et al. CIRSE guidelines on percutaneous vertebral augmentation. Cardiovasc Intervent Radiol. 2017;40(3):331–42.

    Article  PubMed  Google Scholar 

  18. Cho JH, Shin SI, Lee JH, Yeom JS, Chang BS, Lee CK. Usefulness of prone cross-table lateral radiographs in vertebral compression fractures. Clin Orthop Surg. 2013;5(3):195–201.

    Article  PubMed  PubMed Central  Google Scholar 

  19. Lin CC, Chen IH, Yu TC, Chen A, Yen PS. New symptomatic compression fracture after percutaneous vertebroplasty at the thoracolumbar junction. AJNR Am J Neuroradiol. 2007;28(6):1042–5.

    Article  PubMed  CAS  Google Scholar 

  20. Huang KY, Yan JJ, Lin RM. Histopathologic findings of retrieved specimens of vertebroplasty with polymethylmethacrylate cement: case control study. Spine (Phila Pa 1976). 2005;30(19):E585–8.

    Article  Google Scholar 

  21. Urrutia J, Bono CM, Mery P, Rojas C. Early histologic changes following polymethylmethacrylate injection (vertebroplasty) in rabbit lumbar vertebrae. Spine (Phila Pa 1976). 2008;33(8):877–82.

    Article  Google Scholar 

  22. Zhan Y, Jiang J, Liao H, Tan H, Yang K. Risk factors for cement leakage after vertebroplasty or kyphoplasty: a meta-analysis of published evidence. World Neurosurg. 2017;101:633–42.

    Article  PubMed  Google Scholar 

  23. Lee IJ, Choi AL, Yie MY, et al. CT evaluation of local leakage of bone cement after percutaneous kyphoplasty and vertebroplasty. Acta Radiol. 2010;51(6):649–54.

    Article  PubMed  Google Scholar 

  24. Saracen A, Kotwica Z. Complications of percutaneous vertebroplasty: an analysis of 1100 procedures performed in 616 patients. Med (Baltimore). 2016;95(24):e3850.

    Article  Google Scholar 

  25. Sebaaly A, Nabhane L, Issa El Khoury F, Kreichati G, El Rachkidi R. Vertebral augmentation: state of the art. Asian Spine J. 2016;10(2):370–6.

    Article  PubMed  PubMed Central  Google Scholar 

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Authors and Affiliations

  1. Spine Center and Department of Orthopaedic Surgery, Seoul National University College of Medicine, Seoul National University Bundang Hospital, 82, Gumi-ro 173 Beon-gil, Bundang-gu, Seongnam-si, Gyeonggi-do, 13620, Republic of Korea

    Sang-Min Park, Ho-Joong Kim & Jin S. Yeom

  2. Department of Orthopaedic Surgery, Seoul National University College of Medicine, Seoul National University Hospital, 101, Daehak-ro, Jongno-gu, Seoul, 03080, Republic of Korea

    Chulhee Park, Hyoungmin Kim, Choon-Ki Lee & Bong-Soon Chang

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  1. Sang-Min Park
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  2. Chulhee Park
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  3. Hyoungmin Kim
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  4. Ho-Joong Kim
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  5. Jin S. Yeom
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Correspondence to Bong-Soon Chang.

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Park, SM., Park, C., Kim, H. et al. Is Redo Vertebroplasty an Effective Treatment on the Same Vertebra?. Cardiovasc Intervent Radiol 41, 1058–1066 (2018). https://doi.org/10.1007/s00270-018-1920-5

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  • DOI: https://doi.org/10.1007/s00270-018-1920-5

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