Abstract
The incidence of osteoporotic vertebral compression fracture (OVCF) is increased recently. Percutaneous kyphoplasty (PKP) has recently been shown to have a curative effect on OVCF. Unfortunately, related complications arising from PKP cannot be ignored, such as cement leaks, fever, and intercostal neuralgia. This study aimed to investigate the common complications of PKP in the treatment of OVCF patients and analyze the causes and assess prevention and control measures. A total of 196 patients (204 vertebrae) underwent PKP procedures at the Department of Spine Surgery, Shenzhen Sixth People’s Hospital, Guangdong, China, from June 2004 to August 2010. The data on incidence rates of the various complications were compiled. All patients were successfully operated without death, paraplegia, or pulmonary embolism. Incidence of various complications resulting from different types of bone cement leakage was 27.45 %, including 0.51 % for postoperative elevated fever, 4.08 % for intercostal neuralgia, 2.55 % for trailing of bone cement, 0.51 % for refracture at adjacent vertebrae, and 0.51 % for cerebrospinal fluid leakage. These results suggest that PKP is an effective surgical technique for the treatment of OVCF, resulting in limited trauma with satisfactory curative effects. Skillful mastery of this technology will help reduce the incidence rate of complications.
Similar content being viewed by others
References
Vedantam R (2009) Management of osteoporotic vertebral compression fractures: a review. Am J Clin Med 6:14–18
Harrop JS, Prpa B, Reinhardt MK et al (2004) Primary and secondary osteoporosis’ incidence of subsequent vertebral compression fracture after kyphoplasty. Spine J 29:2120–2125
Truumees E, Hilibrand A, Vaccaro AR (2004) Percutaneous vertebral augmentation. Spine J 4:218–229
Movrin I, Vengust R, Komadina R (2010) Adjacent vertebral fractures after percutaneous vertebral augmentation of osteoporotic vertebral compression fracture: a comparison of balloon kyphoplasty and vertebroplasty. Arch Orthop Trauma Surg 130:1157–1166
Yan D, Duan L, Li J, Soo C, Zhu H, Zhang Z (2011) Comparative study of percutaneous vertebroplasty and kyphoplasty in the treatment of osteoporotic vertebral compression fractures. Arch Orthop Trauma Surg 131:645–650
Yeom JS, Kim WJ, Choy WS et al (2003) Leakage of cement percutaneous transpedicular vertebroplasty for painful osteoporotic compression fractures. J Bone Joint Surg Br 85:83–89
Hulme PA, Krebs J, Ferguson SJ et al (2006) Vertebroplasty and kyphoplasty: a systematic review of 69 clinical studies. Spine 31:1983–2001
Baround G, Crookshank M, Bohner M (2006) High-viscosity cement significantly enhances uniformity of cement filling in vertebroplasty: an experimental model and study on cement leakage. Spine 31:2562–2568
Fei T, Xiaodong Y, Hailin L et al (2010) Research on secondary fractures of adjacent vertebral body after treatment of PVP and PKP. Chin J Spine Spinal Cord 20:503–506
Conflict of interest
None.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Wang, E., Yi, H., Wang, M. et al. Treatment of osteoporotic vertebral compression fractures with percutaneous kyphoplasty: a report of 196 cases. Eur J Orthop Surg Traumatol 23 (Suppl 1), 71–75 (2013). https://doi.org/10.1007/s00590-013-1187-0
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00590-013-1187-0