Effect of injury degree of osteoporotic vertebral compression fracture on bone cement cortical leakage after percutaneous kyphoplasty

• Published in: Zhongguo xiu fu chong jian wai ke za zhi 2023-04, Vol.37 (4), p.452-456
• Main Authors: Huang, Xubing, Jiao, Wei, Zhai, Yunlei, Zhang, Wei, Lu, Haitao, Jiang, Jishi, Ge, Yu, Yu, Haiyang
• Format: Article
• Language: Chinese
• Subjects: Aged; Bone Cements; Female; Fractures, Compression - diagnostic imaging; Fractures, Compression - etiology; Fractures, Compression - surgery; Humans; Kyphoplasty - adverse effects; Kyphoplasty - methods; Male; Osteoporotic Fractures - etiology; Osteoporotic Fractures - surgery; Retrospective Studies; Spinal Fractures - diagnostic imaging; Spinal Fractures - etiology; Spinal Fractures - surgery; Treatment Outcome; Vertebroplasty - methods
• ISSN: 1002-1892
• DOI: 10.7507/1002-1892.202212066

To analyze the correlation between bone cement cortical leakage and injury degree of osteoporotic vertebral compression fracture (OVCF) after percutaneous kyphoplasty (PKP), and to provide guidance for reducing clinical complications. A clinical data of 125 patients with OVCF who received PKP between November 2019 and December 2021 and met the selection criteria was selected and analyzed. There were 20 males and 105 females. The median age was 72 years (range, 55-96 years). There were 108 single-segment fractures, 16 two-segment fractures, and 1 three-segment fracture. The disease duration ranged from 1 to 20 days (mean, 7.2 days). The amount of bone cement injected during operation was 2.5-8.0 mL, with an average of 6.04 mL. Based on the preoperative CT images, the standard S/H ratio of the injured vertebra was measured (S: the standard maximum rectangular area of the cross-section of the injured vertebral body, H: the standard minimum height of the sagittal position of the injured vertebral body). Based on