Article
Surgery
Xiangcheng Gao, Jinpeng Du, Lin Gao, Dingjun Hao, Hua Hui, Baorong He, Liang Yan
Summary: High restoration of Cobb angle, cement leakage (anterior edge), small degree of bone cement interweaving, non-targeted location of bone cement, short duration of brace wearing and non-postoperative osteoporosis treatment were identified as independent risk factors for bone cement displacement after percutaneous vertebral augmentation (PVA).
FRONTIERS IN SURGERY
(2022)
Article
Endocrinology & Metabolism
Chen Ge, Zhe Chen, Yazhou Lin, Yuehuan Zheng, Peng Cao, Xiaoyong Chen
Summary: This study aimed to establish a radiomics score-based nomogram for the preoperative prediction of residual back pain (RBP) in osteoporotic vertebral compression fracture (OVCF) patients. The nomogram was developed using a training cohort of 731 patients and validated using a separate validation cohort. The nomogram demonstrated good discrimination, calibration, and clinical utility for predicting the risk of RBP in OVCF patients.
FRONTIERS IN ENDOCRINOLOGY
(2022)
Article
Orthopedics
Kui Zhang, Jiang She, Yandong Zhu, Wenji Wang, Erliang Li, Ding Ma
Summary: The study identified different risk factors for various types of cement leakage, which may help reduce the rate of leakage.
JOURNAL OF ORTHOPAEDIC SURGERY AND RESEARCH
(2021)
Article
Clinical Neurology
Yi-Li Hu, Pei-Yang Wang, Zhi-Yang Xie, Guan-Rui Ren, Cong Zhang, Hang-Yu Ji, Xin-Hui Xie, Su-Yang Zhuang, Xiao-Tao Wu
Summary: This study aimed to develop machine learning models that can predict bone cement leakage in percutaneous vertebral augmentation (PVA) for patients with osteoporotic vertebral compression fracture (OVCF) and identify associated risk factors. Among the 425 patients who underwent PVA, cortical disruption, basivertebral foramen sign, fracture type, and volume of bone cement were found to be independent predictors of cement leakage. The XGBoost model outperformed others in predicting cement leakage, and the analysis of SHAP values revealed important factors related to cement leakage.
GLOBAL SPINE JOURNAL
(2023)
Article
Orthopedics
Benqiang Tang, Songjie Xu, Xueming Chen, Libin Cui, Yanhui Wang, Xin Yan, Yadong Liu
Summary: The presence of intravertebral cleft (IVC) in patients undergoing percutaneous vertebroplasty (PVP) for osteoporotic vertebral compression fractures (OVCFs) was associated with a lower incidence of leakage through veins, but a higher incidence of leakage through the cortex, with no significant effect on the occurrence of general leakage.
BMC MUSCULOSKELETAL DISORDERS
(2021)
Article
Clinical Neurology
Benqiang Tang, Libin Cui, Xueming Chen, Yadong Liu
Summary: This retrospective study analyzed 1090 patients who underwent PVP treatment for OVCFs and identified main risk factors contributing to cement leakage, including cortical disruption, basivertebral foramen, and cement volume. The results of this study provide some guidance for reducing cement leakage in PVP treatment for patients with OVCFs.
Article
Orthopedics
Ji Guo, Weifeng Zhai, Licheng Wei, Jianpo Zhang, Lang Jin, Hao Yan, Zheng Huang, Yongwei Jia
Summary: This study investigated the outcomes and complications of balloon kyphoplasty for osteoporotic vertebral compression fracture in patients with rheumatoid arthritis. Results showed that RA patients had greater improvement in compression rate and kyphotic angle after KP, but also experienced more new adjacent vertebral fractures compared to non-RA patients.
JOURNAL OF ORTHOPAEDIC SURGERY AND RESEARCH
(2021)
Article
Clinical Neurology
In-Suk Bae, Byung Gwan Moon, Hee In Kang, Jae Hoon Kim, Cheolsu Jwa, Deok Ryeong Kim
Summary: This study retrospectively analyzed clinical outcomes and Cobb angle changes in patients with OVCF undergoing vertebral augmentation. The results showed that there was a significant correlation between Cobb angle changes and VAS score changes, and the Cobb angle difference and compression ratio were independent risk factors for predicting short-term favorable outcomes after vertebral augmentation.
Article
Orthopedics
Feng Wang, Rui Sun, Shao-Dong Zhang, Xiao-Tao Wu
Summary: This study aimed to compare the risk factors, vertebral compression degree, and back pain characteristics between thoracolumbar osteoporotic vertebral compression fractures (TL-OVCF) and non-thoracolumbar OVCF (nTL-OVCF). The results showed that TL-OVCF had a higher risk than nTL-OVCF, and nTL-OVCF was not associated with female gender, apparent spine trauma, or poor bone mineral density but tended to cause longer duration of pre-hospital back pain.
JOURNAL OF ORTHOPAEDIC SURGERY AND RESEARCH
(2023)
Article
Orthopedics
Xudong Hu, Weiyu Jiang, Yunlin Chen, Yang Wang, Weihu Ma
Summary: Infection, progressive kyphosis, and neurological dysfunction are the primary causes of revision surgery after cement augmentation for osteoporotic vertebral fracture. Avoiding misdiagnosis and ensuring suitable indications may be the key points to decrease unplanned revision surgery. The quality of daily life and neurological function can be improved through revision surgery.
ORTHOPAEDICS & TRAUMATOLOGY-SURGERY & RESEARCH
(2021)
Article
Surgery
Ning Fan, Tianyi Wang, Aobo Wang, Shuo Yuan, Peng Du, Fangda Si, Wenyi Zhu, Jian Li, Lei Zang
Summary: This retrospective study analyzed 109 eligible OVCF patients and found an intradiscal leakage rate of 32.1% during PKP treatment. Compression rate and cemented vertebral body fraction were identified as independent risk factors for intradiscal leakage. A well-calibrated predictive nomogram was established to accurately predict the probability of intradiscal leakage with good predictive power and fitness of data.
FRONTIERS IN SURGERY
(2022)
Article
Endocrinology & Metabolism
Chengqiang Zhou, Shaolong Huang, Yifeng Liao, Han Chen, Yazhong Zhang, Hua Li, Ziqiang Zhu, Yunqing Wang
Summary: This study investigates the correlation between the larger side bone cement volume/vertebral body volume ratio (LSBCV/VBV%) and adjacent vertebral compression fracture (AVCF) in percutaneous vertebroplasty (PVP) for osteoporotic vertebral compression fracture (OVCF). The results show that bone mineral density (BMD), bone cement disc leakage, and LSBCV/VBV% are independent risk factors for AVCF after PVP.
FRONTIERS IN ENDOCRINOLOGY
(2023)
Article
Medicine, General & Internal
Junbo Qi, Yuanyu Hu, Zhongwei Yang, Yanlei Dong, Xin Zhang, Guojin Hou, Yang Lv, Yan Guo, Fang Zhou, Bingchuan Liu, Yun Tian
Summary: This retrospective study investigates the incidence and outcomes of symptomatic bone cement displacement (BCD) following percutaneous kyphoplasty (PKP) for osteoporotic vertebral compression fracture (OVCF) and identifies risk factors. The study finds that the incidence of symptomatic BCD is 2.3% in patients treated with PKP. Anterior leakage, the intravertebral vacuum cleft (IVC) sign, and low cement distribution score are identified as independent risk factors for BCD. Paraspinal muscle degeneration is a specific risk factor for symptomatic BCD. Symptomatic BCD can lead to poor outcomes, including higher pain scores and incidence of new vertebral fractures.
JOURNAL OF CLINICAL MEDICINE
(2022)
Article
Medicine, Research & Experimental
Kai Xu, Ya-Ling Li, Song-Hua Xiao
Summary: This study compared the effectiveness and safety of vesselplasty versus vertebroplasty in treating osteoporotic compression fractures with posterior wall rupture. The results showed that vesselplasty offers similar pain relief and vertebral compression recovery but lower rates of bone cement leakage, making it a better option for patients with this condition.
JOURNAL OF INTERNATIONAL MEDICAL RESEARCH
(2021)
Article
Clinical Neurology
Yun Zhang, Haoran Qi, Yefeng Zhang, Junning Wang, Jingcai Xue
Summary: This study aimed to investigate the relationship between bone marrow edema (BME) detected on MRI and bone healing histomorphometry after vertebral compression fracture. The findings showed a significant negative correlation between BME percentage and osteoid volume/bone volume ratio, as well as woven bone volume/tissue volume ratio. Additionally, there was a positive correlation between BME percentage and fibrous tissue volume/tissue volume ratio, indicating that BME significantly correlates with bone morphology parameters after vertebral fracture.
EUROPEAN SPINE JOURNAL
(2021)