Strategy to Handle the Complications of Vertebroplasty for Osteoporotic Compression Fracture

Purpose: As the use of percutaneous vertebroplasty to treat painful osteoporotic vertebral fractures is increasing, the need to better understand post-operative complications is pressing. Methods: From March 2001 to December 2002, we treated 239 patients with vertebral osteoporotic compression fracture by percutaneous vertebroplasty. All patients were followed for a minimum of 24 months. Results: The average vertebral height restoration was 31%. On the visual analogue scale, the clinical score improved by an average of 37 and 30 at one month postoperatively and final follow-up, respectively. Perioperatively, 39 cases of cement leakage were documented including including one case of pulmonary embolism and one case of neurologic deficit which needed cement removal. There were 2 cases of transient consciousness deterioration, 2 cases of subcutaneous hematoma, one case of cerebrospinal fluid leakage. Postoperatively, there were 45 cases of new vertebral fracture, two cases of cement dislodgement, and one case of pyogenic spondylitis. Conclusion: Even though percutaneous vertebroplasty offers rapid pain relief for painful osteoporotic compression fracture, potential complications are possible and so should be overlooked in deciding on the treatment course.

並列關鍵字

vertebroplasty ； osteoporosis ； vertebral fracture ； complications

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