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04 December 2019 : Clinical Research  

Risk Factors of Secondary Vertebral Compression Fracture After Percutaneous Vertebroplasty or Kyphoplasty: A Retrospective Study of 650 Patients

Ziqi Chen1BCE, Yanping Wu2BC, Shenghua Ning1CDF, Tianxiao Ma1BF, Zhanyong Wu1AB*

DOI: 10.12659/MSM.915312

Med Sci Monit 2019; 25:9255-9261


BACKGROUND: In this study, we aimed to investigate the risk factors contributing to secondary vertebral compression fractures (SVCF) in patients undergoing percutaneous vertebroplasty (PVP) or kyphoplasty (PKP) due to osteoporotic vertebral compression fracture (OVCF).

MATERIAL AND METHODS: Between January 2010 and December 2017, 650 patients with regular follow-up were identified and retrospectively analyzed in this study. Of these patients, 410 patients underwent PVP and 240 patients underwent PKP surgery. Patients were followed for 24 months on average, ranging from 6 months to 36 months follow-up. Possible risk factors screened for were age, gender, regional distribution, outdoor activity (ODA), bone mineral density (BMD), surgical methods (unilateral or bilateral), bone cement dose, bone cement leakage, chronic disease history, postoperative anti-osteoporosis treatment, and level of preoperative OVCF. Logistic regression analysis was applied to determine potential risk factors.

RESULTS: As a result, 102 patients (15.7%) suffered SVCF after PVP/PKP surgery at the last follow-up. Binary logistic regression model showed that older age increased the risk of developing SVCF [odds ratio (OR)=2.48, P=0.031] while high-level BMD (OR=0.31, P<0.001) and ODA (OR=0.38, P=0.001) decreased the risk. Binary logistic regression model showed the following: Logit (P)=1.03+0.91X₁–1.18X₂–0.97X₃ (X₁=age, OR=2.48, P=0.031; X₂=BMD, OR=0.31, P<0.001; X₃=ODA, OR=0.38, P=0.001).

CONCLUSIONS: In conclusion, older age and lower BMD were identified as risk factors of SVCF for OVCF patients following PVP/PKP surgery, whereas more ODA played a protective role in SVCF development.

Keywords: Fractures, Compression, kyphoplasty, Osteoporosis, Risk Factors, vertebroplasty, Aged, Aged, 80 and over, Bone Cements, Bone Density, Logistic Models, Lumbar Vertebrae, Middle Aged, Odds Ratio, Osteoporotic Fractures, Retrospective Studies, Spinal Fractures, Thoracic Vertebrae, Treatment Outcome

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Editorial: Global Initiative for Chronic Obstructive Lung Disease (GOLD) 2023 Guidelines for COPD, Including COVID-19, Climate Change, and Air Pollution

Dinah V. Parums
Science Editor, Medical Science Monitor, International Scientific Information, Inc., Melville, NY, USA

DOI: 10.12659/MSM.942672

Med Sci Monit 2023; 29:e942672


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Medical Science Monitor eISSN: 1643-3750
Medical Science Monitor eISSN: 1643-3750