{"title":"球囊椎体后凸成形术治疗骨质疏松性椎体压缩骨折后骨水泥脱落的风险因素","authors":"Kai-Chieh Chang , Chih-Ta Huang , Cheng-Ta Hsieh , Chien-Min Chen , Chih-Ju Chang","doi":"10.1016/j.neuchi.2024.101559","DOIUrl":null,"url":null,"abstract":"<div><h3>Objective</h3><p>The study aimed to determine the incidence and risk factors associated with bone cement dislodgement in patients with osteoporotic vertebral compression fracture following balloon kyphoplasty treatment.</p></div><div><h3>Methods</h3><p>A retrospective study was conducted on 203 patients who underwent kyphoplasty in 255 vertebral bodies between January 2017 and December 2021. The patients were categorized into two groups: the bone cement dislodgment group (n = 16) and the non-bone cement dislodgement group (n = 239). Various patient characteristics and radiologic parameters were evaluated. Statistical analysis involved the assessment of the background homogeneity of the group by using independent sample <em>t</em> tests, chi-square tests, and Fisher’s exact. Univariate and multivariate logistic regression analyses were performed to explore the impact of background variables on cement dislodgement.</p></div><div><h3>Results</h3><p>The results revealed that split-type fracture (χ<sup>2</sup> = 31.706, <em>p</em> < 0.001), DISH (χ<sup>2</sup> = 18.827, <em>p</em> = 0.011), pedicle fracture (χ<sup>2</sup> = 22.246, <em>p</em> < 0.001), endplate deficit (χ<sup>2</sup> = 14.023, <em>p</em> < 0.001), posterior wall injury (χ<sup>2</sup> = 29.124, <em>p</em> < 0.001), and intervertebral vacuum cleft (χ<sup>2</sup> = 21.469, <em>p</em> < 0.001) were the factors that significantly differed between the two groups. The multivariate logistic regression analysis revealed posterior wall injury (OR = 12.983, <em>p</em> = 0.025) and intervertebral vacuum cleft (OR = 5.062, <em>p</em> = 0.024) to be independent risk factors.</p></div><div><h3>Conclusion</h3><p>The incidence of bone cement dislodgement in our study was 6.3%. This study underscores the importance of using preoperative radiologic parameters to predict the risk of bone cement dislodgement following balloon kyphoplasty.</p></div>","PeriodicalId":51141,"journal":{"name":"Neurochirurgie","volume":"70 4","pages":"Article 101559"},"PeriodicalIF":1.5000,"publicationDate":"2024-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Risk factors for bone cement dislodgement following balloon kyphoplasty for osteoporotic vertebral compression fracture\",\"authors\":\"Kai-Chieh Chang , Chih-Ta Huang , Cheng-Ta Hsieh , Chien-Min Chen , Chih-Ju Chang\",\"doi\":\"10.1016/j.neuchi.2024.101559\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Objective</h3><p>The study aimed to determine the incidence and risk factors associated with bone cement dislodgement in patients with osteoporotic vertebral compression fracture following balloon kyphoplasty treatment.</p></div><div><h3>Methods</h3><p>A retrospective study was conducted on 203 patients who underwent kyphoplasty in 255 vertebral bodies between January 2017 and December 2021. The patients were categorized into two groups: the bone cement dislodgment group (n = 16) and the non-bone cement dislodgement group (n = 239). Various patient characteristics and radiologic parameters were evaluated. Statistical analysis involved the assessment of the background homogeneity of the group by using independent sample <em>t</em> tests, chi-square tests, and Fisher’s exact. Univariate and multivariate logistic regression analyses were performed to explore the impact of background variables on cement dislodgement.</p></div><div><h3>Results</h3><p>The results revealed that split-type fracture (χ<sup>2</sup> = 31.706, <em>p</em> < 0.001), DISH (χ<sup>2</sup> = 18.827, <em>p</em> = 0.011), pedicle fracture (χ<sup>2</sup> = 22.246, <em>p</em> < 0.001), endplate deficit (χ<sup>2</sup> = 14.023, <em>p</em> < 0.001), posterior wall injury (χ<sup>2</sup> = 29.124, <em>p</em> < 0.001), and intervertebral vacuum cleft (χ<sup>2</sup> = 21.469, <em>p</em> < 0.001) were the factors that significantly differed between the two groups. The multivariate logistic regression analysis revealed posterior wall injury (OR = 12.983, <em>p</em> = 0.025) and intervertebral vacuum cleft (OR = 5.062, <em>p</em> = 0.024) to be independent risk factors.</p></div><div><h3>Conclusion</h3><p>The incidence of bone cement dislodgement in our study was 6.3%. This study underscores the importance of using preoperative radiologic parameters to predict the risk of bone cement dislodgement following balloon kyphoplasty.</p></div>\",\"PeriodicalId\":51141,\"journal\":{\"name\":\"Neurochirurgie\",\"volume\":\"70 4\",\"pages\":\"Article 101559\"},\"PeriodicalIF\":1.5000,\"publicationDate\":\"2024-04-16\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Neurochirurgie\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S0028377024000304\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q4\",\"JCRName\":\"CLINICAL NEUROLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Neurochirurgie","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S0028377024000304","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"CLINICAL NEUROLOGY","Score":null,"Total":0}
Risk factors for bone cement dislodgement following balloon kyphoplasty for osteoporotic vertebral compression fracture
Objective
The study aimed to determine the incidence and risk factors associated with bone cement dislodgement in patients with osteoporotic vertebral compression fracture following balloon kyphoplasty treatment.
Methods
A retrospective study was conducted on 203 patients who underwent kyphoplasty in 255 vertebral bodies between January 2017 and December 2021. The patients were categorized into two groups: the bone cement dislodgment group (n = 16) and the non-bone cement dislodgement group (n = 239). Various patient characteristics and radiologic parameters were evaluated. Statistical analysis involved the assessment of the background homogeneity of the group by using independent sample t tests, chi-square tests, and Fisher’s exact. Univariate and multivariate logistic regression analyses were performed to explore the impact of background variables on cement dislodgement.
Results
The results revealed that split-type fracture (χ2 = 31.706, p < 0.001), DISH (χ2 = 18.827, p = 0.011), pedicle fracture (χ2 = 22.246, p < 0.001), endplate deficit (χ2 = 14.023, p < 0.001), posterior wall injury (χ2 = 29.124, p < 0.001), and intervertebral vacuum cleft (χ2 = 21.469, p < 0.001) were the factors that significantly differed between the two groups. The multivariate logistic regression analysis revealed posterior wall injury (OR = 12.983, p = 0.025) and intervertebral vacuum cleft (OR = 5.062, p = 0.024) to be independent risk factors.
Conclusion
The incidence of bone cement dislodgement in our study was 6.3%. This study underscores the importance of using preoperative radiologic parameters to predict the risk of bone cement dislodgement following balloon kyphoplasty.
期刊介绍：
Neurochirurgie publishes articles on treatment, teaching and research, neurosurgery training and the professional aspects of our discipline, and also the history and progress of neurosurgery. It focuses on pathologies of the head, spine and central and peripheral nervous systems and their vascularization. All aspects of the specialty are dealt with: trauma, tumor, degenerative disease, infection, vascular pathology, and radiosurgery, and pediatrics. Transversal studies are also welcome: neuroanatomy, neurophysiology, neurology, neuropediatrics, psychiatry, neuropsychology, physical medicine and neurologic rehabilitation, neuro-anesthesia, neurologic intensive care, neuroradiology, functional exploration, neuropathology, neuro-ophthalmology, otoneurology, maxillofacial surgery, neuro-endocrinology and spine surgery. Technical and methodological aspects are also taken onboard: diagnostic and therapeutic techniques, methods for assessing results, epidemiology, surgical, interventional and radiological techniques, simulations and pathophysiological hypotheses, and educational tools. The editorial board may refuse submissions that fail to meet the journal''s aims and scope; such studies will not be peer-reviewed, and the editor in chief will promptly inform the corresponding author, so as not to delay submission to a more suitable journal.
With a view to attracting an international audience of both readers and writers, Neurochirurgie especially welcomes articles in English, and gives priority to original studies. Other kinds of article - reviews, case reports, technical notes and meta-analyses - are equally published.
Every year, a special edition is dedicated to the topic selected by the French Society of Neurosurgery for its annual report.
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