Cement bridging phenomenon in percutaneous vertebroplasty for adjacent vertebral compression fracture

Cement bridging phenomenon in percutaneous vertebroplasty for adjacent vertebral compression fracture

Abstract In some cases of vertebroplasty for adjacent fractures, we observed a cement bridging phenomenon, in which the injected cement flowed from the newly fractured vertebra to the previously cement-augmented vertebra through the space between the abutting anterior longitudinal ligament and the v...

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Autores principales: Yun-Da Li, Tsung-Ting Tsai, Chi-Chien Niu, Po-Liang Lai
Formato: article
Lenguaje:EN
Publicado: Nature Portfolio 2021
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Acceso en línea:https://doaj.org/article/b487bf9788094bf09e7c072c04e8007c
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spelling oai:doaj.org-article:b487bf9788094bf09e7c072c04e8007c2021-12-02T15:54:45ZCement bridging phenomenon in percutaneous vertebroplasty for adjacent vertebral compression fracture10.1038/s41598-021-89412-z2045-2322https://doaj.org/article/b487bf9788094bf09e7c072c04e8007c2021-05-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-89412-zhttps://doaj.org/toc/2045-2322Abstract In some cases of vertebroplasty for adjacent fractures, we observed a cement bridging phenomenon, in which the injected cement flowed from the newly fractured vertebra to the previously cement-augmented vertebra through the space between the abutting anterior longitudinal ligament and the vertebral column. The purpose of this retrospective study was to investigate this phenomenon. From January 2012 to December 2014, patients who sustained new-onset adjacent vertebral compression fracture and who were again treated with vertebroplasty were enrolled. We divided the patients into two groups, the bridging group and the nonbridging group, to analyze the difference between them. Results showed that the cement bridging phenomenon occurred in 18 (22.8%) of the 79 patients. Significant differences between the bridging and nonbridging groups were identified in the following 3 imaging features: severe loss of the anterior vertebral body height at the new-onset adjacent vertebra on plain film (odds ratio [OR] = 4.46, p = 0.014), fluid accumulation (OR = 36.27, p < 0.001) and hypointense signaling (OR = 15.67, p < 0.001) around the space anterior to the abutting vertebral bodies and the corresponding intervertebral disc on MRI. After a 2-year follow-up, both the mean value of the focal kyphotic angle and anterior body height ratio were significantly better in the cement bridging group than in the nonbridging group. The cement bridging phenomenon, which has never been reported in the literature, is not rare in clinical practice. This phenomenon was associated with better maintenance of focal kyphotic angle and anterior body height ratio during the 2-year follow-up.Yun-Da LiTsung-Ting TsaiChi-Chien NiuPo-Liang LaiNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-8 (2021)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Yun-Da Li
Tsung-Ting Tsai
Chi-Chien Niu
Po-Liang Lai
Cement bridging phenomenon in percutaneous vertebroplasty for adjacent vertebral compression fracture
description Abstract In some cases of vertebroplasty for adjacent fractures, we observed a cement bridging phenomenon, in which the injected cement flowed from the newly fractured vertebra to the previously cement-augmented vertebra through the space between the abutting anterior longitudinal ligament and the vertebral column. The purpose of this retrospective study was to investigate this phenomenon. From January 2012 to December 2014, patients who sustained new-onset adjacent vertebral compression fracture and who were again treated with vertebroplasty were enrolled. We divided the patients into two groups, the bridging group and the nonbridging group, to analyze the difference between them. Results showed that the cement bridging phenomenon occurred in 18 (22.8%) of the 79 patients. Significant differences between the bridging and nonbridging groups were identified in the following 3 imaging features: severe loss of the anterior vertebral body height at the new-onset adjacent vertebra on plain film (odds ratio [OR] = 4.46, p = 0.014), fluid accumulation (OR = 36.27, p < 0.001) and hypointense signaling (OR = 15.67, p < 0.001) around the space anterior to the abutting vertebral bodies and the corresponding intervertebral disc on MRI. After a 2-year follow-up, both the mean value of the focal kyphotic angle and anterior body height ratio were significantly better in the cement bridging group than in the nonbridging group. The cement bridging phenomenon, which has never been reported in the literature, is not rare in clinical practice. This phenomenon was associated with better maintenance of focal kyphotic angle and anterior body height ratio during the 2-year follow-up.
format article
author Yun-Da Li
Tsung-Ting Tsai
Chi-Chien Niu
Po-Liang Lai
author_facet Yun-Da Li
Tsung-Ting Tsai
Chi-Chien Niu
Po-Liang Lai
author_sort Yun-Da Li
title Cement bridging phenomenon in percutaneous vertebroplasty for adjacent vertebral compression fracture
title_short Cement bridging phenomenon in percutaneous vertebroplasty for adjacent vertebral compression fracture
title_full Cement bridging phenomenon in percutaneous vertebroplasty for adjacent vertebral compression fracture
title_fullStr Cement bridging phenomenon in percutaneous vertebroplasty for adjacent vertebral compression fracture
title_full_unstemmed Cement bridging phenomenon in percutaneous vertebroplasty for adjacent vertebral compression fracture
title_sort cement bridging phenomenon in percutaneous vertebroplasty for adjacent vertebral compression fracture
publisher Nature Portfolio
publishDate 2021
url https://doaj.org/article/b487bf9788094bf09e7c072c04e8007c
work_keys_str_mv AT yundali cementbridgingphenomenoninpercutaneousvertebroplastyforadjacentvertebralcompressionfracture
AT tsungtingtsai cementbridgingphenomenoninpercutaneousvertebroplastyforadjacentvertebralcompressionfracture
AT chichienniu cementbridgingphenomenoninpercutaneousvertebroplastyforadjacentvertebralcompressionfracture
AT polianglai cementbridgingphenomenoninpercutaneousvertebroplastyforadjacentvertebralcompressionfracture
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