Risk factors for new fractures after vertebroplasty for osteoporotic vertebral compression fractures in the elderly
CAO Dongzi
XU Zhengwei
WANG Cunliang
LU Liang
SHANG Wei
SUN Yulu
Abstract：Objective To analyze the risk factors for new fractures after vertebroplasty for osteoporotic vertebral compression fractures in the elderly. Methods The clinical data of 88 elderly patients with osteoporotic vertebral compression fractures who had undergone vertebroplasty in our hospital between April 2013 and March 2017 was analyzed retrospectively. According to the presence of new fractures, the patients were divided into the fracture group (33 pepole) and non-fracture group (55 pepole). The demographic data, past history, general information on fractures and operations were collected. The risk factors of new fractures after vertebroplasty for osteoporotic vertebral compression fractures in the elderly were screened by Logistic regression analysis. Results Among the 88 elderly patients with osteoporotic vertebral compression fractures after vertebroplasty, there were 33 cases with non-operative new vertebral fractures, and the incidence was 37.50%. There was significant difference between the fracture group and the non-fracture group in the long-term use of glucocorticoids, bone mineral density, the number of fractured vertebral bodies before surgery, the number of operated vertebral bodies, the fracture compression rate, the recovery rate of vertebral body height, the number of enhanced vertebral bodies and the proportion of bone cement vertebral disc leakage(P<0.05). Long-term use of glucocorticoids, bone mineral density, the number of fractured vertebral bodies before surgery, the number of operated vertebral bodies, the number of enhanced vertebral bodies and bone cement vertebral disc leakage were risk factors for new fractures after vertebroplasty of osteoporotic vertebral compression fractures. Conclusion There is an obvious correlation between new fractures and long-term use of glucocorticoids, the number of fractured vertebral bodies before surgery, the number of enhanced vertebral bodies and bone cement vertebral disc leakage in elderly patients with osteoporotic vertebral compression fractures after percutaneous kyphoplasty(PKP). Positive control of the risk factors can reduce the risk of refracture after surgery.
Keywords：osteoporotic fracturevertebroplastynew fracturebone mineral density
Publication Date：2018-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 41-44 )