Long-term Follow-up of Percutaneous Vertebroplasty in Osteoporotic Compression Fracture: Minimum of 5 Years Follow-up

A 9-year-old girl presented to the emergency department reporting intense pain and inability to bear weight on her left foot after a classmate tripped over it. Imaging studies confirmed a fracture of the cuboid bone due to compression of the lateral column of the foot (also known as nutcracker fracture). The patient was treated surgically, with direct reduction of the compression fracture and definitive fixation with two Kirschner wires. Cuboid nutcracker fracture is rare in children and adolescents, and potential consequences can occur if it is not correctly diagnosed and adequately managed. Literature on this type of fracture is scarce, along with information on treatment options and results over medium-term and long-term follow-up. We describe this case and review the literature on this particular topic.

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Percutaneous Vertebroplasty in Osteoporotic Patients: An Institutional Experience of 1,634 Patients with Long-Term Follow-Up

Journal of Vascular and Interventional Radiology ◽

10.1016/j.jvir.2011.09.001 ◽

2011 ◽

Vol 22 (12) ◽

pp. 1714-1720 ◽

Cited By ~ 18

Author(s):

Giovanni Carlo Anselmetti ◽

Antonio Manca ◽

Joshua Hirsch ◽

Filippo Montemurro ◽

Giancarlo Isaia ◽

...

Keyword(s):

Percutaneous Vertebroplasty ◽

Long Term Follow Up ◽

Institutional Experience

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Abstract No. 4: Percutaneous Vertebroplasty for Osteoporotic Compression Fracture, First 500 Levels of a Single Center: Long Term Evaluation of the Technical and Clinical Outcomes

Journal of Vascular and Interventional Radiology ◽

10.1016/j.jvir.2008.12.005 ◽

2009 ◽

Vol 20 (2) ◽

pp. S4

Author(s):

N. Tanigawa ◽

S. Kariya ◽

A. Komemushi ◽

Y. Shomura ◽

T. Tokuda ◽

...

Keyword(s):

Clinical Outcomes ◽

Percutaneous Vertebroplasty ◽

Compression Fracture ◽

Single Center ◽

Osteoporotic Compression Fracture ◽

Term Evaluation

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Minimally Invasive Pedicle Screw Fixation, Including the Fractured Vertebra, Combined with Percutaneous Vertebroplasty for Treatment of Acute Thoracolumbar Osteoporotic Compression Fracture in Middle-Age and Elderly Individuals

10.21203/rs.3.rs-750840/v1 ◽

2021 ◽

Author(s):

hong liu ◽

jinwei Xu ◽

guanrong Sun ◽

weifeng Shi ◽

liming Xiang ◽

...

Keyword(s):

Minimally Invasive ◽

Pedicle Screw ◽

Middle Age ◽

Percutaneous Vertebroplasty ◽

Compression Fracture ◽

Neurological Deficits ◽

Column Height ◽

Elderly Individuals ◽

Osteoporotic Compression Fracture

Abstract Background: To evaluate the feasibility, efficacy, and safety of minimally invasive pedicle screw (MIPS) fixation, including the fractured vertebra, combined with percutaneous vertebroplasty (PVP) for the treatment of acute thoracolumbar osteoporotic compression fracture in middle-age and elderly individuals.Methods: Between January 2016 and August 2019, a total of 30 patients, with a mean age of 69.4 years (range, 58–75 years), who experienced thoracic or lumbar fracture without neurological deficits, underwent the MIPS procedure combined with PVP. Preoperative and postoperative pain were assessed using a visual analog scale (VAS) and Oswestry Disability Index (ODI). Cobb angles and anterior column height were measured on lateral radiographs before surgery and at 3 days, 1, 3, and 6 months, and 1 and 2 years at final follow-up after surgery.Results: All patients underwent surgery successfully, with a mean follow-up of 18.2 ± 5.7 months (range, 12–45 months). Mean preoperative VAS score decreased from 7.3±2.2 to 1.4±0.3 at the final follow-up (p<0.05). Mean preoperative ODI decreased from 84.2±10.3 to 18.8±7.5 (p<0.05) at the final follow-up. The Kyphosis angle of operative segment was improved from preoperative (21.38±1.68)° to(4.01 ± 1.38)°3 days postoperatively and(5.02±1.09)°at final follow up (p<0.05).The anterior vertebral height was improved from preoperative(49.86±6.50)% to(94.01±1.79)% 3 days postoperatively and (91.80±1.88)% at final follow up (p<0.05). No significant changes in vertebral body height restoration were observed during 2 years of follow-up after surgery. In addition, there were no instrumentation failures or complications in any of the patients.Conclusions: MIPS, including the fractured vertebra, combined with PVP, was a reliable and safe procedure, with satisfactory clinical and radiological results for the treatment of thoracolumbar osteoporotic compression fracture in patients without neurological deficits.

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Percutaneous Vertebroplasty for Symptomatic Schmorl’s Nodes: 11 Cases with Long-term Follow-up and a Literature Review

January 2018 - Pain Physician ◽

10.36076/ppj/2017/75 ◽

2017 ◽

Vol 2 (20;2) ◽

pp. 69-75

Author(s):

Gao-Jun Teng

Keyword(s):

Physical Therapy ◽

Percutaneous Vertebroplasty ◽

Case Series ◽

Small Sample ◽

Vertebral Compression Fractures ◽

Safe Procedure ◽

Long Term Follow Up ◽

Schmorl’S Nodes

Background: Percutaneous vertebroplasty (PVP) is commonly used to treat symptomatic vertebral compression fractures. However, its long-term effectiveness and safety for use in the treatment of symptomatic Schmorl’s nodes (SNs) refractory to conservative treatment is uncertain. Objectives: To present a case series with PVP for symptomatic SNs not responding to conservative therapy and assess the effectiveness and safety for such treatment with long-term follow-up. To present a review of the literature regarding SNs and treatment options. Study Design: Single center retrospective observational study. Setting: This study consists of patients from a large academic center in China. Methods: Between January 2008 and December 2013, 11 patients suffering from symptomatic SNs that were refractory to medical or physical therapy, underwent PVP procedures in our department. All patients had a definitive diagnosis of SNs by magnetic resonance imaging (MRI) and computed tomography (CT). The visual analog scale (VAS) was assessed preoperatively at 4 hours, at one month, and every 6 months postoperatively during the long-term (mean: 58.0 months) follow-up period. Results: Each of the 11 patients reported an immediate and distinct relief of their back pain. No one reported a worsening of symptoms. The VAS decreased from an average preprocedural score of 7.9 to a postprocedural score of 2.1 at 4 hours. The VAS averaged 1.8 during the mean followup period of 58.0 (range 24.1 to 98.9) months. There were no postoperative complications during the follow-up period. At the end of the follow-up period, all 11 patients were unrestricted in their activities. Limitations: This study is a retrospective study with a small sample size. Conclusions: PVP is an effective and safe procedure for the treatment of symptomatic SNs, which are refractory to medical or physical therapy. Key words: Percutaneous vertebroplasty, symptomatic Schmorl’s nodes, vertebral endplate fracture, endplate osteonecrosis, Modic changes

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Effect of Conservative Treatment for Refracture in Cemented Vertebrae After Percutaneous Vertebroplasty: A Long Term Follow-up

Clinical Medicine Research ◽

10.11648/j.cmr.20160503.11 ◽

2016 ◽

Vol 5 (3) ◽

pp. 20

Author(s):

Jing Wang

Keyword(s):

Conservative Treatment ◽

Percutaneous Vertebroplasty ◽

Long Term Follow Up

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Percutaneous Vertebroplasty Using a Rotary Cutter for Treating Kümmell’s Disease with Intravertebral Vacuum Cleft

January 2018 - Pain Physician ◽

10.36076/ppj.2021.24.e477 ◽

2021 ◽

pp. E477-E482

Keyword(s):

Percutaneous Vertebroplasty ◽

Tertiary Care ◽

Control Group ◽

Care Hospital ◽

Long Term Follow Up ◽

Kummell’S Disease ◽

And Control ◽

Kümmell’S Disease

BACKGROUND: Reported data indicate that the curative effect of percutaneous vertebroplasty (PVP) on the patients with intravertebral vacuum cleft (IVC) is worse than on those without IVC. OBJECTIVES: This study was to prospectively investigate the advantage of rotary cutter-PVP (RC-PVP) in patients with Kümmell’s disease with IVC. STUDY DESIGN: A prospective outcome study. SETTING: A tertiary care hospital. METHODS: Patients who underwent conventional PVP served as the control group. For the RC-PVP group, the rotary cutters were applied before the cement injection to destroy the IVC structure and the surrounding necrotic bone. The following data were compared between the two groups: the cement filling patterns, effective therapeutic rate, the pre- to post-procedural changes of spinal geometry, and the subsequent fractures. RESULTS: This study included a total of 64 patients (30 and 34 patients in RC-PVP group and control group, respectively). In the RC-PVP group, the cement in 26 cases was filled as a mixed pattern, while the filling pattern in the control group was mainly the cystic type (n = 31). There were no significant differences in the height restoration rate between the RC-PVP and control groups (32.7 ± 13.6 and 32.4 ± 13.9, respectively, P = 0.93). The RC-PVP group had a higher effective rate during the first week and the first month (93.3% vs. 70.6%, P = 0.02) and at 3 months (90.4% vs. 73.9%, P = 0.03). Long-term follow-up indicated that vertebral recollapse of the same treated vertebral body occurred in 5 patients after conventional PVP, which was not observed in the RC-PVP group. LIMITATIONS: The small number of included patients and no long-term follow-up. CONCLUSIONS: RC-PVP, with the destruction of IVC, may lead to better clinical outcomes with fewer complications. KEY WORDS: Back pain, bone cements, osteonecrosis, vertebroplasty

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