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CC BY-NC-ND 4.0 · Indian J Radiol Imaging 2022; 32(01): 046-050
DOI: 10.1055/s-0042-1744122
Original Article

The Rates of Cement Leakage Following Vertebroplasty in Osteoporotic versus Metastatic Disease

Ahmed Saad
1   Department of Orthopedics, Royal Orthopaedic Hospital, Birmingham, United Kingdom
,
Rajesh Botchu
2   Department of Musculoskeletal Imaging, Royal Orthopaedic Hospital, Birmingham, United Kingdom
,
Steven James
2   Department of Musculoskeletal Imaging, Royal Orthopaedic Hospital, Birmingham, United Kingdom
› Author Affiliations Funding None.
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Abstract

Introduction Percutaneous vertebroplasty is used for symptomatic osteoporotic fractures and osteolytic neoplasms. We performed a retrospective study to analyze the pattern of leaks in the two cohorts.

Material and Methods Vertebroplasties performed over a 7-year period at a tertiary orthopaedic center were included in the study and divided into osteoporotic and neoplastic groups. The incidence and pattern of cement leaks in each group were documented and analyzed.

Results There were 75 leaks of a cohort of 211 vertebroplasties with a relatively equal proportion in osteoporotic and neoplastic groups. The incidence of discal leaks was comparable between the two groups. Lateral and posterior leaks were more common in the neoplastic group.

Conclusion We report the incidence and type of leaks in osteoporotic and neoplastic groups. Understanding the fracture pattern and preoperative management are both essential in preventing cement leakage. Using highly viscous cement or allowing the cement to harden prior to injection, with use of low pressure, decreases the risk and incidence of cement leakage.

Keywords

vertebroplasty - osteoporotic - neoplastic - leak


Publication History

Article published online:
19 April 2022

© 2022. Indian Radiological Association. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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