Healing of Vertebral Compression Fractures in the Elderly after Percutaneous Vertebroplasty—An Analysis of New Bone Formation and Sagittal Alignment in a 3‐Year Follow‐Up

Yuh Ruey Kuo, Ting An Cheng, Po Hsin Chou, Yuan Fu Liu, Chao Jui Chang, Cheng Feng Chuang, Pei Fang Su, Ruey Mo Lin, Cheng Li Lin

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3 Citations (Scopus)

Abstract

Background: Vertebral compression fractures, resulting in significant pain and disability, commonly occur in elderly osteoporotic patients. However, the current literature lacks long‐term follow‐up information related to image parameters and bone formation following vertebroplasty. Purpose: To evaluate new bone formation after vertebroplasty and the long‐term effect of vertebroplasty. Methods: A total of 157 patients with new osteoporotic compression fractures who underwent vertebroplasty were retrospectively analyzed. The image parameters, including wedge angles, compression ratios, global alignment, and new bone formation, were recorded before and after vertebroplasty up to three years postoperatively. Results: The wedge angle improved and was maintained for 12 months. The compression ratios also improved but gradually deteriorated during the follow‐up period. New bone formation was found in 40% of the patients at 36 months, and the multivariate analysis showed that this might have been related to the correction of the anterior compression ratio. Conclusions: Vertebroplasty significantly restored the wedge angles and compression ratios up to one year postoperatively, and new bone formation was noted on plain radiographs, which increased over time. Last, the restoration of vertebral parameters may contribute to new bone formation.

Original languageEnglish
Article number708
JournalJournal of Clinical Medicine
Volume11
Issue number3
DOIs
Publication statusPublished - 2022 Feb 1

All Science Journal Classification (ASJC) codes

  • General Medicine

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