[Latest advances of the cause and preventive strategies of adjacent vertebral body fracture after percutaneous vertebroplasty].
Percutaneous vertebroplasty (PVP) is widely used as an effective treatment for compression fracture, additional adjacent vertebral body fractures are frequently reported after operation, but the relationship between the vertebroplasty and adjacent vertebral body fracture remains unknown. The possible causes of refracture after operation include mechanical force factor, bone cement and clinical factors. Except for the changes of stress and stiffness of the adjacent vertebral bodies, the extravasation of cement and osteoporosis itself of the vertebral bodies should be concerned about. To aim at above-mentioned reasons, simultaneously, preventive strategies, such as prophylactic cement injection into adjacent non-fractured vertebrae, additional PVP and injectable copolymer hydrogel are approached in this review.
The University of Traditional Chinese Medicine of Nanjing, Nanjing 210046, Jiangsu, China. zhangxingzhou@yeah.net
Xing-Zhou
XZ
Zhang
Xi
X
Zhang
D001696:Biomechanical Phenomena; D001843:Bone Cements / Q000627:therapeutic use; D050723:Fractures, Bone / Q000517:prevention & control* / Q000601:surgery; D050815:Fractures, Compression / Q000517:prevention & control* / Q000601:surgery; D006801:Humans; D007405:Intervertebral Disc Displacement / Q000601:surgery*; D008159:Lumbar Vertebrae / Q000293:injuries; D010024:Osteoporosis / Q000517:prevention & control / Q000601:surgery; D016103:Spinal Fractures / Q000209:etiology / Q000517:prevention & control* / Q000601:surgery; D013904:Thoracic Vertebrae / Q000293:injuries; D016896:Treatment Outcome; D054854:Vertebroplasty / Q000009:adverse effects*
D001843:Bone Cements