BMC Surgery, 2023 · DOI: https://doi.org/10.1186/s12893-023-02068-6 · Published: June 3, 2023
Vertebroplasty is a minimally invasive surgery used for osteoporotic vertebral compression fractures, offering quick pain relief and faster recovery. A common complication after vertebroplasty is new adjacent vertebral compression fractures (AVCF). This study aims to identify risk factors for AVCF and create a prediction model. The research identified low bone mineral density (BMD), bone cement leakage, and specific bone cement distribution patterns as key risk factors for AVCF after vertebroplasty.
Surgeons should optimize bone cement distribution during vertebroplasty to avoid 'O' shaped distribution and minimize cement leakage.
Patients with OVCF undergoing vertebroplasty, especially those with low BMD, should receive regular anti-osteoporosis treatment to reduce the risk of AVCF.
The nomogram prediction model can be used to visually evaluate the risk of postoperative refracture and help clinicians predict the occurrence of AVCF.