Abstract
Although recollapse after percutaneous vertebroplasty (PV) is a serious complication that needs salvage surgery, there is no consensus regarding the best operative treatment for this failure. We present cases of 3 patients, diagnosed as having thoracic osteoporotic vertebral fractures, who had undergone PV at other institutes. Within less than half a year, recollapse occurred at the cemented vertebrae in all 3 patients, and we conducted anterior spinal fixation (ASF) on them. In all cases, ASF relieved the patient's severe low back pain, and there was no recurrence of symptoms during the follow-up period of 6 years, on average. ASF is the optimal salvage procedure, since it allows for the direct decompression of nerve tissue with reconstruction of the collapsed spinal column, and preservation of the ligaments and muscles that stabilise the posterior spine. Surgeons who perform PV need to be able to assess this failure early and to perform spinal fixation.
| Original language | English |
|---|---|
| Article number | 214510 |
| Journal | BMJ Case Reports |
| Volume | 2016 |
| DOIs | |
| Publication status | Published - 2016 Mar 18 |
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ASJC Scopus subject areas
- Medicine(all)
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Anterior spinal fixation for recollapse of cemented vertebrae after percutaneous vertebroplasty. / Nagoshi, Narihito; Fukuda, Kentaro; Shioda, Masanobu; Machida, Masafumi.
In: BMJ Case Reports, Vol. 2016, 214510, 18.03.2016.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Anterior spinal fixation for recollapse of cemented vertebrae after percutaneous vertebroplasty
AU - Nagoshi, Narihito
AU - Fukuda, Kentaro
AU - Shioda, Masanobu
AU - Machida, Masafumi
PY - 2016/3/18
Y1 - 2016/3/18
N2 - Although recollapse after percutaneous vertebroplasty (PV) is a serious complication that needs salvage surgery, there is no consensus regarding the best operative treatment for this failure. We present cases of 3 patients, diagnosed as having thoracic osteoporotic vertebral fractures, who had undergone PV at other institutes. Within less than half a year, recollapse occurred at the cemented vertebrae in all 3 patients, and we conducted anterior spinal fixation (ASF) on them. In all cases, ASF relieved the patient's severe low back pain, and there was no recurrence of symptoms during the follow-up period of 6 years, on average. ASF is the optimal salvage procedure, since it allows for the direct decompression of nerve tissue with reconstruction of the collapsed spinal column, and preservation of the ligaments and muscles that stabilise the posterior spine. Surgeons who perform PV need to be able to assess this failure early and to perform spinal fixation.
AB - Although recollapse after percutaneous vertebroplasty (PV) is a serious complication that needs salvage surgery, there is no consensus regarding the best operative treatment for this failure. We present cases of 3 patients, diagnosed as having thoracic osteoporotic vertebral fractures, who had undergone PV at other institutes. Within less than half a year, recollapse occurred at the cemented vertebrae in all 3 patients, and we conducted anterior spinal fixation (ASF) on them. In all cases, ASF relieved the patient's severe low back pain, and there was no recurrence of symptoms during the follow-up period of 6 years, on average. ASF is the optimal salvage procedure, since it allows for the direct decompression of nerve tissue with reconstruction of the collapsed spinal column, and preservation of the ligaments and muscles that stabilise the posterior spine. Surgeons who perform PV need to be able to assess this failure early and to perform spinal fixation.
UR - http://www.scopus.com/inward/record.url?scp=84961962652&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84961962652&partnerID=8YFLogxK
U2 - 10.1136/bcr-2016-214510
DO - 10.1136/bcr-2016-214510
M3 - Article
C2 - 26994051
AN - SCOPUS:84961962652
VL - 2016
JO - BMJ Case Reports
JF - BMJ Case Reports
SN - 1757-790X
M1 - 214510
ER -