J Korean Fract Soc.  2003 Oct;16(4):534-540.

Complications after Vertebroplasty of Treatment for Compression Fracture with Osteoporosis

• Park HG
• Kim MH
• Yoo MJ
• Lee SC
• Park JY
• Hwang WY
• An JW

Abstract

PURPOSE: To evaluate the complications of percutaneous vertebroplasty using PMMA (polymethylmethacrylate) in the treatment of osteoporotic compression fractures.
MATERIALS AND METHODS
Authors reviewed 113 patients treated by percutaneous vertebroplasty from 1998 to 2001. After treatment, Simple x-ray and computed tomography were done of methods for analysis of complication, especially bone cement leakage.
RESULTS
In each case, we injected bone cement (PMMA) in one vertebra, average amount is 5.6 cc. The complications were 39 cases (34.5%): 1 case was dead by hemothorax, 1 case was arrhythmia, 12 cases were intercostals neuralgia, 7 cases were back pain, 2 cases were mild dyspnea, 14 cases were abdominal pain and 2 case were injection site pain. In follow-up x-ray and CT, bone cement (PMMA) leakage were 45 cases (39.8%).
CONCLUSION
Bone cement (PMMA) leakage can be cause of complications in vertebroplasty. We try to avoid the complication of bone cement leakage.

Keyword

Osteoporosis; Compression fracture; Percutaneous vertbroplasty

MeSH Terms

Abdominal Pain
Arrhythmias, Cardiac
Back Pain
Dyspnea
Follow-Up Studies
Fractures, Compression*
Hemothorax
Humans
Neuralgia
Osteoporosis*
Polymethyl Methacrylate
Spine
Vertebroplasty*
Polymethyl Methacrylate