Osteoporotic vertebral fractures without compression: key factors of diagnosis and initial outcome of treatment with cement augmentation.

Neuroradiology
Haiqing MaoHuilin Yang

Abstract

Because of the nonspecific symptoms and unapparent radiographic findings, occult osteoporotic vertebral fractures (VFs) have a high rate of missed diagnosis, and the treatment of these fractures has rarely been discussed in the literature. We investigated diagnostic key factors of such occult VFs and evaluated the effects of cement augmentation in these patients. A total of 225 patients with VFs treated with vertebroplasty (VP) or kyphoplasty (KP) were retrospectively analyzed. All patients have taken preoperatively magnetic resonance imaging (MRI) including T1/T2-weighted images and short tau inversion recovery (STIR) sequences, and 45 patients met the inclusion criteria. Clinical outcomes were evaluated by comparing visual analog scale (VAS) and Oswestry disability index (ODI) values preoperatively, postoperatively, and at the final follow-up. MRI (T1 and STIR sequences) showed bone marrow edema in all fresh fractures including occult VFs and concomitant VFs; five patients showed no abnormality signal in their T2-weighted sequences of occult VFs. While 40 patients underwent KP, and five patients underwent VP. We did not find delayed collapsed fractures in the augmented occult VFs in both groups after operation. Both groups ha...Continue Reading

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Citations

Dec 17, 2014·Spine·Huilin YangGenlin Wang
Apr 12, 2014·BioMed Research International·Ioannis D PapanastassiouFrank D Vrionis
Oct 23, 2013·European Journal of Radiology·Frank Oliver HenesPeter Bannas
Feb 14, 2014·Journal of Bone Metabolism·Yeung Jin KimHwang Yong Lee
Sep 23, 2016·Spine·Huilin YangTao Liu
Dec 31, 2019·The Journal of International Medical Research·Zhangzhe ZhouZhonglai Qian
Apr 8, 2017·Medical Science Monitor : International Medical Journal of Experimental and Clinical Research·Zhi-Yong SunHui-Lin Yang
Mar 29, 2014·Cancer Control : Journal of the Moffitt Cancer Center·Ioannis D PapanastassiouFrank D Vrionis
Jan 8, 2020·Journal of Orthopaedic Translation·Mingming PanHuilin Yang

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