Risk of New Fractures in Vertebroplasty for Multiple Myeloma. A Retrospective Study.

Pain Medicine : the Official Journal of the American Academy of Pain Medicine
Andrés Rocha RomeroIvan Hamiyd Salazar Carrera

Abstract

Vertebroplasty is a percutaneous minimally invasive procedure indicated for vertebral collapse pain treatment. Among the known complications of the procedure is the augmented risk of new vertebral fractures. There are no specific studies in this patient population describing the risk of new vertebral fractures after vertebroplasty. This study analyzed risk factors associated with new vertebral fractures after vertebroplasty in patients with multiple myeloma. Observational retrospective study in patients with multiple myeloma. The data collection took place from January 1, 2010, to December 30, 2017, at the National Cancer Institute. Clinical data and procedural variables such as cement volume, cement leaks, fracture level, number of treated vertebrae, pedicular disease, and cement distribution pattern, with two years follow-up, were analyzed with the Wilcoxon test, and a logistic regression model was used to identify risk factors related to new vertebral fractures. A confidence interval of 95% was used for analysis. At one-year follow-up, 30% of fractures were reported after vertebroplasty, most of them at low thoracic and lumbar level (50% adjacent level). Vertebroplasty was most commonly performed at the thoracolumbar and lum...Continue Reading

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Citations

Jun 26, 2020·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·Andrés Rocha RomeroGabriel Carvajal Valdy
Jul 1, 2020·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·Gaston Camino Willhuber
Mar 19, 2021·Regenerative Biomaterials·Jinjin ZhuXiangqian Fang

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