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Repeat vertebroplasty for the subsequent refracture of procedured vertebra

Authors
Choi S.S.Hur W.S.Lee J.J.Oh S.K.Lee M.K.
Issue Date
2013
Keywords
Refracture; Repeat; Vertebral compression fractures; Vertebroplasty
Citation
Korean Journal of Pain, v.26, no.1, pp 94 - 97
Pages
4
Indexed
SCOPUS
KCI
Journal Title
Korean Journal of Pain
Volume
26
Number
1
Start Page
94
End Page
97
URI
https://scholarworks.korea.ac.kr/kumedicine/handle/2020.sw.kumedicine/11287
DOI
10.3344/kjp.2013.26.1.94
ISSN
2005-9159
2093-0569
Abstract
Vertebroplasty (VP) can effectively treat pain and immobility caused by vertebral compression fracture. Because of complications such as extravasation of bone cement (polymethylmethacrylate, PMMA) and adjacent vertebral fractures, some practitioners prefer to inject a small volume of PMMA. In that case, however, insufficient augmentation or a subsequent refracture of the treated vertebrae can occur. A 65-year-old woman visited our clinic complaining of unrelieved severe low back and bilateral flank pain even after she had undergone VP on the 1st and 4th (L1 and L4) lumbar vertebrae a month earlier. Radiologic findings showed the refracture of L1. We successfully performed the repeat VP by filling the vertebra with a sufficient volume of PMMA, and no complications occurred. The patient's pain and immobility resolved completely three days after the procedure and she remained symptom-free a month later. In conclusion, VP with small volume cement impaction may fail to relieve fracture-induced symptoms, and the refracture of an augmented vertebral body may occur. In this case, repeat VP can effectively resolve both the persistent symptoms and problems of new onset resulting from refracture of the augmented vertebral body due to insufficient volume of bone cement. © The Korean Pain Society, 2013.
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Choi, Sang Sik
Guro Hospital (Department of Anesthesiology and Pain Medicine, Guro Hospital)
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