|
1
|
Liu YY, Xiao J, He L, Yin X, Song L, Zhou R, Zeng J, Liu P, Dai F. Risk factor analysis of bone cement leakage for polymethylmethacrylate-augmented cannulated pedicle screw fixation in spinal disorders. Heliyon 2023; 9:e15167. [PMID: 37089395 PMCID: PMC10113860 DOI: 10.1016/j.heliyon.2023.e15167] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/14/2022] [Revised: 03/25/2023] [Accepted: 03/28/2023] [Indexed: 04/05/2023] Open
Abstract
Objective To investigate the risk factors of cement leakage (CL) for polymethylmethacrylate-augmented cannulated pedicle screw (CPS) in spinal degenerative diseases and provided technical guidance for clinical surgery. Methods This study enrolled 276 patients with spinal degenerative disease and osteoporosis who were augmented using CPSs (835 screws in total) from May 2011 to June 2018 in our hospital. The patients' age, sex, bone mineral density (BMD), diagnosis, augmented positions, number of CPS implanted, and CL during surgery were recorded. CL was observed by postoperative computed tomography (CT) and was classified by Yeom typing. Results A total of 74 (74/835, 8.9%) CPSs in 64 patients leaked (64/276, 23.2%). CL was significantly correlated with the number and position of screws (P < 0.05), but not with sex, age, and BMD (P > 0.05). The position, number of CPSs, fracture, degenerative scoliosis, ankylosing spondylitis, and revision surgery were risk factors for CL (P < 0.05). Augmentation of the thoracic vertebral body, fracture, and ankylosing spondylitis were independent risk factors for Type S. Augmentation of the lumbar vertebral body, lumbar disc herniation, and lumbar spondylolisthesis were independent risk factors for Type B (P < 0.05). Conclusions CL has a high incidence in clinical practice. High-risk factors for leakage should be addressed to avoid serious complications. Particularly, it is necessary to develop alternative solutions once CPSs can't be used in surgery caused by CL.
Collapse
Affiliation(s)
- Yao-yao Liu
- Department of Spine Surgery, Daping Hospital, Army Medical Center of PLA, Chongqing, 400042, PR China
| | - Jun Xiao
- Guangzhou Rocket Force Special Service Convalescent Center, Guangzhou, 510515, PR China
| | - Lei He
- Department of Orthopedics, Southwest Hospital of Army Medical University, PLA, Chongqing, 400038, PR China
| | - Xiang Yin
- Department of Spine Surgery, Daping Hospital, Army Medical Center of PLA, Chongqing, 400042, PR China
| | - Lei Song
- Department of Orthopedics, Southwest Hospital of Army Medical University, PLA, Chongqing, 400038, PR China
| | - Rui Zhou
- Department of Orthopedics, Southwest Hospital of Army Medical University, PLA, Chongqing, 400038, PR China
| | - Jing Zeng
- Guangzhou Rocket Force Special Service Convalescent Center, Guangzhou, 510515, PR China
| | - Peng Liu
- Department of Spine Surgery, Daping Hospital, Army Medical Center of PLA, Chongqing, 400042, PR China
- Corresponding author. Department of Spine surgery, Daping Hospital, Army Medical Center of PLA, No. 10 Changjiang Road, Yuzhong District, Chongqing, 400042, PR China.
| | - Fei Dai
- Department of Orthopedics, Southwest Hospital of Army Medical University, PLA, Chongqing, 400038, PR China
- Corresponding author. Department of Orthopedics, Southwest Hospital of Army Medical University, PLA, No. 30 Gaotanyan Street, Shapingba District, Chongqing, 400038, PR China.
| |
Collapse
|