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What is the importance of "halo" phenomenon around bone cement following vertebral augmentation for osteoporotic compression fracture?

DC FieldValueLanguage
dc.contributor.author구성욱-
dc.contributor.author김경현-
dc.contributor.author김근수-
dc.contributor.author박정윤-
dc.contributor.author조용은-
dc.contributor.author진동규-
dc.date.accessioned2014-12-19T17:33:07Z-
dc.date.available2014-12-19T17:33:07Z-
dc.date.issued2012-
dc.identifier.issn0937-941X-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/91621-
dc.description.abstractWe investigated the importance, risk factors, and clinical course of the radiolucent "halo" phenomenon around bone cement following vertebral augmentation for osteoporotic compression fracture. Preoperative osteonecrosis and a lump cement pattern were the most important risk factors for the peri-cement halo phenomenon, and it was associated with vertebral recollapse. INTRODUCTION: We observed a newly developed radiolucent area around the bone cement following vertebral augmentation for osteoporotic compression fractures. Here, we describe the importance of the peri-cement halo phenomenon, as well as any associated risk factors and long-term sequelae. METHODS: In total, 175 patients (202 treated vertebrae) were enrolled in this study. The treated vertebrae were subdivided into two groups: Group A (with halo, n = 32) and Group B (without halo, n = 170), and the groups were compared with respect to multiple preoperative (age, sex, BMD, preoperative osteonecrosis) and perioperative factors (operative approach: vertebroplasty or kyphoplasty; cement distribution pattern; cement leakage; cement volume), and postoperative results (VAS score, recollapse). Logistic regression analysis was used to evaluate the relationship between the incidence of the peri-cement halo and all of the parameters described above. RESULTS: Rates of osteonecrosis were also significantly higher in Group A than in Group B (62.5% vs. 31.2%, p < 0.05), and kyphoplasty (KP) was performed more frequently in Group A (43.8% vs. 17.6%, p < 0.05). Lump cement (93.8% vs. 30.6%, p < 0.05) and recollapse (78.1% vs. 24.7%, p < 0.05) were also more common among individuals in Group A. Logistic regression analysis also showed that preoperative osteonecrosis (OR = 3.679; 95% CI = 1.677-8.073; p = 0.001), KP (OR = 3.630; 95% CI = 1.628-8.095; p = 0.002), lump pattern (OR = 13.870; 95% CI = 2.907-66.188; p = 0.001), and vertebral recollapse (OR = 5.356; 95% CI = 1.897-15.122; p = 0.002) were significantly associated with peri-cement halo.-
dc.description.statementOfResponsibilityopen-
dc.format.extent2559~2565-
dc.relation.isPartOfOSTEOPOROSIS INTERNATIONAL-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/2.0/kr/-
dc.subject.MESHAged-
dc.subject.MESHBone Cements/adverse effects*-
dc.subject.MESHBone Cements/therapeutic use-
dc.subject.MESHFemale-
dc.subject.MESHFractures, Compression/etiology-
dc.subject.MESHFractures, Compression/surgery*-
dc.subject.MESHHumans-
dc.subject.MESHKyphoplasty/adverse effects-
dc.subject.MESHKyphoplasty/methods-
dc.subject.MESHMale-
dc.subject.MESHMiddle Aged-
dc.subject.MESHOsteonecrosis/complications-
dc.subject.MESHOsteoporotic Fractures/surgery*-
dc.subject.MESHPrognosis-
dc.subject.MESHRadiography-
dc.subject.MESHRecurrence-
dc.subject.MESHRisk Factors-
dc.subject.MESHSpinal Fractures/etiology-
dc.subject.MESHSpinal Fractures/surgery*-
dc.subject.MESHSpine/diagnostic imaging-
dc.subject.MESHTreatment Outcome-
dc.subject.MESHVertebroplasty/adverse effects-
dc.subject.MESHVertebroplasty/methods-
dc.titleWhat is the importance of "halo" phenomenon around bone cement following vertebral augmentation for osteoporotic compression fracture?-
dc.typeArticle-
dc.contributor.collegeCollege of Medicine (의과대학)-
dc.contributor.departmentDept. of Neurosurgery (신경외과학)-
dc.contributor.googleauthorK. H. Kim-
dc.contributor.googleauthorS. U. Kuh-
dc.contributor.googleauthorJ. Y. Park-
dc.contributor.googleauthorK. S. Kim-
dc.contributor.googleauthorD. K. Chin-
dc.contributor.googleauthorY. E. Cho-
dc.identifier.doi22270859-
dc.admin.authorfalse-
dc.admin.mappingfalse-
dc.contributor.localIdA00196-
dc.contributor.localIdA00308-
dc.contributor.localIdA00330-
dc.contributor.localIdA01650-
dc.contributor.localIdA03979-
dc.contributor.localIdA03865-
dc.relation.journalcodeJ02451-
dc.identifier.eissn1433-2965-
dc.identifier.pmid22270859-
dc.identifier.urlhttp://link.springer.com/article/10.1007%2Fs00198-012-1896-y-
dc.subject.keywordCement distribution-
dc.subject.keywordKyphoplasty-
dc.subject.keywordOsteonecrosis-
dc.subject.keywordOsteoporotic vertebral compression fracture-
dc.subject.keywordRecollapse-
dc.subject.keywordVertebroplasty-
dc.contributor.alternativeNameKuh, Sung Uk-
dc.contributor.alternativeNameKim, Kyung Hyun-
dc.contributor.alternativeNameKim, Keun Su-
dc.contributor.alternativeNamePark, Jeong Yoon-
dc.contributor.alternativeNameCho, Yong Eun-
dc.contributor.alternativeNameChin, Dong Kyu-
dc.contributor.affiliatedAuthorKuh, Sung Uk-
dc.contributor.affiliatedAuthorKim, Kyung Hyun-
dc.contributor.affiliatedAuthorKim, Keun Su-
dc.contributor.affiliatedAuthorPark, Jeong Yoon-
dc.contributor.affiliatedAuthorChin, Dong Kyu-
dc.contributor.affiliatedAuthorCho, Yong Eun-
dc.citation.volume23-
dc.citation.number10-
dc.citation.startPage2559-
dc.citation.endPage2565-
dc.identifier.bibliographicCitationOSTEOPOROSIS INTERNATIONAL, Vol.23(10) : 2559-2565, 2012-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Neurosurgery (신경외과학교실) > 1. Journal Papers

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