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Research ArticleSpine Imaging and Spine Image-Guided Interventions
Open Access

Subsequent Fracture after Percutaneous Vertebroplasty Can Be Predicted on Preoperative Multidetector Row CT

A. Hiwatashi, T. Yoshiura, K. Yamashita, H. Kamano, T. Dashjamts and H. Honda
American Journal of Neuroradiology November 2009, 30 (10) 1830-1834; DOI: https://doi.org/10.3174/ajnr.A1722
A. Hiwatashi
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T. Yoshiura
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K. Yamashita
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H. Kamano
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T. Dashjamts
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H. Honda
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    Fig 1.

    A 72-year-old woman with a compression fracture at L3. A, Preoperative MDCT with sagittal reformation shows a compression fracture at L3 with an intravertebral cleft (arrow). B, Postoperative T1-weighted MR image obtained 2 days after treatment shows the treated L3 vertebral body without other fractures. C, Postoperative T1-weighted MR image obtained 19 days after treatment shows a subsequent fracture at L2.

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    Fig 2.

    A 76-year-old woman with compression fractures at T11, T12, L1, L2, and L4. The patient had a long history of steroid use for rheumatoid arthritis. A, Preoperative MDCT with sagittal reformation shows compression fractures at T11, T12, L1, L2, and L4. An intravertebral cleft is noted at L1 (arrow). B, Postoperative T1-weighted MR image obtained 2 days after treatment shows the treated vertebral bodies at T12, L1, and L2. C, Postoperative T1-weighted MR image obtained 93 days after treatment shows a subsequent fracture at L5.

Tables

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    Table 1:

    Associations between variables and subsequent fractures in adjacent vertebrae

    VariableUnivariateMultivariate
    Odds Ratio95% CIP valueOdds Ratio95% CIP value
    BMD (SD)1.5870.756–3.333.2222.5340.876–7.330.086
    Steroid1.6070.468–5.521.4511.0080.212–4.801.992
    Vertebral height (mm)0.8560.743–0.986.0320.8070.663–0.982.032
    Vertebral wedge angle (°)1.0991.009–1.197.0291.1080.995–1.234.062
    Disk height (mm)1.1350.866–1.486.3591.4130.948–2.107.900
    Disk wedge angle (°)0.9990.925–1.078.9721.0000.910–1.099.994
    CT value0.9940.983–1.005.2860.9900.977–1.004.165
    • Note:—CI indicates confidence interval; BMD, bone mineral density.

    • View popup
    Table 2:

    Associations between variables and subsequent fractures in remote vertebrae

    VariableUnivariateMultivariate
    Odds Ratio95% CIP valueOdds Ratio95% CIP value
    BMD (SD)0.9000.441–1.836.7730.3960.083–1.894.246
    Steroid8.5002.188–33.02.00213.501.476–123.4.021
    Vertebral height (mm)0.8720.760–1.001.0520.8820.711–1.094.253
    Vertebral wedge angle (°)0.9850.911–1.065.7091.0430.926–1.175.485
    Disk height (mm)1.2800.968–1.693.0831.5101.004–2.271.048
    Disk wedge angle (°)0.9540.862–1.056.3660.9130.777–1.073.270
    CT value0.9860.973–0.999.0370.9700.942–0.999.040
    • View popup
    Table 3:

    Associations between variables and subsequent fractures in treated vertebrae

    VariableUnivariateMultivariate
    Odds Ratio95% CIP valueOdds Ratio95% CIP value
    BMD (SD)1.415.639–3.135.3921.624.528–4.992.397
    Steroid1.778.467–6.762.3991.089.213–5.567.919
    Vertebral height (mm)1.056.915–1.220.4551.010.846–1.206.909
    Vertebral wedge angle (°)0.960.879–1.050.3750.976.869–1.097.689
    Disk height (mm)0.967.715–1.308.8271.019.717–1.450.915
    Disk wedge angle (°)0.948.847–1.061.3530.972.861–1.097.646
    CT value0.991.982–1.001.0650.991.981–1.002.128
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American Journal of Neuroradiology: 30 (10)
American Journal of Neuroradiology
Vol. 30, Issue 10
1 Nov 2009
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Subsequent Fracture after Percutaneous Vertebroplasty Can Be Predicted on Preoperative Multidetector Row CT
A. Hiwatashi, T. Yoshiura, K. Yamashita, H. Kamano, T. Dashjamts, H. Honda
American Journal of Neuroradiology Nov 2009, 30 (10) 1830-1834; DOI: 10.3174/ajnr.A1722
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Cite this article
A. Hiwatashi, T. Yoshiura, K. Yamashita, H. Kamano, T. Dashjamts, H. Honda
Subsequent Fracture after Percutaneous Vertebroplasty Can Be Predicted on Preoperative Multidetector Row CT
American Journal of Neuroradiology Nov 2009, 30 (10) 1830-1834; DOI: 10.3174/ajnr.A1722

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