Impact of the quantity of intradiscal cement leak on the progression of intervertebral disc degeneration

Kód výsledku v IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00216208%3A11110%2F17%3A10372219" target="_blank" >RIV/00216208:11110/17:10372219 - isvavai.cz</a>

Výsledek na webu

<a href="https://doi.org/10.1308/rcsann.2017.0083" target="_blank" >https://doi.org/10.1308/rcsann.2017.0083</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.1308/rcsann.2017.0083" target="_blank" >10.1308/rcsann.2017.0083</a>

Jazyk výsledku

angličtina

Název v původním jazyce

Impact of the quantity of intradiscal cement leak on the progression of intervertebral disc degeneration

Popis výsledku v původním jazyce

Introduction: We aim to assess the impact of the quantity of intradiscal cement leak during kyphoplasty on the rate of progression of degenerative changes in the affected disc. Methods: Of 316 kyphoplasty procedures, we identified 32 episodes of intradiscal cement leak in 26 patients. The quantity of cement leaked was graded from I to IV. Disc degenerative changes were assessed at presentation and follow-up using radiographical scoring and magnetic resonance imaging (MRI) grading systems. Data for low-grade leaks (grade I) were compared with the medium- and high-grade leaks (grades II-IV) using a chi-squared test. Results: Median follow-up radiographic and MRI assessments were made at 18 and 21 months, respectively. Medium- and high-grade leaks were associated with a significantly higher radiographic disc degeneration scores compared with low-grade leaks (P = 0.04295) but no difference was found in MRI disc degeneration grades and in adjacent vertebral fracture rates. Conclusions: Our findings indicate that the quantity of cement leaking into the disc space significantly influences the rate of progression of disc degeneration.

Název v anglickém jazyce

Impact of the quantity of intradiscal cement leak on the progression of intervertebral disc degeneration

Popis výsledku anglicky

Introduction: We aim to assess the impact of the quantity of intradiscal cement leak during kyphoplasty on the rate of progression of degenerative changes in the affected disc. Methods: Of 316 kyphoplasty procedures, we identified 32 episodes of intradiscal cement leak in 26 patients. The quantity of cement leaked was graded from I to IV. Disc degenerative changes were assessed at presentation and follow-up using radiographical scoring and magnetic resonance imaging (MRI) grading systems. Data for low-grade leaks (grade I) were compared with the medium- and high-grade leaks (grades II-IV) using a chi-squared test. Results: Median follow-up radiographic and MRI assessments were made at 18 and 21 months, respectively. Medium- and high-grade leaks were associated with a significantly higher radiographic disc degeneration scores compared with low-grade leaks (P = 0.04295) but no difference was found in MRI disc degeneration grades and in adjacent vertebral fracture rates. Conclusions: Our findings indicate that the quantity of cement leaking into the disc space significantly influences the rate of progression of disc degeneration.

Druh

J_imp - Článek v periodiku v databázi Web of Science

CEP obor

—

OECD FORD obor

30212 - Surgery

Projekt

—

Návaznosti

V - Vyzkumna aktivita podporovana z jinych verejnych zdroju

Rok uplatnění

2017

Kód důvěrnosti údajů

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Název periodika

Annals of the Royal College of Surgeons of England

ISSN

0035-8843

e-ISSN

—

Svazek periodika

99

Číslo periodika v rámci svazku

7

Stát vydavatele periodika

GB - Spojené království Velké Británie a Severního Irska

Počet stran výsledku

5

Strana od-do

529-533

Kód UT WoS článku

000433057500013

EID výsledku v databázi Scopus

2-s2.0-85028505741