Kyphoplasty has been shown to provide symptomatic relief of vertebral compression fractures refractory to medical ***,few reports have focused on refracture of cemented vertebrae after *** presence of cemented vertebr...
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Kyphoplasty has been shown to provide symptomatic relief of vertebral compression fractures refractory to medical ***,few reports have focused on refracture of cemented vertebrae after *** presence of cemented vertebrae refracture concurrent with cement fragmentation is an extremely rare *** reported an 86-year-old man with a T12 osteoporotic compression fracture undergoing the kyphoplasty *** patient postoperatively continued to have back pain at the same *** solid lumped polymethylmethacrylate(PMMA) mass and inadequate use and insufficient filling of PMMA cement were observed in postoperative radiographs and magnetic resonance image(MRI) *** refused to receive the surgical intervention,but had not strict compliance with oral anti-osteoporotic *** months postoperatively,refracture of osteoporotic vertebral body concurrent with cement fragmentation occurred at the previously kyphoplastytreated vertebral *** mineral analysis showed severe osteoporosis with a T-score *** patient finally obtained therapeutic benefit of pain relief and bony union of T12 vertebral body by consistently adhering to anti-osteoporotic medication *** case illustrated that patients who underwent kyphoplasty to treat osteoporotic vertebral compression fractures with intravertebral fracture should be strictly followed up and supervised in their anti-osteoporotic medication *** interdigitation injection pattern of PMMA and sufficient PMMA filling with trabeculae in the kyphoplasty procedure also might prevent refracture of the cemented vertebrae concurrent with PMMA fragmentation.
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