Analysis of risk factors for cement leakage in percutaneous kyphoplasty – does sedoanalgesia increase the risk?

Abstract

Introduction/Objective Several studies have evaluated anesthesia type as a possible risk factor for cement leakage in percutaneous vertebral augmentation procedures. This study has the largest series in the literature revealing data on the incidence of cement leakage in percutaneous kyphoplasty under sedoanalgesia. The aim of the study was evaluating the possible association between sedoanalgesia and cement leakage in percutaneous kyphoplasty procedures.

Methods In this study, 195 vertebral compression fractures treated with percutaneous kyphoplasty under sedoanalgesia in 165 patients were retrospectively reviewed. The association between sedoanalgesia and cement leakage in percutaneous kyphoplasty procedures was evaluated.

Results The mean age (years) of study population was 64.37 years (range 24–108 years), and the male– female ratio was 71/94. No significant difference in the proportion of males (n = 71, 43.03%) and females (n = 94, 56.96%) was observed between groups. Among the 195 fractured segments, most frequent fractures were observed at the T12 (n = 41, 21.02%) and L1 (n = 65, 33.33%) levels.

Conclusion Sedoanalgesia is not a risk factor for cement leakage in percutaneous kyphoplasty and offers a safe anesthesia option to avoid possible complications.

Keywords: vertebral compression fracture; percutaneous kyphoplasty; cement leakage; sedoanalgesia