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Pain Pract. 2009 Mar-Apr;9(2):141-4. doi: 10.1111/j.1533-2500.2008.00250.x. Epub 2008 Oct 30.

Delayed L2 vertebrae split fracture following kyphoplasty.

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Neurosurgery Department, VKV American Hospital, Istanbul, Turkey.


Kyphoplasty is an accepted therapeutic modality for the treatment of painful osteoporotic vertebral compression fractures. Complication rates are reported between 1% and 3% for osteoporotic fractures. Most previously reported complications, however, have occurred perioperatively. In this article, we report a case in which balloon kyphoplasty was performed as described by manufacturer guidelines. Four weeks after a successful kyphoplasty, the patient presented with a painful split vertebral fracture with anterior deformity at the same level where the kyphoplasty was initially performed. A recurrent fracture at the same level of a previous successful kyphoplasty may be considered in the differential diagnosis of a patient who presents with new pain at a similar level.

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