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AJNR Am J Neuroradiol. 2010 Jan;31(1):175-9. doi: 10.3174/ajnr.A1783. Epub 2009 Sep 12.

Balloon-related complications and technical failures in kyphoplasty for vertebral fractures.

Author information

1
Service de Neuroradiologie, Hôpital de Bicêtre, Kremlin Bicêtre, France. guillaume.saliou@bct.aphp.fr

Abstract

BACKGROUND AND PURPOSE:

Our aim was to describe the immediate or early complications and technical failures occurring during balloon kyphoplasty (BKP) procedures and attributable to balloon inflation.

MATERIALS AND METHODS:

We performed a retrospective review of all consecutive kyphoplasty procedures performed in our institution from May 2005 to October 2006. Fifty-one patients were treated by BKP at 75 spinal levels, and 137 vertebroplasties were performed as well.

RESULTS:

Several recurrent complications or procedural failures were observed during BKP: cortical or endplate fracture by balloon expansion (4 vertebrae), partial vertebral re-collapse after deflation (4 vertebrae), balloon rupture during inflation (5 vertebrae), and transient hyperalgia after the procedure (11 patients, 27.5%).

CONCLUSIONS:

Several symptomatic or asymptomatic complications and technical failures can occur during BKP. Some modifications of the usual kyphoplasty technique may decrease the frequency of these complications.

PMID:
19749220
DOI:
10.3174/ajnr.A1783
[Indexed for MEDLINE]
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