PVP与PKP术中取材活检对椎体压缩骨折病因诊断的价值

目的:探讨经皮椎体成形术(PVP)与经皮椎体后凸成形术(PKP)术中取材活检对椎体压缩性骨折病因诊断的价值。方法:2003年1月～2009年12月209例胸腰椎椎体压缩性骨折患者在我院接受PVP或PKP治疗,其中男44例,女165例,年龄36～93岁,平均68岁。24例患者有恶性肿瘤病史,术前诊断为肿瘤性椎体骨折,185例患者术前诊断为骨质疏松性椎体骨折,所有患者术中病椎均取活检样本进行病理学检查。结果:所有患者无一例出现与取活检相关的并发症。183例患者病理结果符合术前骨质疏松性椎体压缩骨折的诊断。24例有恶性肿瘤病史患者中,14例活检结果为椎体转移性肿瘤;10例活检未发现恶性肿瘤成分。2例术前诊断为骨质疏松性椎体压缩骨折患者活检结果1例为多发性骨髓瘤,另1例为椎体转移性低分化腺癌,术前诊断为骨质疏松性椎体压缩性骨折而活检证实为椎体恶性肿瘤的发生率为1.1%(2/185)。结论:PKP与PVP术中取材活检不会增加手术风险,但有助于明确椎体压缩性骨折的病因,应常规进行。     

过伸位下经皮椎体后凸成形术治疗老年人胸腰椎椎体压缩性骨折

目的探讨脊柱过伸位辅助复位后,行球囊扩张经皮椎体后凸成形术（percutaneous kyphoplasty,PKP）治疗老年人胸腰段椎体压缩性骨折的临床疗效。方法椎管麻醉下脊柱过伸位在C型臂X线机引导下行PKP治疗25例（30个椎体）合并骨质疏松椎体压缩性骨折患者,并对术前、术后患者的症状和椎体高度进行评估。结果所有患者术后疼痛症状明显减轻甚至消失。椎体高度明显恢复,和术前相比差异具有统计学意义（P〈0.05）。未发生明显或严重并发症。结论过伸位下PKP治疗老年人合并骨质疏松的椎体压缩性骨折是一种创伤小、较安全、疗效确切的方法。     

经皮椎体后凸成形术治疗老年骨质疏松性椎体压缩性骨折61例体会

目的分析经皮椎体后凸成形术(PKP)治疗老年骨质疏松性椎体压缩性骨折的临床效果。方法对61例老年骨质疏松性椎体压缩性骨折患者实施经皮椎体后凸成形术治疗,观察术后疼痛改善、椎体高度恢复及并发症发生率等情况。结果 61例患者均顺利完成手术,术后发生骨水泥渗漏2例(3.28%),未出现其他脊髓或脊神经损伤等严重并发症。术后均随访12~18个月,术后1周及末次随访的VAS评分、椎体前缘高度、Cobbe角测量值均较术前改善,差异有统计学意义(P0.05)。结论 PKP治疗老年骨质疏松性椎体压缩性骨折,能明显改善患者疼痛等症状,且并发症少,效果可靠。     

球囊扩张椎体后凸成形术治疗骨质疏松性椎体压缩性骨折

目的观察球囊扩张椎体后凸成形术(PKP)治疗骨质疏松性椎体压缩性骨折的临床疗效。方法采用PKP治疗60例骨质疏松性椎体压缩性骨折患者(共77椎),比较手术前后VAS评分、椎体前缘高度、Cobb角变化情况,分析疗效。结果 VAS评分术后低于术前,椎体前缘高度术后高于术前,Cobb角术后小于术前,差异均有统计学意义(P<0.05)。患者均获随访,时间6～12(8.2±1.7)个月。随访期间均未发生疼痛加重情况。结论 PKP治疗骨质疏松性椎体压缩性骨折临床疗效良好,有效恢复并保持脊柱功能,并发症少,患者接受程度较高。     

PVP、PKP、囊袋治疗新鲜骨质疏松性椎体压缩骨折的临床分析

[目的]对比分析经皮椎体成形术(PVP)、经皮椎体后凸成形术(PKP)、编织囊袋扩张椎体成形术(Vesselplasty)治疗新鲜骨质疏松性椎体压缩性骨折(OVCF)的临床效果,选择最优手术方案,提高新鲜骨质疏松性椎体压缩性骨折的治疗效果。[方法]选取新鲜骨质疏松性椎体压缩性骨折患者526例(单节段)分别接受PVP、PKP、囊袋治疗,分别记录三组手术后及术后1个月视觉模拟评分(VAS)、术后伤椎后凸角、椎体前柱高度,比较三组之间治疗效果。[结果]手术全部成功,无严重并发症发生。三组患者术后VAS评分均较术前明显降低。骨水泥渗漏囊袋组发生率低于PVP、PKP组,PKP组和囊袋组在术后伤椎后凸角、伤椎前柱高度恢复方面优于PVP组。[结论] PVP、PKP、囊袋三种手术方式治疗新鲜骨质疏松性椎体压缩性骨折均取得了满意的临床效果;囊袋在治疗新鲜骨质疏松性椎体压缩性骨折中未发生骨水泥渗漏。     

经皮椎体强化术后新发椎体压缩骨折的发生率及相关危险因素分析

目的:探讨经皮椎体强化术后新发椎体压缩骨折的发生率及其相关因素。方法:2007年7月1日～2009年6月30日因骨质疏松性椎体压缩性骨折行椎体强化术治疗150例患者。其中128例患者未出现新发骨折,为A组;另外22例患者出现新发骨折,为B组。观察指标包括患者年龄、性别、骨密度、术前已存在的骨折椎体个数、椎体强化术治疗的椎体个数、已有骨折的部位、骨折椎体的严重程度、平均骨水泥注入量、椎体强化术的方式(PVP或PKP)、骨水泥渗漏、新发骨折的部位、新发骨折间期。结果:全部150例患者经至少12个月的随访,出现新发骨折的患者其术前存在的平均骨折椎体个数及平均强化的椎体个数较多(P<0.05)。而年龄、性别、骨密度、骨折椎体的严重程度、骨水泥注入量、骨水泥渗漏在A组和B组患者间差异无显著性(P>0.05)。行PVP治疗的患者新发骨折的发生率高于行PKP治疗的患者(P<0.05)。结论:术前存在的椎体骨折个数及平均强化椎体个数是术后新发骨折的危险因素。与PVP相比,PKP术后新发骨折的发生率较低。     

经皮球囊扩张椎体后凸成形术治疗骨质疏松性椎体压缩性骨折临床分析

目的分析经皮球囊扩张椎体后凸成形术(PKP)治疗骨质疏松性椎体压缩性骨折的临床价值。方法对50例骨质疏松性椎体压缩性骨折患者实施PKP治疗,观察术前和术后VAS评分、椎体前缘的高度和Cobb角改善情况及骨水泥渗漏发生率。结果 50例患者均成功完成手术,术后随访6~10个月,术后1 d、7 d的VAS评分均优于术前,差异有统计学意义(P0.05)。术后7 d、6个月的椎体前缘的高度比恢复和Cobb角纠正情况均优于术前,差异均有统计学意义(P0.05)。出现骨水泥轻度渗漏3例(6.00%),未出现肺栓塞、椎管狭窄等其他并发症。结论 PKP治疗骨质疏松性椎体压缩性骨折,可迅速缓解患者疼痛,恢复压缩椎体的高度,纠正脊柱局部的后凸畸形,有效提高脊柱稳定性高,且并发症少,安全性高。     

经皮球囊扩张椎体后凸成形术治疗老年骨质疏松性椎体压缩性骨折

目的分析经皮球囊扩张椎体后凸成形术(PKP)治疗老年骨质疏松性椎体压缩性骨折的临床效果及安全性。方法对34例老年骨质疏松性椎体压缩性骨折患者实施PKP。观察患者术后疼痛、椎体恢复及并发症发生情况。结果本组34例患者术后发生骨水泥渗漏1例(2.94%)。未发生坠积性肺炎、肺栓塞、大小便失禁等其他并发症。术后随访6~10个月,术后7 d、6个月随访,患者椎体前缘高度、伤椎后凸角度、视觉模拟评分法(VAS)评分及Barthel指数等均优于术前,差异有统计学意义(P0.05)。结论 PKP治疗骨质疏松性椎体压缩性骨折,并发症少、疼痛缓解及伤椎恢复效果好,患者生活质量可得到明显提高。     

经皮椎体成形术与经皮后凸成形术治疗胸腰椎压缩性骨折

目的探讨经皮椎体成形术（percutaneous vertebroplasty,PVP）及经皮后凸成形术（percutaneous kyphoplasty,PKP）治疗骨质疏松性胸腰椎压缩性骨折的临床疗效。方法回顾性分析行PVP或PKP治疗骨质疏松性胸腰椎骨折的患者38例,共54个节段,临床均表现为腰背部痛,且无神经症状及体征。其中33个节段采用PKP治疗,21个节段采用PVP治疗。结果术后1个月门诊随访患者疼痛视觉模拟量表（visual analogue scale,VAS）与活动能力评分均较术前明显改善,未发生骨水泥渗漏及神经受损等症状。术后3个月复查未见椎体压缩。结论应用PVP或PKP治疗骨质疏松性胸腰椎压缩性骨折应用PVP或PKP可有效缓解疼痛,恢复椎体高度。     

经皮椎体后凸成形术治疗创伤性胸腰椎椎体压缩性骨折的近期疗效

目的探讨经皮椎体后凸成形术(PKP)治疗创伤性胸腰椎椎体压缩性骨折的近期疗效及安全性。方法将80例胸腰椎椎体压缩性骨折手术患者随机分为观察组和对照组,各40例。对照组采用传统的椎弓根钉椎体成形术,观察组行经皮椎体后凸成形术,比较2组治疗效果。结果 2组术后VAS评分、后凸Cobb角和椎体高度均较术前明显改善,差异有统计学意义(P0.05)。观察组后凸Cobb角、椎体高度改善优于对照组,术后并发症发生率低于对照组,差异均有统计学意义(P0.05)。结论 PKP治疗创伤性胸腰椎椎体压缩性骨折并发症少,功能恢复好,近期疗效肯定。     

椎体后凸成形术后椎体再骨折相关因素分析研究

背景：椎体后凸成形术（percutaneous kyphoplasty,PKP）治疗骨质疏松性椎体压缩骨折取得了令人鼓舞的临床效果,但是术后椎体发生再骨折时有报道,越来越引起l临床医生的重视。目的：探讨PKP治疗骨质疏松性椎体压缩骨折术后出现椎体再骨折的相关危险因素。方法：回顾性分析209例因骨质疏松性椎体压缩骨折而接受PKP手术治疗患者的相关临床资料,其中男43例,女166例,年龄51～88岁,平均73．0岁。所有患者术后随访时间均为1年以上,根据术后是否出现椎体再骨折分为再骨折组（42例）和对照组（167例）,比较两组患者的相关临床资料,分析椎体再骨折的可能危险因素。结果：两组患者在年龄、性别、身高、体重、平均单椎体骨水泥注入量、术后椎体高度压缩率等方面无统计学差异（P〉0．05）,但是两组患者的骨水泥椎间盘渗漏率和术前骨密度存在统计学差异（P〈O．05）。结论：骨水泥椎间盘渗漏和骨质疏松严重程度可能是骨质疏松性椎体压缩骨折PKP术后椎体再骨折的危险因素。     

Unsuspected lymphoma diagnosed with use of biopsy during kyphoplasty

BACKGROUND: Vertebral augmentation procedures are currently widely performed to treat vertebral compression fractures. In selecting appropriate patients for these procedures, it is important to distinguish the pain caused by a fracture from other causes of back pain. The purpose of this study was to determine the frequency of underlying, previously unrecognized malignant tumors in a consecutive series of patients undergoing kyphoplasty to treat vertebral compression fractures. Our hypothesis was that an unsuspected malignant tumor will exist and that a bone-marrow aspiration from the iliac crest would enhance our ability to detect a malignant tumor. METHODS: A prospective histological evaluation of vertebral body biopsy specimens from presumed osteoporotic vertebral compression fractures and a concurrent bone-marrow aspiration from the iliac crest were performed in order to identify latent hematopoietic dyscrasias. Over a four-year period, vertebral body biopsies from 523 vertebral levels as well as iliac crest bone-marrow aspirations were performed in 238 patients. Both specimens were evaluated histologically, and the prevalence of an underlying occult malignant neoplasm was determined. RESULTS: All specimens from the vertebral bodies showed signs of bone-remodeling and/or fracture-healing. However, in three patients, both the bone biopsy specimen and the bone-marrow aspirate showed evidence of B-cell lymphoma. The bone-marrow aspirate did not provide any additional information compared with the vertebral body biopsy specimen, and multiple myeloma was not identified in any patient. CONCLUSIONS: Lymphoma is an uncommon cause of a vertebral compression fracture, but on the basis of our experience in this series, we recommend that vertebral body biopsy specimens be obtained in all patients managed with kyphoplasty and vertebroplasty to rule out an unsuspected malignant tumor. However, we do not recommend the routine use of an additional bone-marrow aspiration from the iliac crest during vertebral augmentation procedures because doing so did not appear to enhance our ability to detect a malignant tumor.     

Retrospective review of biopsy results following percutaneous fixation of vertebral compression fractures

BACKGROUND: Percutaneous vertebral body fixation has been found to provide pain relief and restoration of function for patients with compression fractures. Despite the prevalence of osteoporosis, there are a variety of aetiologies, such as lymphoma, myeloma or metastatic disease that may be responsible for the condition. In these instances, vertebral body biopsy can play an important role in determining fracture aetiology and assist in initiating concurrent medical treatment. MATERIALS AND METHODS: Between 2002 and 2005, 80 vertebral body biopsies were performed in conjunction with percutaneous augmentation procedures on 50 patients at our teaching institution. Eleven biopsies were performed during vertebroplasty and 69 were performed during kyphoplasty. The mean age at the time of procedure was 75.7 years. Eight patients were male and 42 were female. A pathologist interpreted all biopsy samples and all charts were reviewed examining past history, diagnoses prior to compression fracture, biopsy results and post-op conditions that developed or were diagnosed after surgery. RESULTS: All patients healed their compression fractures following surgery and no complications were experienced. Eleven patients had a diagnosis of osteoporosis prior to vertebral fracture, while 8 patients had a malignant condition initially suspected as being responsible for the compression fracture. Malignancy was identified in 4 patients, 3 of whom did not previously have such a diagnosis. In an additional 6 cases the suspected aetiology behind vertebral compression fracture was not confirmed by pathology. DISCUSSION: This study found a 20% prevalence of malignancy in our population, which is higher than other reports in the literature. Eight percent of the patients in this study were ultimately found to have a malignant aetiology behind their compression fracture, while in 18% of the cases the presumed aetiology was not confirmed on pathological examination. Compression fractures can be one of the most common manifestations of osteoporosis, but a variety of other conditions, including neoplastic processes may also be responsible. As a result, we recommend obtaining a vertebral body biopsy prior to every vertebral augmentation procedure.     

Routine needle biopsy during vertebral augmentation procedures. Is it necessary?

Vertebral augmentation procedures are currently widely performed to treat vertebral compression fractures. The purpose of this study was to determine the frequency of underlying previously unrecognized etiology in a consecutive series of patients undergoing kyphoplasty to treat vertebral compression fractures. A prospective histological evaluation of vertebral body biopsy specimens from presumed osteoporotic vertebral compression fractures were performed in order to identify aforementioned causes. Over a 2-year period, vertebral body biopsies from 154 vertebral levels were performed in 75 patients undergoing kyphoplasty for vertebral compression fractures. All patients received a preoperative workup that included plain radiographs, MRI, whole body bone scan, and laboratory examinations. Bone specimens were obtained from affected vertebral bodies and submitted for histologic evaluation to identify the prevalence of an underlying cause. All specimens demonstrated fragmented bone with variable amounts of unmineralised bone, signs of bone-remodeling and/or fracture-healing. In 11 patients underlying pathology other than osteoporosis was identified (prostate cancer, 1; pancreatic cancer, 1; colon cancer, 1; breast cancer, 2; multiple myeloma, 3; leukemia, 1; and lung cancer, 2). In all but one patient the results of the biopsy confirmed the diagnosis suspected from the preoperative workup. For the last patient, namely the one with pancreatic cancer, the workup did not identify the origin of the primary tumor, although the patient was considered to have a compression fracture secondary to metastatic disease of unknown origin, the vertebral biopsy suggested the presence of adenocarcinoma which eventually was proven to be pancreatic cancer. In augmentation procedures for vertebral compression fractures, bone biopsy should be reserved for the patients where the preoperative evaluation raises the suspicion of a non-osteoporotic etiology.     

单侧与双侧椎弓根人路PKP治疗老年新鲜骨质疏松性椎体压缩骨折的对比研究

目的 比较单、双侧椎弓根入路经皮椎体后凸成形术(PKP)治疗老年新鲜骨质疏松性椎体压缩骨折(OVCFs)的临床效果.方法 对胸腰椎椎体压缩性骨折38例(47椎)应用PKP治疗,包括单球囊单侧椎弓根入路组(21例26椎)和单球囊双侧椎弓根入路组(17例21椎).结果 所有患者随访12～16个月,平均13.6个月.患者疼痛缓解明显,两组VAS评分、椎体Cobb角度、椎体前缘高度的恢复情况术前与术后比较,差异有统计学意义(P＜0.05),但单侧及双侧人路组组间比较差异无统计学意义(P＞0.05).双侧人路组手术时间、X线照射时间及骨水泥用量均显著大于单侧人路组(P＜0.05).结论 单侧及双侧人路PKP治疗骨质疏松性胸腰椎压缩骨折效果相似,但前者具有手术时间短、放射暴露少、骨水泥用量小等优点.     

单侧与双侧椎弓根入路PKP治疗老年新鲜骨质疏松性椎体压缩骨折的对比研究

目的比较单、双侧椎弓根入路经皮椎体后凸成形术（PKP）治疗老年新鲜骨质疏松性椎体压缩骨折（OVCFs）的临床效果。方法对胸腰椎椎体压缩性骨折38例伟7椎）应用PKP治疗,包括单球囊单侧椎弓根入路组（21例26椎）和单球囊双侧椎弓根入路组（17例21椎）。结果所有患者随访12-16个月,平均13．6个月。患者疼痛缓解明显,两组VAS评分、椎体Cobb角度、椎体前缘高度的恢复情况术前与术后比较,差异有统计学意义（P〈0．05）,但单侧及双侧入路组组间比较差异无统计学意义（P〉0．05）。双侧入路组手术时间、X线照射时间及骨水泥用量均显著大于单侧入路组（P〈0．05）。结论单侧及双侧入路PKP治疗骨质疏松性胸腰椎压缩骨折效果相似。但前者具有手术时间短、放射暴露少、骨水泥用量小等优点。     

骨质疏松性椎体压缩性骨折手术治疗后的死亡率分析

背景：骨质疏松性椎体压缩性骨折（OVCFs）是老年人常见的骨折类型,椎体成形术（PVP）或椎体后凸成形术（PKP）可有效缓解OVCFs引起的疼痛,提高老年患者的生活质量,国内外针对其术后死亡率的相关文献报道鲜见。目的：总结OVCFs手术治疗的术后死亡率,探讨患者术后死亡的原因。方法：回顾性分析2003年3月至2010年6月因OVCFs行PVP或PKP并获得随访的203例患者资料。根据总体死亡率和术后1年内死亡率分析患者的死亡原因及其构成特点。结果：PVP或PKP治疗OVCFs的术后死亡率为14.7%%（30/203）,术后1年内死亡率为5.4%（11/203）,无一例发生围手术期死亡。死亡原因依次为心血管事件（9例）、呼吸功能衰竭（7例）、慢性疾病引起的多器官功能衰竭（5例）、恶性肿瘤（5例）、脑血管疾病（3例）、原因不明（1例）。统计结果显示年龄、性别、是否有基础疾病是影响死亡率的主要因素。PVP与PKP治疗OVCFs的患者死亡率无统计学差异。结论：行PVP或PKP治疗OVCFs的创伤小,能显著缓解疼痛,适用于高龄患者,可降低术后死亡率。     

Jack vertebral dilator kyphoplasty for treatment of osteoporotic vertebral compression fractures

Osteoporotic vertebral compression fractures (OVCFs) are common in the elderly population and often involve the thoracolumbar vertebrae. Clinical symptoms of OVCFs include severe pain, loss of vertebral height, progressive kyphosis and increased mortality. Jack vertebral dilator kyphoplasty is a recently developed OVCFs treatment modality, with few systematic studies present in the literature. This retrospective study was designed to investigate the safety and efficacy of Jack vertebral dilator kyphoplasty for treating thoracolumbar OVCFs. Sixteen elderly patients (55–85 years) with solitary thoracolumbar OVCFs were treated with this procedure and followed-up (10–27 months). The amount of injected bone cement and operative time, preoperative and postoperative visual analogue scores, anterior and middle vertebral body heights, local kyphosis angle, and complications was analysed. The results showed that the method provided long-term pain relief and restoration of the vertebral body height and spinal alignment. No serious complications occurred, but two patients experienced recompression of the vertebral body, and one patient experienced cement leakage into a disc. In conclusion, Jack vertebral dilator kyphoplasty is a safe and effective minimally invasive procedure for treatment of OVCFs.     

单侧与双侧入路椎体后凸成形术治疗老年骨质疏松性椎体压缩骨折的临床研究

目的：探讨经单侧与双侧穿刺椎体后凸成形术治疗骨质疏松性椎体压缩性骨折临床疗效。方法选取我院2007-01-2010-12收治的骨质疏松性椎体压缩性骨折患者80例,随机分为单侧穿刺组与双侧穿刺组,观察两组手术时间、X线机曝光次数、出血量、骨水泥量、手术前后VAS评分变化、椎体平均高度、局部Cobb角改善、骨水泥渗漏及椎体再骨折发生情况。结果单侧组在平均手术时间、平均骨水泥注入量、平均出血量及X线曝光次数上均较双侧组少。两组术后及末次随访时VAS评分均较术前明显降低,术后两组椎体平均高度及局部Cobb角较术前均有显著恢复,组间比较无显著性差异;两组在骨水泥渗漏及邻近椎体再骨折的发生率比较无显著性差异。结论经单侧椎弓根途径穿刺骨水泥过椎体中线注射治疗骨质疏松性椎体压缩骨折可取得双侧穿刺同样满意的临床效果。     

Balloon kyphoplasty for the treatment of pathological vertebral compressive fractures

Background Previous clinical studies have shown the safety and effectiveness of balloon kyphoplasty in the treatment of pathological vertebral compression fractures (VCFs). However, they have not dealt with the impact of relatively common comorbid conditions in this age group, such as spinal stenosis, and they have not explicitly addressed the use of imaging as a prognostic indicator for the restoration of vertebral body height. Neither have these studies dealt with management and technical problems related to surgery, nor the effectiveness of bone biopsy during the same surgical procedure. This is a prospective study comparing preoperative and postoperative vertebral body heights, kyphotic deformities, pain intensity (using visual analogue scale) and quality of life (Oswestry disability questionnaire) in patients with osteoporotic vertebral compression fractures (OVCFs) and osteolytic vertebral tumors treated with balloon kyphoplasty.Methods Thirty-two consecutive patients, 27 OVCFs (49 vertebral bodies [VBs]) and 5 patients suffering from VB tumor (12 VBs) were treated by balloon kyphoplasty. The mean age was 68.2 years. All patients were assessed within the first week of surgery, and then followed up after one, three and six months; all patients (27 OVCFs and 5 tumor patients) were followed up for 12 months, 17 patients (14 OVCFs and 3 tumors) were followed up for 18 months and 9 patients (8 OVCFs and 1 tumor) were followed up for 24 months (mean follow up 18 months). The correction of kyphosis and vertebral heights were measured by comparing preoperative and postoperative radiographic measurements.Results Thirty-one patients (96.9%) exhibited significant and immediate pain improvement: 90% responded within 24 h and 6.3% responded within 5 days. Daily activities improved by 53% on the Oswestry scale. In the OVCF group, kyphosis correction was achieved in 24/27 patients (89.6%) with a mean correction of 7.6°. Anterior wall height was restored in 43/49 VBs (88%) (mean increment of 4.3 mm), and mid vertebral body height was restored in 45/49 VBs (92%) (mean increment of 4.8 mm). Edema (high intensity signal) on short tau inversion recovery (STIR) was evidenced in all OVCF patients who experienced symptoms for less than nine months and was associated with correction of deformity. Cement leakage was the only technical problem encountered; it occurred in 5/49 VBs (10.2%) of the osteoporotic group and 1/12 VBs (8.3%) of the tumor group but had no clinical consequences. The incidence of leakage to the anterior epidural space was 2%. Spinal stenosis was present in three patients (11.1%) who responded successfully to subsequent laminectomy. Retrieval of tissue samples for biopsy was successful in 10/15 cases (67%). New fractures occurred in the adjacent level in 2/27 OVCF patients (7.4%).Conclusions Associated spinal stenosis with OVCF should not be overlooked; STIR MRI is a good predictor of deformity correction with balloon kyphoplasty. The prevalence of a new OVCF in the adjacent level is low.