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

Introduction/Objective. Several studies have evaluated anaesthesia 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. (3)
 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
 PK and offers a safe anaesthesia option to avoid possible complications.