Patients with Kümmell’s disease treated in our hospital from September 2015 to September 2018 were analyzed retrospectively. To reduce bone cement leakage, we adopted a sequential infusion of bone cement during PVP for the treatment of stage I or II Kümmell’s disease. Therefore, a safe and effective bone cement infusion technique is essential during PVP. In patients with intact neurological function who undergo PVP, intraoperative bone cement leakage into blood vessels can cause pulmonary artery embolism or death, and leakage into the spinal canal can compress the spinal cord or nerve roots causing severe pain or even paralysis. Although PKP can restore vertebral height with less risk of leaking bone cement, it is cost prohibitive to many patients, especially in developing countries.
Patients who present with low back pain are treated with percutaneous vertebroplasty (PVP) or percutaneous kyphoplasty (PKP), which can effectively alleviate clinical symptoms and prevent continuous vertebral collapse and neurological impairment. Kümmell, in 1895, first described the triad of back pain, gradual collapse of the vertebrae and progressive kyphosis following an asymptomatic period of mild vertebral fracture.