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. 2025 Jun 11;36(8):1297–1311. doi: 10.1007/s00198-025-07523-z

Table 4.

Potential risk factors in included studies

Groups Study- Year Insignificant Significant
New fractures Martinez- Ferrer et al. 2013 Gender, Lumbar T- score, Glucocorticoids, P1 NP, severity and type of VF at baseline, presence and location of cement leakage and bone remodeling Age > 80 years, cement leakage, 25(OH)D levels and No of treated vertebrae
Zhang et al. 2023 Age, sex, age, BMI, diabetes, hypertension, history of smoking, history of alcohol, fracture level, surgical method, bone cement leakage, bone cement volume, AVHR, and HU value HU value
Ren det al., 2015 Age, sex, bone mineral density, amount of bone cement leakage into the disk, preoperative kyphosis, pre-operative degree of anterior vertebral compression, pre-operative degree of middle vertebral compression, kyphosis correction, anterior vertebral height restoration and middle vertebral height restoration BMI and number of initial symptomatic fractures (levels treated)
Bae et al. 2017 Age, past medical history, bone cement injection, segmental kyphosis, and time interval between first and second fracture events Bone mineral content, cement distribution and cement leakage
Li et al. 2022 Age, sex, bone cement leakage, BMD, injection volume, time from injury to surgery, time from admission to surgery and duration of surgery BMI, multiple level fractures, steroid use and anti-osteoporotic treatment
Zhang et al. 2021 Height, weight preoperative bone mineral density, the number of vertebral body fractures, cement injection, bone cement leakage, lifestyle-related factors (smoking, drinking, and postoperative exercise), and presence of chronic diseases (hypertension, diabetes, coronary atherosclerosis, and chronic obstructive pulmonary disease), exercise compliance and antiosteoporotic treatment Sex, age, smoking, diabetes, postoperative exercise and postoperative anti-osteoporotic medication
Refracture Xiong et al. 2021 Age, sex, fracture location, BMD, KA, wedge angle, cement volume, surgical approach, cement leakage and other vertebral fractures IVC, endplate cortical disruption, RR and non-PMMA-endplate-contact
Ju & Liu, 2023 BMI, gender, smoking, and alcoholism status, Hx of fracture, preoperative comorbidities, and medications, operation time, cement leakage and injection volume, Hb, WBC, urea, Cr and CRP Age, BMD, multiple vertebral fractures, Alb, Fi), postoperative regular anti-osteoporosis treatment, and exercise
Adjacent fractures Li et al. 2023 Preoperative collapse height of the vertebral body, the segmental kyphotic angle, intervertebral cement leakage status, postoperative vertebral height restoration ratio, and kyphotic angle restoration, age, sex, BMI and smoking HU values

P1NP: Total procollagen type 1 N-terminal propeptide; UH: Hounsfield unit; AVHR: Anterior vertebral height ratio; BMI: Body mass index; BMD: Bone mineral density; KA; Kyphotic angle; IVC: intravertebral cleft; RR: Reduction rate; NPEC: endplate-contact; Hx: History; WBC: White blood cell; Hb: hemoglobin; Cr: Creatinine; CRP:C-reactive protein: Alb: albumin; Fib: Fibrinogen.