Does Bone Cement Have an Expiration Date? Its Use in Young Patients

Does bone cement have an expiration date?

Hello Doctor: I am 35 years old.
I accidentally fell from a height of 12.7 meters, resulting in severe compression of my 7th and 12th vertebrae, causing excruciating pain.
At that time, my orthopedic surgeon initially planned to perform minimally invasive vertebroplasty, but later decided against it.
He advised me to wear a brace for two years, which has been very painful, so we sought help from a neurosurgeon.
He assessed my condition as somewhat serious and admitted me for surgery, which went smoothly.
I can sit for extended periods now, but many people have warned me against vertebroplasty, saying that at my age, I might need another surgery later, which I don't quite understand.
When I asked my orthopedic doctor, he simply said he disagreed but that I should prioritize my comfort.
I would like to ask the doctor: 1.
Is there an expiration date for the vertebroplasty performed on my two vertebrae at the age of 35? Will I need to undergo another procedure when I get older? 2.
Should I have regular check-ups and bone density tests? 3.
Why do many people say that young individuals should avoid vertebroplasty? Thank you, Doctor.

Miss Lin, 30~39 year old female. Ask Date: 2022/12/07

Dr. Chen Bochen reply Orthopedics

Hello, Miss Lin.

1.
Bone cement does not have an expiration date; there is no issue and it does not need to be redone if there are no problems.

2.
It is recommended to check bone density every 2-3 years starting around menopause.

3.
Once bone cement is injected, it is almost permanently irretrievable.
In the future, if your spine degenerates and requires surgery, the bone cement may interfere with standard treatments.
While injecting bone cement for osteoporotic vertebral fractures is indeed quick and effective, younger patients typically opt for procedures like vertebroplasty or spinal fixation with rods (which can be removed 1-2 years after fracture healing) to avoid future complications.
However, since you have already had the procedure, there is no need to worry too much; there are still many treatment options available if surgery is needed in the future.

Reply Date: 2022/12/07

More Info

Dear Patient,
Thank you for your inquiry regarding the use of bone cement, particularly in the context of your recent spinal injury and the concerns surrounding its long-term implications. Your questions are quite pertinent, especially considering your age and the nature of your injury.

1. Does Bone Cement Have an Expiration Date?
Bone cement, commonly used in orthopedic surgeries, does not have a traditional expiration date like pharmaceuticals. However, its effectiveness can be influenced by several factors, including the quality of the cement, the surgical technique, and the biological response of the surrounding tissue. In general, once bone cement is applied and has cured, it becomes a stable part of the bone structure. However, over time, the surrounding bone may change due to factors such as aging, osteoporosis, or other degenerative conditions. Therefore, while the cement itself does not "expire," the need for revision surgery may arise due to changes in the bone or the development of complications.

2. Should You Have Regular Check-ups?
It is advisable to have regular follow-ups with your orthopedic surgeon, especially after a significant procedure like vertebroplasty (the procedure involving bone cement). These check-ups typically include imaging studies, such as X-rays or MRIs, to monitor the integrity of the cement and the surrounding bone. Additionally, assessing bone density is crucial, particularly at your age, to prevent further fractures or complications. If you have a history of osteoporosis or other risk factors, your doctor may recommend bone density tests to monitor your bone health.

3. Concerns About Young Patients Using Bone Cement:
The apprehension surrounding the use of bone cement in younger patients often stems from the potential for future complications. In younger individuals, the bones are still undergoing changes, and there is a concern that the cement may not integrate as well with the bone compared to older patients. Additionally, if a younger patient experiences further trauma or develops degenerative changes, the cement may complicate future surgeries or interventions. The fear of needing additional surgeries or experiencing complications can lead to a general recommendation against the use of bone cement in younger patients unless absolutely necessary.

In your case, given your age and the severity of your injury, the decision to use bone cement should have been made with careful consideration of the risks and benefits. If your pain persists or worsens, or if you have concerns about the integrity of the cement, it is essential to communicate these issues with your healthcare provider. They can provide tailored advice based on your specific situation and may consider further imaging or interventions if necessary.

In summary, while bone cement does not have an expiration date, its long-term effectiveness and the need for future interventions depend on various factors, including your overall bone health and any changes that may occur over time. Regular follow-ups and monitoring are crucial to ensure the best outcomes. If you have any further questions or concerns, please do not hesitate to reach out to your healthcare provider for personalized guidance.

Wishing you a smooth recovery and improved health.

Best regards.

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