scholarly journals Impact of spino-pelvic and global spinal alignment on the risk of osteoporotic vertebral collapse

2018 ◽  
Vol 2 (1) ◽  
pp. 72-76 ◽  
Author(s):  
Takashi Ohnishi ◽  
Akira Iwata ◽  
Masahiro Kanayama ◽  
Fumihiro Oha ◽  
Tomoyuki Hashimoto ◽  
...  
Keyword(s):  
Spinal Alignment ◽  
Vertebral Collapse ◽  
Osteoporotic Vertebral Collapse

Minimally invasive anteroposterior combined surgery using lateral lumbar interbody fusion without corpectomy for treatment of lumbar spinal canal stenosis associated with osteoporotic vertebral collapse

2021 ◽  
pp. 1-9
Author(s):  
Kentaro Fukuda ◽  
Hiroyuki Katoh ◽  
Yuichiro Takahashi ◽  
Kazuya Kitamura ◽  
Daiki Ikeda
Keyword(s):  
Interbody Fusion ◽  
Combined Surgery ◽  
Vertebral Collapse ◽  
Short Segment ◽  
Canal Stenosis ◽  
The Mean ◽  
Osteoporotic Vertebral Collapse ◽  
Anterior Support ◽  
Lumbar Spinal

OBJECTIVE Various reconstructive surgical procedures have been described for lumbar spinal canal stenosis (LSCS) with osteoporotic vertebral collapse (OVC); however, the optimal surgery remains controversial. In this study, the authors aimed to report the clinical and radiographic outcomes of their novel, less invasive, short-segment anteroposterior combined surgery (APCS) that utilized oblique lateral interbody fusion (OLIF) and posterior fusion without corpectomy to achieve decompression and reconstruction of anterior support in patients with LSCS-OVC. METHODS In this retrospective study, 20 patients with LSCS-OVC (mean age 79.6 years) underwent APCS and received follow-up for a mean of 38.6 months. All patients were unable to walk without support owing to severe low-back and leg pain. Cleft formations in the fractured vertebrae were identified on CT. APCS was performed on the basis of a novel classification of OVC into three types. In type A fractures with a collapsed rostral endplate, combined monosegment OLIF and posterior spinal fusion (PSF) were performed between the collapsed and rostral adjacent vertebrae. In type B fractures with a collapsed caudal endplate, combined monosegment OLIF and PSF were performed between the collapsed and caudal adjacent vertebrae. In type C fractures with severe collapse of both the rostral and caudal endplates, bisegment OLIF and PSF were performed between the rostral and caudal adjacent vertebrae, and pedicle screws were also inserted into the collapsed vertebra. Preoperative and postoperative clinical and radiographical status were reviewed. RESULTS The mean number of fusion segments was 1.6. Walking ability improved in all patients, and the mean Japanese Orthopaedic Association score for recovery rate was 65.7%. At 1 year postoperatively, the mean preoperative Oswestry Disability Index of 65.6% had significantly improved to 21.1%. The mean local lordotic angle, which was −5.9° preoperatively, was corrected to 10.5° with surgery and was maintained at 7.7° at the final follow-up. The mean corrective angle was 16.4°, and the mean correction loss was 2.8°. CONCLUSIONS The authors have proposed using minimally invasive, short-segment APCS with OLIF, tailored to the morphology of the collapsed vertebra, to treat LSCS-OVC. APCS achieves neural decompression, reconstruction of anterior support, and correction of local alignment.

Posterior Osteotomy and Reconstruction for Osteoporotic Vertebral Collapse

2021 ◽  
pp. 582-590
Author(s):  
Hiroshi Ozawa ◽  
Yasuhisa Tanaka ◽  
Toshimi Aizawa ◽  
Haruo Kanno ◽  
Shoichi Kokubun
Keyword(s):  
Vertebral Collapse ◽  
Osteoporotic Vertebral Collapse

Posterior Vertebral Shortening With Screw and Hook Placement for Osteoporotic Vertebral Collapse With Paraplegia

Orthopedics ◽  
2007 ◽  
Vol 30 (10) ◽  
pp. 818-823
Author(s):  
Minoru Doita ◽  
Koichiro Maeno ◽  
Kotaro Nishida ◽  
Takatoshi Shimomura ◽  
Hiroyuki Fujioka ◽  
...  
Keyword(s):  
Vertebral Collapse ◽  
Osteoporotic Vertebral Collapse

The Surgical Treatment of Osteoporotic Vertebral Collapse Caused by Minor Trauma

1998 ◽  
Vol 33 (1) ◽  
pp. 105 ◽  
Author(s):  
Kee Yong Ha ◽  
Ki Won Kim ◽  
Seong Jin Park ◽  
Dae Hyun Paek ◽  
Joo Hyun Ha
Keyword(s):  
Surgical Treatment ◽  
Minor Trauma ◽  
Vertebral Collapse ◽  
Osteoporotic Vertebral Collapse

scholarly journals Clinical and imaging features of surgically treated low lumbar osteoporotic vertebral collapse in patients with Parkinson’s disease

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Hideaki Nakajima ◽  
Arisa Kubota ◽  
Shuji Watanabe ◽  
Kazuya Honjoh ◽  
Akihiko Matsumine
Keyword(s):  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Compression Fracture ◽  
Rapid Progression ◽  
Complication Rates ◽  
Imaging Features ◽  
Mineral Density ◽  
Vertebral Collapse ◽  
Fusion Surgery ◽  
Osteoporotic Vertebral Collapse

AbstractOsteoporosis and Parkinson’s disease (PD) are age-related diseases, and surgery for osteoporotic vertebral collapse (OVC) in PD patients become more common. OVC commonly affects the thoracolumbar spine, but low lumbar OVC is frequent in patients with lower bone mineral density (BMD). The aim of this study was to identify differences in clinical and imaging features of low lumbar OVC with or without PD and to discuss the appropriate treatment. The subjects were 43 patients with low lumbar OVC below L3 who were treated surgically, including 11 patients with PD. The main clinical symptoms were radicular pain in non-PD cases and a cauda equina sign in PD cases. Rapid progression and destructive changes of OVC were seen in patients with PD. The morphological features of OVC were flat-type in non-PD cases with old compression fracture, and destruction-type in PD cases without old compression fracture. Progression of PD was associated with decreased lumbar lordosis, lower lumbar BMD, and severe sarcopenia. High postoperative complication rates were associated with vertebral fragility and longer fusion surgery. Progression of postural instability as a natural course of PD may lead to mechanical stress and instrumentation failure. Invasive long-fusion surgery should be avoided for single low lumbar OVC.

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