scholarly journals Nonunion of Osteoporotic Vertebral Fractures: Clinical Characteristics and Surgical Treatment

Spine Surgery ◽  
10.5772/38305 ◽  
2012 ◽  
Author(s):  
Genlin Wang ◽  
Huilin Yang
Keyword(s):  
Surgical Treatment ◽  
Vertebral Fractures ◽  
Clinical Characteristics ◽  
Osteoporotic Vertebral Fractures

Surgical and Non-surgical Treatment of Vertebral Fractures in Elderly

2019 ◽  
Vol 157 (06) ◽  
pp. 654-667 ◽  
Author(s):  
Marc Chmielnicki ◽  
Axel Prokop ◽  
Frank Kandziora ◽  
Andreas Pingel
Keyword(s):  
Surgical Treatment ◽  
Elderly Patients ◽  
Vertebral Fractures ◽  
Fracture Morphology ◽  
Demographic Development ◽  
Rapid Improvement ◽  
Osteoporotic Vertebral Fractures ◽  
Spine Surgeon ◽  
Pain Symptoms

AbstractDemographic development in Germany has led to an aging of the population. Particularly for these patients, osteoporosis-induced vertebral fractures represent a significant decrease in quality of life and level of activity. According to current guidelines, the initial treatment of stable osteoporotic vertebral fractures is conservative management with analgesic, anti-osteoporotic, physical therapy, and orthotic measures as first line options. Personal experience, however, suggests that patients benefit from timely surgical treatment through rapid improvement of pain symptoms and thus, more rapid mobilization. The poor bone quality of elderly patients presents the treating spine surgeon a challenge in achieving stable spinal fusion with or without support, for example, through augmentation. Minimally invasive procedures have increasingly established themselves for such purposes in recent years. With over 1000 fracture treatments in the last 3.5 years, we have developed a differentiated treatment concept depending on patient age and fracture morphology, which we would like to introduce. Unstable fractures with posterior edge involvement are stabilized from posterior with a percutaneous fixator. Patients over 60 years were treated percutaneously with a polyaxial screw system. Increased stability was achieved by PMMA cement augmentation of the fenestrated screws. In elderly patients with Magerl A3 fractures without neurologic deficit, the index vertebra is supplementally treated with kyphoplasty (hybrid treatment). In acute, stable osteoporotic vertebral fractures with severe pain despite analgesics, we perform kyphoplasty, which is possible even in high thoracic fractures to T3 with smaller balloons and thinner trocars. Vertebroplasty is another option in the lumbar and lower thoracic spine. Because of invasiveness, extended posterior–anterior correction procedures are generally avoided in this population, which has frequent multiple comorbidities.

scholarly journals TREATMENT OF OSTEOPOROTIC VERTEBRAL FRACTURES

2006 ◽  
pp. 043-047
Author(s):  
Shukhrat Numonzhonovich Rakhmatillaev ◽  
Viktor Viktorovich Rerikh ◽  
Mikhail Anatolyevich Sadovoy
Keyword(s):  
Surgical Treatment ◽  
Conservative Treatment ◽  
Vertebral Fractures ◽  
Osteoporotic Fractures ◽  
Pain Syndrome ◽  
Treatment Results ◽  
Transpedicular Fixation ◽  
Osteoporotic Vertebral Fractures ◽  
Spinal Brace ◽  
Vertebral Bodies

Objective. To analyze treatment results in patients with osteoporitic fractures of the thoracic and lumbar vertebral bodies. Material and Methods. The study was performed in 301 patients (aged 20 to 81 years) with noncomplicated fractures of thoracic and lumbar vertebral bodies associated with osteoporosis. Compression fractures were diagnosed in 42.5 % of patients, splintered – in 21.3 %, and burst – in 36.2 %. Grade I osteoporosis was observed in 12.6 %, Grade II – in 52.5 %, Grade III – in 27.5 %, and Grade IV – in 7.4 % of patients. Conservative treatment was performed in 188 patients. After pain syndrome relief and fixation with removable spinal brace the patients were discharged for follow-up care. Another 113 patients underwent surgical treatment: transpedicular fixation was done in 15.0 % of cases, transpedicular fixation with osteoplasty – in 50.4 %, two-stage surgical procedure – in 24.7 %, and vertebroplasty – in 9.9 %. Results. The outcomes after conservative treatment for osteoporotic vertebral fractures was good in 13.0 % of patients, satisfactory in 43.0 %, and nonsatisfactory in 44.0 %. Patients showed a progression of osteoporosis and deformity magnitude between 8 and 36 weeks after the treatment. Surgical treatment of veretbral fractures had excellent results in 27.4 % of patients, good results in 51.6 %, satisfactory in 19.7 %, and nonsatisfactory in 1,5 %. Correction of all deformity components of the injured spine segment was observed in the postoperative period. Conclusion. Differentiated treatment for osteoporotic fractures of the thoracic and lumber vertebral bodies associated with osteoporosis improves the treatment results and reduces the treatment failure rate.

The factors affecting balance function in patients with osteoporotic vertebral fractures

2019 ◽  
Author(s):  
Larisa Marchenkova ◽  
Ekaterina Makarova ◽  
Mikhail Eryomushkin ◽  
Lilia Shakurova
Keyword(s):  
Vertebral Fractures ◽  
Balance Function ◽  
Factors Affecting ◽  
Osteoporotic Vertebral Fractures

Radiation Exposure of Anaesthetists Visualised by Real-time Dosimetry

2019 ◽  
Vol 15 (2) ◽  
pp. 220-226
Author(s):  
Marcus Christian Müller ◽  
Michael Windemuth ◽  
Sophie Frege ◽  
Eva Nadine Striepens
Keyword(s):  
Radiation Exposure ◽  
Real Time ◽  
Vertebral Fractures ◽  
Plate Osteosynthesis ◽  
Plate Fixation ◽  
Femoral Fractures ◽  
Dose Monitoring ◽  
Osteoporotic Vertebral Fractures ◽  
Radiation Dose Monitoring ◽  
Dosimetry System

Background: Chronic exposure to occupational ionising radiation is seen as one reason for elevated cancer prevalence. </P><P> Objective: The aim of this retrospective study was to evaluate radiation exposure of anaesthetists by real-time dosimetry. Methods: Data of 296 patients were analyzed. Ten types of trauma operation procedures including osteosynthesis of upper and lower extremity fractures and minimally invasive stabilisation of traumatic and osteoporotic vertebral fractures were accomplished. Evaluation was performed by an occupational dosimetry system, which visualises anaesthetists radiation exposure feedback compared to surgeons in real-time. Results: A significantly lower radiation exposure to anaesthetists compared to surgeons was observed in four types of operative procedures: Plate fixation of proximal humerus fractures, osteosynthesis of proximal femoral fractures, stabilisation of traumatic and osteoporotic vertebral fractures. In four types of operations (plate osteosynthesis of proximal humeral, distal radial and tibial fractures and intramedullary nailing of the clavicle), anaesthetists` amount of radiation exceeded one-third of the surgeons' exposure, especially if the C-arm tube was positioned close to the anaesthetists work station at the patients' head. Conclusion: By using the occupational radiation dose monitoring system, radiation exposure to anaesthetists was visualised in real-time during trauma operations. Radiation exposure of anaesthetists depends on the type of operation and the position of the C-arm. The system may help to increase anaesthetists` awareness concerning radiation exposure and to enhance compliance in using radiation protection techniques.

Sign in / Sign up

Export Citation Format

Share Document