Treatment Strategies in the Osteoporotic Spine
This article reviews the appropriate assessment and management of osteoporotic compression fractures and discusses the implications of osteoporosis on initial patient evaluation, medical optimization for surgery, selection of instrumentation, and surgical technique. Adverse outcomes associated with osteoporosis are discussed. Failure to appropriately evaluate, optimize, and treat spine patients with osteoporotic bone can lead to disastrous complications. Weakened bone can lead to implant failure through cage subsidence and screw pullout, as well as, peri-implant fractures, failure of deformity correction, and proximal kyphosis. These risks must be taken into account when considering operative interventions in these patients.
Source: Orthopedic Clinics of North America - Category: Orthopaedics Authors: Daniel Gelvez, Katherine Dong, Nathan Redlich, Jestin Williams, Amit Bhandutia, Berje Shamassian Source Type: research