SURGICAL TREATMENT FOR OSTEOPOROTIC SPINAL FRACTURES IN THE THORACO-LUMBAR SPINE AND AN ESTIMATION OF EFFICACY IN THE FOLLOW-UP

• Main Authors: S. T. Vetrile, A. A. Kuleshov, V. V. Shvets, L. U. Darchia
• Format: Article
• Language: Russian
• Published: Vreden Russian Research Institute of Traumatology and Orthopedics 2016-11-01
• Series: Travmatologiâ i Ortopediâ Rossii
• Subjects: surgical treatment; osteoporosis; thoraco-lumbar fractures
• Online Access: https://journal.rniito.org/jour/article/view/543

85 patients with osteoporotic vertebral fractures of lower thoracic and lumbar spine were operated. Surgical options including posterior reconstruction, anterior reconstruction and combined anterior and posterior surgery, vertebroplasty. In the postoperative period the great attention was given to rehabilitation and correction lowered BMD depending on osteoporosis type. The long-term outcomes were followed in 69%. Good results were achieved in 76% of cases, satisfactory - in 20%, unsatisfactory results - in 4%. The differential approach to surgical treatment osteoporotic spinal fractures in the thoraco-lumbar spine allows to restore in short terms stability of spine and return activity to patients.