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DOI: 10.1055/s-0040-1721844
Surgical Treatment of Multiple Osteoporotic Fractures of the Dorsolumbar Spine: Case Report[*]
Article in several languages: português | English
Abstract
Osteoporotic vertebral fractures are a common type of fracture and affect a significant number of subjects with osteoporosis. Despite the high fracture risk, the concomitant occurrence of vertebral fractures at non-contiguous levels is very rare. We report the case of a patient with three burst dorsolumbar spine fractures at non-contiguous levels who was treated with percutaneous kyphoplasty and transpedicular posterior fixation. Six months after the surgery, the patient walks autonomously and without pain; in addition, there is no radiological evidence of fracture reduction loss.
Study developed at the Orthopedics and Traumatology Department, Centro Hospitalar e Universitário de Coimbra, Portugal.
Publication History
Received: 25 May 2020
Accepted: 17 September 2020
Article published online:
22 March 2021
© 2021. Sociedade Brasileira de Ortopedia e Traumatologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commecial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)
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Referências
- 1 Johnell O, Kanis JA. An estimate of the worldwide prevalence and disability associated with osteoporotic fractures. Osteoporos Int 2006; 17 (12) 1726-1733
- 2 Goldstein CL, Brodke DS, Choma TJ. Surgical Management of Spinal Conditions in the Elderly Osteoporotic Spine. Neurosurgery 2015; 77 (Suppl. 04) S98-S107
- 3 Frankel BM, Monroe T, Wang C. Percutaneous vertebral augmentation: an elevation in adjacent-level fracture risk in kyphoplasty as compared with vertebroplasty. Spine J 2007; 7 (05) 575-582
- 4 Papanastassiou ID, Phillips FM, Van Meirhaeghe J. et al. Comparing effects of kyphoplasty, vertebroplasty, and non-surgical management in a systematic review of randomized and non-randomized controlled studies. Eur Spine J 2012; 21 (09) 1826-1843
- 5 Komemushi A, Tanigawa N, Kariya S. et al. Percutaneous vertebroplasty for osteoporotic compression fracture: multivariate study of predictors of new vertebral body fracture. Cardiovasc Intervent Radiol 2006; 29 (04) 580-585
- 6 Paxinos O, Tsitsopoulos PP, Zindrick MR. et al. Evaluation of pullout strength and failure mechanism of posterior instrumentation in normal and osteopenic thoracic vertebrae. J Neurosurg Spine 2010; 13 (04) 469-476
- 7 DeWald CJ, Stanley T. Instrumentation-related complications of multilevel fusions for adult spinal deformity patients over age 65: surgical considerations and treatment options in patients with poor bone quality. Spine (Phila Pa 1976) 2006; 31 (19 suppl): S144-S151
- 8 Norton RP, Milne EL, Kaimrajh DN, Eismont FJ, Latta LL, Williams SK. Biomechanical analysis of four- versus six-screw constructs for short-segment pedicle screw and rod instrumentation of unstable thoracolumbar fractures. Spine J 2014; 14 (08) 1734-1739
- 9 Knop C, Fabian HF, Bastian L, Blauth M. Late results of thoracolumbar fractures after posterior instrumentation and transpedicular bone grafting. Spine 2001; 26 (01) 88-99
- 10 Zhang J, Liu H, Liu H. et al. Intermediate screws or kyphoplasty: Which method of posterior short-segment fixation is better for treating single-level thoracolumbar burst fractures?. Eur Spine J 2019; 28 (03) 502-510