CC BY-NC-ND 4.0 · Rev Bras Ortop (Sao Paulo) 2021; 56(02): 258-262
DOI: 10.1055/s-0040-1721844
Relato de Caso
Coluna

Tratamento cirúrgico de fraturas osteoporóticas múltiplas da coluna dorsolombar: Relato de caso[*]

Article in several languages: português | English
1   Serviço de Ortopedia e Traumatologia, Centro Hospitalar e Universitário de Coimbra, Portugal
,
1   Serviço de Ortopedia e Traumatologia, Centro Hospitalar e Universitário de Coimbra, Portugal
,
1   Serviço de Ortopedia e Traumatologia, Centro Hospitalar e Universitário de Coimbra, Portugal
› Author Affiliations

Resumo

As fraturas vertebrais osteoporóticas são um tipo comum de fratura e afetam um número significativo da população com osteoporose. Apesar do elevado risco de fratura, a ocorrência concomitante de fraturas vertebrais em níveis não contíguos é muito rara. Reportamos o caso de uma paciente com três fraturas explosivas da coluna dorsolombar em níveis não contíguos, tratada com cifoplastia e fixação posterior transpedicular por via percutânea. Seis meses após a cirurgia, a paciente tem marcha autônoma, sem dor, e, radiologicamente, não existem evidências de perda de redução das fraturas.

* Trabalho desenvolvido no Serviço de Ortopedia e Traumatologia, 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