TREATMENT OF OSTEOPOROTIC VERTEBRAL FRACTURES
https://doi.org/10.14531/ss2006.2.43-47
Abstract
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.
About the Authors
Shukhrat Numonzhonovich Rakhmatillaev
Novosibirsk Research Institute of Traumatology and Orthopaedics
Russian Federation
Russian Federation
Viktor Viktorovich Rerikh
Novosibirsk Research Institute of Traumatology and Orthopaedics
Russian Federation
Russian Federation
Mikhail Anatolyevich Sadovoy
Novosibirsk Research Institute of Traumatology and Orthopaedics
Russian Federation
Russian Federation
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Review
For citations:
Rakhmatillaev Sh.N., Rerikh V.V., Sadovoy M.A. TREATMENT OF OSTEOPOROTIC VERTEBRAL FRACTURES. Russian Journal of Spine Surgery (Khirurgiya Pozvonochnika). 2006;(2):043-047. (In Russ.) https://doi.org/10.14531/ss2006.2.43-47
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