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ISSN 2007-8560 (Print)
Órgano Oficial de Difusión Científica de la Federación Mexicana de Colegios de Ortopedia y Traumatología, A.C. (FEMECOT)

2019, Number 2

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Ortho-tips 2019; 15 (2)

Surgical treatment for vertebral fragility fractures: review of recent literature

González RJÁ, Dittmar JHM, González UJÁ

Language: Spanish
References: 24
Page: 88-95
PDF size: 171.14 Kb.


ABSTRACT

The decrease in bone quality and osteoporosis lead to an increase in the number of fragility fractures. Vertebral compression fractures are very common in the elderly, it is estimated that 1.4 million new fractures occur every year in the world. In case of severe pain or a major fracture collapse over a period of two to three weeks despite conservative management, a vertebroplasty or kyphoplasty could be performed, even with more recent mechanisms with augmentation implants. In patients with unstable fractures, it is necessary to combine instrumentation and augmentation techniques or resort to a 360o fixation. Augmentation techniques may have complications such as cement leakage, adjacent body fracture, pulmonary embolism, among others. Patients treated with a posterior fusion or a 360o fixation, complications such as instrumentation failure, degeneration of the adjacent segment, loosening of the screw, «pull out», progressive deformity in kyphosis and compression fractures are concerned. Conclusion: The diagnosis and timely treatment of osteopenia or osteoporosis is of the out most importance. The surgical management of vertebral fractures due to fragility shows a challenge due to the potential complications secondary to the same fragility of the adjacent segments.


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