2019
DOI: 10.1155/2019/4126818
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Posterior Fixation Combined with Vertebroplasty or Vertebral Column Resection for the Treatment of Osteoporotic Vertebral Compression Fractures with Intravertebral Cleft Complicated by Neurological Deficits

Abstract: Purpose. The aim of the current study was to evaluate the relative benefits of posterior fixation combined with vertebroplasty (PFVP) or vertebral column resection (PVCR) for osteoporotic vertebral compression fractures (OVCFs) with intravertebral cleft (IVC) complicated by neurological deficits. Methods. From June 2010 to January 2015, 45 consecutive patients suffering OVCFs with IVC and spinal cord injuries were treated with PFVP or PVCR in our department. The visual analogue scale (VAS) score, anterior vert… Show more

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Cited by 12 publications
(22 citation statements)
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“…Owing to the progression of kyphosis with vertebral collapse and intravertebral instability at the cleft site, fractures with IVC are more susceptible to no response to conservative treatment; thus, surgical intervention may be a better choice [9,10]. Open surgery has been described to treat IVC, but it is mainly indicated for patients with neurological deficits [11,12]. Besides, it is inappropriate for most patients with serious comorbidities and severe osteoporosis [13].…”
Section: Introductionmentioning
confidence: 99%
“…Owing to the progression of kyphosis with vertebral collapse and intravertebral instability at the cleft site, fractures with IVC are more susceptible to no response to conservative treatment; thus, surgical intervention may be a better choice [9,10]. Open surgery has been described to treat IVC, but it is mainly indicated for patients with neurological deficits [11,12]. Besides, it is inappropriate for most patients with serious comorbidities and severe osteoporosis [13].…”
Section: Introductionmentioning
confidence: 99%
“…Owing to the progressive kyphosis and intravertebral instability at the cleft site, patients with advanced-stage Kümmell's disease are more susceptible to neurological deficits [19], which is a relative contraindication for cement usage [20]. In recent years, short-segment pedicle screw fixation with polymethylmethacrylate (PMMA) augmentation has been employed for Kümmell's disease complicated by neurological deficits [21][22][23][24], however, some scholars find this procedure may not be supportive enough for the longterm stabilization effect [19]. Therefore, considering serious comorbidities and severe osteoporosis in elderly patients, one-stage posterior osteotomy and fixation is more suitable for treating Kümmell's disease with neurological deficits compared with anterior or anterior and posterior approaches for a long-term effect.…”
Section: Discussionmentioning
confidence: 99%
“…Therefore, considering serious comorbidities and severe osteoporosis in elderly patients, one-stage posterior osteotomy and fixation is more suitable for treating Kümmell's disease with neurological deficits compared with anterior or anterior and posterior approaches for a long-term effect. Thus, we performed a one-stage posterior vertebral column resection and internal fixation for spinal cord decompression and reconstruction of spinal stability [19,20,25].…”
Section: Discussionmentioning
confidence: 99%
“…3), and follow-up imaging evaluations were performed every 3 months during the rst year and semiannually thereafter. The AVH, PVH and LKA were assessed before and after surgery, as described in our previous study [16]. The intervertebral titanium mesh cage height (ITMCH) (the height of the fused segments) was measured at the midportion of the adjacent upper and lower endplates after the operation and at the last follow-up.…”
Section: Radiographical Assessmentmentioning
confidence: 99%