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Efficacy of cement-augmented pedicle screw fixation for osteoporotic mid-thoracic vertebral fractures
BACKGROUND: Osteoporotic mid-thoracic vertebral fractures (OmTVF), often result in severe pain, and neurological deficits secondary to cord compression. Cement-augmented pedicle screw (CaPS) fixation with posterior spinal decompression (PSD) offers simultaneous decompression with stabilization of th...
Autores principales: | , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Scientific Scholar
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10629338/ https://www.ncbi.nlm.nih.gov/pubmed/37941622 http://dx.doi.org/10.25259/SNI_751_2023 |
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author | Nhã, Lê Hoàng Hùng, Kiều Đình |
author_facet | Nhã, Lê Hoàng Hùng, Kiều Đình |
author_sort | Nhã, Lê Hoàng |
collection | PubMed |
description | BACKGROUND: Osteoporotic mid-thoracic vertebral fractures (OmTVF), often result in severe pain, and neurological deficits secondary to cord compression. Cement-augmented pedicle screw (CaPS) fixation with posterior spinal decompression (PSD) offers simultaneous decompression with stabilization of these osteoporotic vertebral fractures. METHODS: The study involved 32 patients (2022–2023) with T8–T10 osteoporotic vertebral compression fractures resulting in cord compression. All patients underwent CaPS surgery with PSD. Pain reduction was measured using the visual analog scale (VAS), and outcomes with the Oswestry Disability Index, and the American Spinal Injury Association Grades. The local kyphotic angle was also tracked with computed tomography studies performed 1, 3, and 6 months post-operatively. RESULTS: The average pre-operative VAS score was 8.56 mm; this decreased at 1, 3, and 6 months post-operatively to 2.72 mm, 2.03 mm, and 1.44 mm, respectively. In addition, 31 of 32 patients fully recovered within 6 postoperative months. CONCLUSION: For 31 of 32 patients with T8–T10 osteoporotic vertebral fractures, CaPS fixation with PSD successfully alleviated pain and resulted in significant post-operative neurological recovery. |
format | Online Article Text |
id | pubmed-10629338 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Scientific Scholar |
record_format | MEDLINE/PubMed |
spelling | pubmed-106293382023-11-08 Efficacy of cement-augmented pedicle screw fixation for osteoporotic mid-thoracic vertebral fractures Nhã, Lê Hoàng Hùng, Kiều Đình Surg Neurol Int Original Article BACKGROUND: Osteoporotic mid-thoracic vertebral fractures (OmTVF), often result in severe pain, and neurological deficits secondary to cord compression. Cement-augmented pedicle screw (CaPS) fixation with posterior spinal decompression (PSD) offers simultaneous decompression with stabilization of these osteoporotic vertebral fractures. METHODS: The study involved 32 patients (2022–2023) with T8–T10 osteoporotic vertebral compression fractures resulting in cord compression. All patients underwent CaPS surgery with PSD. Pain reduction was measured using the visual analog scale (VAS), and outcomes with the Oswestry Disability Index, and the American Spinal Injury Association Grades. The local kyphotic angle was also tracked with computed tomography studies performed 1, 3, and 6 months post-operatively. RESULTS: The average pre-operative VAS score was 8.56 mm; this decreased at 1, 3, and 6 months post-operatively to 2.72 mm, 2.03 mm, and 1.44 mm, respectively. In addition, 31 of 32 patients fully recovered within 6 postoperative months. CONCLUSION: For 31 of 32 patients with T8–T10 osteoporotic vertebral fractures, CaPS fixation with PSD successfully alleviated pain and resulted in significant post-operative neurological recovery. Scientific Scholar 2023-10-20 /pmc/articles/PMC10629338/ /pubmed/37941622 http://dx.doi.org/10.25259/SNI_751_2023 Text en Copyright: © 2023 Surgical Neurology International https://creativecommons.org/licenses/by-nc-sa/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-Share Alike 4.0 License, which allows others to remix, transform, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms. |
spellingShingle | Original Article Nhã, Lê Hoàng Hùng, Kiều Đình Efficacy of cement-augmented pedicle screw fixation for osteoporotic mid-thoracic vertebral fractures |
title | Efficacy of cement-augmented pedicle screw fixation for osteoporotic mid-thoracic vertebral fractures |
title_full | Efficacy of cement-augmented pedicle screw fixation for osteoporotic mid-thoracic vertebral fractures |
title_fullStr | Efficacy of cement-augmented pedicle screw fixation for osteoporotic mid-thoracic vertebral fractures |
title_full_unstemmed | Efficacy of cement-augmented pedicle screw fixation for osteoporotic mid-thoracic vertebral fractures |
title_short | Efficacy of cement-augmented pedicle screw fixation for osteoporotic mid-thoracic vertebral fractures |
title_sort | efficacy of cement-augmented pedicle screw fixation for osteoporotic mid-thoracic vertebral fractures |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10629338/ https://www.ncbi.nlm.nih.gov/pubmed/37941622 http://dx.doi.org/10.25259/SNI_751_2023 |
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