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Orthopedic
surgeons should be cautious concerning correction loss during the execution of
short-segment vertebroplasty with posterior spinal fusion.
Regardless of the fact that short-segment vertebroplasty with posterior spinal fusion (VP + PSF) portrayed less invasiveness and validity of pain and neurological relief, more correction loss was observed as compared to the long-segment VP + PSF for the treatment of osteoporotic vertebral collapse, as concluded from a study issued in BMC Musculoskeletal Disorders.
This novel, retrospective study examined the surgical outcomes of short- versus long-segment VP + PSF for OVC with neurological damage in thoracolumbar spine.
The data from 133 patients (median age of 77 years; 42 males and 91 females) was collected. These patients were divided as: S group or short-segment fusion group with 2- or 3-segment fusion (n=87) and; L group or long-segment fusion group with 4- through 6-segment fusion (n=46). The clinical outcomes, surgical invasion, local kyphosis angle (LKA, figure 1), and associated-issues were assessed.
Figure 1: Estimation of LKA
Between the 2 groups, no substantial differences concerning neurological recovery, pain scale scores, and associated-issues were witnessed. In S group, shorter surgical time and less blood loss was observed (figure 2), on the other hand, LKA at the last follow-up and correction loss were notable in the L group.
Figure 2: Surgical time and blood loss in the S and L groups.
BMC Musculoskeletal Disorders
Short- versus long-segment posterior spinal fusion with vertebroplasty for osteoporotic vertebral collapse with neurological impairment in thoracolumbar spine: a multicenter study
Yuya Ishikawa et al.
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