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Comparison of cement-augmented pedicle screw and conventional pedicle screw for the treatment of lumbar degenerative patients with osteoporosis – Lumbar Fusion

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This article is a retrospective cohort study that compares the safety and clinical efficacy of using cement-augmented pedicle screws (CAPS) versus conventional pedicle screws (CPS) for the treatment of lumbar degenerative patients with osteoporosis. The study analyzed data from 131 patients and found that the CAPS technique had a higher fusion rate and lower screw loosening rate compared to CPS. The difference in pain scores and functional outcomes at three and 6 months after surgery was also statistically significant between the two groups. However, there were some cases of cement leakage and adjacent vertebral fractures in the CAPS group. Overall, the study concludes that the CAPS technique is an effective strategy for treating lumbar degenerative patients with osteoporosis

Summarised by Mr Mo Akmal – Lead Spinal Surgeon
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Published article

S: CAPS technique is an effective strategy for the treatment of lumbar degenerative patients with osteoporosis, with a higher fusion rate and lower screw loosening rate than CPS.

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Eur J Orthop Surg Traumatol. 2024 Feb 16. doi: 10.1007/s00590-024-03849-2. Online ahead of print.ABSTRACTSTUDY DESIGN: A retrospective cohort study.OBJECTIVE: To compare the safety and clinical efficacy between using cement-augmented pedicle screws (CAPS) and conventional pedicle screws (CPS) for the treatment of lumbar degenerative patients with osteoporosis. Management of lumbar degenerative patients with osteoporosis undergoing spine,

Eur J Orthop Surg Traumatol. 2024 Feb 16. doi: 10.1007/s00590-024-03849-2. Online ahead of print.

ABSTRACT

STUDY DESIGN: A retrospective cohort study.

OBJECTIVE: To compare the safety and clinical efficacy between using cement-augmented pedicle screws (CAPS) and conventional pedicle screws (CPS) for the treatment of lumbar degenerative patients with osteoporosis. Management of lumbar degenerative patients with osteoporosis undergoing spine surgery is challenging. The clinical efficacy and potential complications of the mid-term performance of the CAPS technique in the treatment of lumbar degenerative patients with osteoporosis remain to be evaluated.

PATIENTS AND METHODS: The data of 131 lumbar degenerative patients with osteoporosis who were treated with screw fixation from May 2016 to December 2019 were retrospectively analyzed in this study. The patients were divided into the following two groups according to the type of screw used: (I) the CAPS group (n = 85); and (II) the CPS group (n = 46). Relevant data were compared between two groups, including the demographics data, clinical results and complications.

RESULTS: The difference in the VAS, ODI and JOA scores at three and 6 months after the operation between the two groups was statistically significant (P < 0.05). At 12 months after surgery and the final follow-up, a significant difference in the fusion rate was found between the two groups (P < 0.05). Four cemented screws loosening were observed in the CAPS group (loosening rate 4/384, 1.04%) and 15 screws loosening were observed in the CPS group (loosening rate 15/214, 7.01%). In the CAPS group, a total of 384 augmented screws were used, and cement leakage was observed in 25 screws (25/384, 6.51%), but no obvious clinical symptoms or serious complications were observed. Adjacent vertebral fractures occurred in six patients in the CAPS group and one in the CPS group.

S: CAPS technique is an effective strategy for the treatment of lumbar degenerative patients with osteoporosis, with a higher fusion rate and lower screw loosening rate than CPS.

PMID:38363348 | DOI:10.1007/s00590-024-03849-2

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Comparison of cement-augmented pedicle screw and conventional pedicle screw for the treatment of lumbar degenerative patients with osteoporosis

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Eur J Orthop Surg Traumatol. 2024 Feb 16. doi: 10.1007/s00590-024-03849-2. Online ahead of print.ABSTRACTSTUDY DESIGN: A retrospective cohort study.OBJECTIVE: To compare the safety and clinical efficacy between using cement-augmented pedicle screws (CAPS) and conventional pedicle screws (CPS) for the treatment of lumbar degenerative patients with osteoporosis. Management of lumbar degenerative patients with osteoporosis undergoing spine

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