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5-year comply with up outcomes of posterior decompression and fixation surgical procedure for delayed neural dysfunction related to osteoporotic vertebral fracture.
Drugs (Baltimore). 2017 Dec;96(51):e9395
Authors: Yasuda T, Kawaguchi Y, Suzuki Ok, Nakano M, Seki S, Watabnabe Ok, Kanamori M, Kimura T
Summary
Often, after osteoporotic vertebral fracture (OVF), bone therapeutic follows a traditional medical course resulting in bone union with conservative therapy utilizing a brace. Nonetheless, some sufferers with OVF don’t bear the traditional fracture therapeutic course of for a couple of months, presumably resulting in delayed union and/or pseudoarthrosis. In these circumstances, we carried out posterior surgical procedure with mixed decompression, vertebroplasty, and posterior spinal fusion with spinal instrumentation. This research aimed to find out the medical outcomes of posterior surgical procedure for delayed neural dysfunction secondary to OVF over a 5-year follow-up.Forty-one Japanese sufferers who had posterior surgical procedure for delayed paralysis secondary to OVF have been enrolled on this research. All sufferers have been adopted for ?5 years (imply, 67 months; vary, 61-86 months). Sufferers comprised 12 males and 29 girls with a mean age of 76.three ± 6.2 years (vary 63-87 years) on the time of operation. We carried out posterior fixation from 2 ranges above to 1 stage beneath the decompression and vertebroplasty as an multi function process. Vertebral peak index (VHI) and kyphotic angle (KA) have been evaluated on radiogram. For medical signs, a visible analog scale of again and leg ache and the Frankel classification and Japanese Orthopaedic Affiliation scores have been used.Through the operation and perioperative interval, no critical problems occurred. In all sufferers, signs improved inside 1 month and have been maintained for five years postoperatively. In all sufferers, VHI and KA improved after surgical procedure; nonetheless, discount losses of seven.7% of VHI and 23% of KA have been acknowledged. 5 of 41 sufferers required reoperation resulting from adjoining vertebral fracture (AVF) and recollapse of the vertebral physique.Operation time and blood loss have been acceptable, even for aged sufferers. In all sufferers, alignment and subjective signs improved. Nonetheless, reoperation owing to AVF and recollapse was obligatory inside 1 yr in 5 of 41 (12%) sufferers. Cautious follow-up is required inside 1 yr after surgical procedure for OVF.
PMID: 29390549 [PubMed – in process]