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Novel findings emphasize on the effect of fusion extent on surgical outcomes of vertebroplasty with posterior spinal fusion for osteoporotic vertebral collapse treatment

Novel findings emphasize on the effect of fusion extent on surgical outcomes of vertebroplasty with posterior spinal fusion for osteoporotic vertebral collapse treatment Novel findings emphasize on the effect of fusion extent on surgical outcomes of vertebroplasty with posterior spinal fusion for osteoporotic vertebral collapse treatment
Novel findings emphasize on the effect of fusion extent on surgical outcomes of vertebroplasty with posterior spinal fusion for osteoporotic vertebral collapse treatment Novel findings emphasize on the effect of fusion extent on surgical outcomes of vertebroplasty with posterior spinal fusion for osteoporotic vertebral collapse treatment

What's new?

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. 

Source:

BMC Musculoskeletal Disorders

Article:

Short- versus long-segment posterior spinal fusion with vertebroplasty for osteoporotic vertebral collapse with neurological impairment in thoracolumbar spine: a multicenter study

Authors:

Yuya Ishikawa et al.

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