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Pedicle screw fixation in osteoporotic vertebral compression fractures
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Pedicle screw fixation in osteoporotic vertebral compression fractures
Of: CHAN Chi, Ding really odd, Che-Jen Huang Yuan, Zhou Liang, Rui Hao
[Abstract] Objective To investigate the lumbar pedicle screw fixation for severe osteoporosis, vertebral compression fractures caused by the feasibility and clinical effects. Methods of pedicle screw fixation for severe osteoporosis, vertebral compression fractures caused by 12 cases, including 8 cases of spinal stenosis, multilevel compression fracture in 11 cases. Results 12 cases were followed up for 5 to 42 months, chest waist and leg pain disappeared or significantly reduced spinal fusion good. Conclusions pedicle fixation is not line for the seriousness of vertebroplasty vertebral compression fractures, it has a safe, reliable and good effect of pain relief benefits.
[Keywords:] osteoporosis, vertebral compression fractures, pedicle screw fixation
Vertebral compression fractures are osteoporosis, the most common complication, as the population ages, osteoporosis, spinal compression fractures caused also significantly increased. Not all are suitable for vertebral compression fracture vertebroplasty treatment. January 2003 to January 2006, we used pedicle screw fixation for severe osteoporosis, vertebral compression fractures caused by the inappropriate line of vertebroplasty in the treatment of 12 patients, a significant effect, are reported below.
1 Materials and methods
1.1 General Information The group of 12 patients, 5 males and 7 females, aged 61 to 83 years, mean 72 years. In which 8 cases spinal stenosis, multilevel compression fractures in 11 patients, 6 cases with lower limb skin hypoesthesia or muscle weakness and other symptoms of nerve injury. course of 10 ~ 16 d, an average of 13 d.
1.2 surgical general anesthesia or epidural anesthesia, the patient prone position, iliac, and upper chest, shoulders high soft pillow, so that the lower chest, abdomen vacant. Lesi
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