Osteoporosis surgery: Difference between revisions
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==Surgical therapy== | ==Surgical therapy== | ||
* Operative interventions include anterior and posterior decompression and stabilization by internal fixation using screws, rods and plates. Failure rate is high because of lack of strength in the osteoporotic bone for stabilization. | * Operative interventions include anterior and posterior decompression and stabilization by internal fixation using screws, rods and plates. Failure rate is high because of lack of strength in the osteoporotic bone for stabilization. | ||
* [[Vertebroplasty]] and | * [[Vertebroplasty]] is a minimally invasive procedure that involves injecting an acrylic compound into the vertebrae to strengthen the bone. The procedure takes one hour, and 70-90% of patients experience relief from back pain after the surgery. | ||
* Balloon [[kyphoplasty]]<ref name="pmid22802993">{{cite journal |author=Bergmann M, Oberkircher L, Bliemel C, Frangen TM, Ruchholtz S, Krüger A |title=Early clinical outcome and complications related to balloon kyphoplasty |journal=Orthop Rev (Pavia) |volume=4 |issue=2 |pages=e25 |year=2012 |month=May |pmid=22802993 |pmc=3395994 |doi=10.4081/or.2012.e25 |url=}}</ref> is indicated in patients with incapacitating vertebral compression fractures, kyphosis or curvature of the spine, and persistent back pain. It can restore the height of the vertebrae and restore some stability to the weakened bone <ref name="pmid14585704">{{cite journal |author=Hendriks JG, van Horn JR, van der Mei HC, Busscher HJ |title=Backgrounds of antibiotic-loaded bone cement and prosthesis-related infection |journal=Biomaterials |volume=25 |issue=3 |pages=545–56 |year=2004 |month=February |pmid=14585704 |doi= |url=}}</ref>. It involves inserting a balloon into the affected vertebrae, inflating it to restore the height of the vertebrae, and then filling the area with an acrylic compound. | |||
* Hip fractures are treated by open reduction and internal fixation. | * Hip fractures are treated by open reduction and internal fixation. | ||
* | * Some patients with a hip fracture who are at high risk for another fracture, may benefit from a total hip replacement. | ||
==References== | ==References== | ||
Revision as of 19:51, 30 July 2012
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Osteoporosis Microchapters |
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Osteoporosis surgery On the Web |
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American Roentgen Ray Society Images of Osteoporosis surgery |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Associate Editor(s)-In-Chief: Cafer Zorkun, M.D., Ph.D. [2], Raviteja Guddeti, M.B.B.S.[3]
Overview
Surgical management is employed for fractures caused by osteoporosis. Vertebroplasty and kyphoplasty are used to treat patients with vertebral compression fractures. For fractures of the hip, the surgical method used is called open reduction and internal fixation, or ORIF.
Surgical therapy
- Operative interventions include anterior and posterior decompression and stabilization by internal fixation using screws, rods and plates. Failure rate is high because of lack of strength in the osteoporotic bone for stabilization.
- Vertebroplasty is a minimally invasive procedure that involves injecting an acrylic compound into the vertebrae to strengthen the bone. The procedure takes one hour, and 70-90% of patients experience relief from back pain after the surgery.
- Balloon kyphoplasty[1] is indicated in patients with incapacitating vertebral compression fractures, kyphosis or curvature of the spine, and persistent back pain. It can restore the height of the vertebrae and restore some stability to the weakened bone [2]. It involves inserting a balloon into the affected vertebrae, inflating it to restore the height of the vertebrae, and then filling the area with an acrylic compound.
- Hip fractures are treated by open reduction and internal fixation.
- Some patients with a hip fracture who are at high risk for another fracture, may benefit from a total hip replacement.
References
- ↑ Bergmann M, Oberkircher L, Bliemel C, Frangen TM, Ruchholtz S, Krüger A (2012). "Early clinical outcome and complications related to balloon kyphoplasty". Orthop Rev (Pavia). 4 (2): e25. doi:10.4081/or.2012.e25. PMC 3395994. PMID 22802993. Unknown parameter
|month=ignored (help) - ↑ Hendriks JG, van Horn JR, van der Mei HC, Busscher HJ (2004). "Backgrounds of antibiotic-loaded bone cement and prosthesis-related infection". Biomaterials. 25 (3): 545–56. PMID 14585704. Unknown parameter
|month=ignored (help)