Osteoporosis surgery
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Osteoporosis Microchapters |
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Diagnosis |
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Treatment |
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Medical Therapy |
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Case Studies |
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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 and balloon kyphoplasty[1] are indicated in patients with incapacitating vertebral compression fractures and persistent back pain. In these procedures the surgeon injects bone cement [2] through a needle into the crushed spinal bones (vertebrae).
- Hip fractures are treated by open reduction and internal fixation.
- For some patients with hip fracture who are at risk for another fracture or fall, a total hip replacement may be done.
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)