Pedicle screw augmentation in osteoporotic spine: indications, limitations and technical aspects.
Publisher DOI
PubMed ID
27995283
Abstract
PURPOSE
The need for spinal instrumented fusion in osteoporotic patients is rising. In this review, we try to give an overview of the current spectrum of pedicle screw augmentation techniques, safety aspects and indications.
METHODS
Review of literature and discussion of indications, limitations and technical aspects.
RESULTS
Various studies have shown higher failure rates in osteoporotic patients, most probably due to reduced bone quality and a poor bone-screw interface. Augmentation of pedicle screws with bone cement, such as polymethylmethacrylate or calcium based cements, is one valid option to enhance fixation if required.
CONCLUSIONS
Crucial factors for success in the use of augmented screws are careful patient selection, a proper technique and choice of the ideal cement augmentation option.
The need for spinal instrumented fusion in osteoporotic patients is rising. In this review, we try to give an overview of the current spectrum of pedicle screw augmentation techniques, safety aspects and indications.
METHODS
Review of literature and discussion of indications, limitations and technical aspects.
RESULTS
Various studies have shown higher failure rates in osteoporotic patients, most probably due to reduced bone quality and a poor bone-screw interface. Augmentation of pedicle screws with bone cement, such as polymethylmethacrylate or calcium based cements, is one valid option to enhance fixation if required.
CONCLUSIONS
Crucial factors for success in the use of augmented screws are careful patient selection, a proper technique and choice of the ideal cement augmentation option.
Date Issued
2016-12-19
Publication Type
Article
Subject(s)
Subjects
Cement augmentation
•
Osteoporosis
•
Pedicle screw
•
Spine
•
Surgery
•
Vertebroplasty
Language(s)
en
Additional Credits
Journal
European journal of trauma and emergency surgery
Publisher
Springer-Medizin-Verlag
ISSN
1863-9933
Access(Rights)
open.access