Treatment of osteoporotic vertebral fracture combined with moderate to severe spinal kyphosis by transintervertebral release, bone impaction grafting, and posterior column compressed-closing

• Published in: Zhongguo xiu fu chong jian wai ke za zhi Vol. 33; no. 11; p. 1406
• Main Authors: Xu, Wenqiang, Yu, Haiyang, Liang, Chengmin, Zhai, Yunlei, Cui, Xilong, Wang, Wei, Zhang, Wei
• Format: Journal Article
• Language: Chinese
• Published: China 15.11.2019
• Subjects: Aged; Female; Fracture Fixation, Internal; Humans; Kyphosis; Lumbar Vertebrae; Male; Middle Aged; Quality of Life; Retrospective Studies; Spinal Fractures; Treatment Outcome; kyphosis; intervertebral release; osteoporosis; Spine fracture; bone impaction grafting
• DOI: 10.7507/1002-1892.201905009
• ISSN: 1002-1892

To explore the safety and preliminary effectiveness of transintervertebral release, bone impaction grafting, and posterior column compressed-closing in the treatment of osteoporotic vertebral fracture combined with moderate to severe spinal kyphosis. The clinical data of 21 elderly patients with osteoporotic vertebral fracture combined with moderate to severe spinal kyphosis were retrospectively analyzed between March 2016 and November 2017. There were 1 male and 20 females, aged 55-75 years, with an average of 64.8 years. The disease duration was 8-24 months, with an average of 13.1 months. The bone density T value ranged from -3.4 to -2.1, with an average of -2.3. Lesion segments: T in 2 cases, T in 6 cases, L in 8 cases, L in 1 case, T in 1 case, T , L in 2 cases, and T , L in 1 case. Preoperative neurological function was classified according to the American Spinal Injury Association (ASIA): 5 cases of grade D and 16 cases of grade E. All patients underwent transintervertebral release, bone impaction graf