Saratov JOURNAL of Medical and Scientific Research

vertebral fractures

Techniques of augmentation and full-endoscopic decompression in the treatment of patients with vertebral fractures of osteoporotic origin

Year: 2018, volume 14 Issue: №3 Pages: 412-416
Heading: neurosurgery Article type: Case report
Authors: Kravtsov M.N., Mirzametov S.D., Svistov D.V.
Organization: Military Medical Academy n.a. S. M. Kirov
Summary:

The article highlights debatable questions concerning the effectiveness of surgical treatment of osteoporotic vertebral fractures. The reasons of unsuccessful outcomes of vertebroplasty are analyzed. A combined method of surgical treatment is proposed, including vertebroplasty and full-endoscopic foraminotomy with a combination of local and ra-dicular pain syndrome caused by stenosis of the intervertebral foramen. A clinical example is given.

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Surgery of vertebral bodies compressive fractures according to results of algorithm of osteoporosis radial diagnostics

Year: 2011, volume 7 Issue: №4 Pages: 930-933
Heading: Traumatology and Orthopedics Article type: Original article
Authors: Tomilov А.В., Eidlina Е.М., Kuznetsova N.L.
Organization: Uralsk Scientific Research Institute of Traumatology and Orthopedics n. a. V.D. Chaklin
Summary:

The research goal is to optimize the algorithm of radial methods of investigation of early vertebral osteoporosis and vertebral compressive fractures in case of osteoporosis, as well as surgical tactics in vertebral compressive fractures, aggravated by osteoporosis. 220 postmenopausal women have been examined. 100 patients with compressive vertebral fractures and 120 patients without risk factors of compressive fractures were under study. 220 patients have received lateral spinal radiography and dual-energy X-ray absorptiometry. 60 patients with compressive vertebral fractures have been examined by quantitative computed tomography. Compressive fractures have been diagnosed in 20 men who suffered from osteoporosis. Statistical processing of received data has been performed. It has been concluded that the use of quantitative computed tomography has made possible to identify the reduction in bone mineralization with an increase in age of patients. When the difficulties in interpretation of clinical data and X-ray densitometry findings have been determined, quantitative computed tomography has occurred to be the method of choice. Quantitative computed tomography helps determine the degree of resorption of trabecular bone in vertebral bodies and prognose high risk of fractures. Surgeries have been performed in presence of osteoporosis which does not affect the stability of the structure.

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