Surgical treatment of patients with thoracic and lumbar vertebral fractures in multimodal treatment of systemic osteoporosis
Objective. To assess the efficacy of surgical treatment of thoracic and lumbar vertebral fractures associated with systemic osteoporosis. Material and Methods. Treatment results in 85 patients with vertebral fractures in the thoracic and lumbar spine associated with systemic osteoporosis were presented. Surgical intervention included reduction and fixation in 32 cases, reduction, fixation, and corporodesis in 18 cases, decompression with further fixation in 14 cases of complicated and burst fractures, and puncture vertebroplasty of affected vertebral bodies in 21 cases. Postoperative care was focused on rehabilitation and correction of decreased bone mineral density, with account for osteoporosis type. Results. Long-term outcomes were followed-up in 69 % of patients. Good results were achieved in 76 % of cases, satisfactory - in 20 %, and unsatisfactory - in 4 %. Conclusion. Application of different methods of surgical intervention and their combinations should be justified by specific anatomic features and clinical situation. The advantage of surgical treatment of patients with osteoporosis using modern fixing devices is that it allows rapid restoring spine stability and returning patients to activity.