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Percutaneous Cement-Augmented Screws Fixation in the Fractures of the Aging Spine : Is It the Solution?
Joint Authors
Dufour, Henry
Fuentes, Stéphane
Blondel, Benjamin
Pesenti, Sébastien
Peltier, Emilie
Adetchessi, Tarek
Source
Issue
Vol. 2014, Issue 2014 (31 Dec. 2014), pp.1-5, 5 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2014-02-20
Country of Publication
Egypt
No. of Pages
5
Main Subjects
Abstract EN
Introduction.
Management of elderly patients with thoracolumbar fractures is still challenging due to frequent osteoporosis and risk of screws pull-out.
The aim of this study was to evaluate results of a percutaneous-only procedure to treat these fragile patients using cement-augmented screws.
Methods.
12 patients diagnosed with a thoracolumbar fracture associated with an important loss of bone stock were included in this prospective study.
Surgical procedure included systematically a percutaneous osteosynthesis using cemented fenestrated screws.
When necessary, additional anterior support was performed using a kyphoplasty procedure.
Clinical and radiographic evaluations were performed using CT scan.
Results.
On the whole series, 15 fractures were diagnosed and 96 cemented screws were inserted.
The difference between the pre- and postoperative vertebral kyphosis was statistically significant (12.9° versus 4.4°, P=0.0006).
No extrapedicular screw was reported and one patient was diagnosed with a cement-related pulmonary embolism.
During follow-up period, no infectious complications, implant failures, or pull-out screws were noticed.
Discussion.
Aging spine is becoming an increasing public health issue.
Management of these patients requires specific attention due to the augmented risk of complications.
Using percutaneous-only screws fixation with cemented screw provides satisfactory results.
A rigorous technique is mandatory in order to achieve best outcomes.
American Psychological Association (APA)
Pesenti, Sébastien& Blondel, Benjamin& Peltier, Emilie& Adetchessi, Tarek& Dufour, Henry& Fuentes, Stéphane. 2014. Percutaneous Cement-Augmented Screws Fixation in the Fractures of the Aging Spine : Is It the Solution?. BioMed Research International،Vol. 2014, no. 2014, pp.1-5.
https://search.emarefa.net/detail/BIM-484980
Modern Language Association (MLA)
Pesenti, Sébastien…[et al.]. Percutaneous Cement-Augmented Screws Fixation in the Fractures of the Aging Spine : Is It the Solution?. BioMed Research International No. 2014 (2014), pp.1-5.
https://search.emarefa.net/detail/BIM-484980
American Medical Association (AMA)
Pesenti, Sébastien& Blondel, Benjamin& Peltier, Emilie& Adetchessi, Tarek& Dufour, Henry& Fuentes, Stéphane. Percutaneous Cement-Augmented Screws Fixation in the Fractures of the Aging Spine : Is It the Solution?. BioMed Research International. 2014. Vol. 2014, no. 2014, pp.1-5.
https://search.emarefa.net/detail/BIM-484980
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-484980