Osteoporotic vertebral body fractures of the thoracolumbar spine: indications and techniques of a 360°-stabilization

Unstable vertebral body fragility fractures of the thoracolumbar spine can occur with or without relevant trauma. Initially, a standardized diagnostic algorithm including magnetic resonance tomography is recommended to detect accompanied further vertebral body fractures, to interpret the individual...

Full description

Saved in:
Bibliographic Details
Published in:European journal of trauma and emergency surgery (Munich : 2007) 2017-02, Vol.43 (1), p.27-33
Main Authors: Spiegl, Ulrich, Jarvers, J.-S., Heyde, C.-E., Josten, C.
Format: Article
Language:English
Subjects:
Bone Cements
Critical Care Medicine
Emergency Medicine
Fracture Fixation, Internal - methods
Fractures
Humans
Intensive
Kyphoplasty - methods
Lumbar Vertebrae
Medicine
Medicine & Public Health
NMR
Nuclear magnetic resonance
Original Article
Osteoporosis
Osteoporotic Fractures - diagnostic imaging
Osteoporotic Fractures - surgery
Spinal Fractures - diagnostic imaging
Spinal Fractures - surgery
Spinal Fusion - methods
Spine
Sports Medicine
Stabilization
Surgery
Surgical Orthopedics
Thoracic Vertebrae
Traumatic Surgery
Vertebrae
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Unstable vertebral body fragility fractures of the thoracolumbar spine can occur with or without relevant trauma. Initially, a standardized diagnostic algorithm including magnetic resonance tomography is recommended to detect accompanied further vertebral body fractures, to interpret the individual fracture stability, and to screen for relevant traumatic intervertebral disc lesions. Aim of the therapy is to assure fast mobilization and to maintain spinal alignment. Unstable fracture morphology is defined by vertebral body fractures including a relevant defect of the posterior vertebral cortex as well as type B or C fractures. With respect of type A fractures, a combined anterior–posterior approach including a primary cement-augmented posterior stabilization and anterior spondylodesis is indicated in those patients with relevant intervertebral lesions or in those suffering from high-energy accidents resulting in unstable burst-type fractures. The others will benefit from hybrid stabilizations including cement-augmented posterior stabilizations and cement augmentation (kyphoplasty) of the fractured level to gain a ventral transosseous stability. In addition, individually adapted antiosteoporotic therapy is essential.
ISSN:1863-9933
1863-9941
DOI:10.1007/s00068-016-0751-9