The treatment of osteoporotic-posttraumatic vertebral collapse using the Kaneda device and a bioactive ceramic vertebral prosthesis

Twenty-two patients with neurologic deficit due to delayed posttraumatic vertebral collapse after osteoporotic compression fractures of the thoracolumbar spine underwent anterior decompression and reconstruction with bioactive Apatite-Wollastonite containing glass ceramic vertebral prosthesis and Ka...

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Bibliographic Details
Published in:Spine (Philadelphia, Pa. 1976) Pa. 1976), 1992-08, Vol.17 (8), p.S295-S303
Main Authors: KANEDA, K, ASANO, S, HASHIMOTO, T, SATOH, S, FIJIYA, M
Format: Article
Language:English
Subjects:
Aged
Biological and medical sciences
Bioprosthesis
Ceramics
Female
Follow-Up Studies
Humans
Injuries of the limb. Injuries of the spine
Male
Medical sciences
Middle Aged
Osteoporosis - complications
Postoperative Complications
Radiography
Spinal Cord Compression - diagnostic imaging
Spinal Cord Compression - etiology
Spinal Cord Compression - surgery
Spinal Fractures - diagnostic imaging
Spinal Fractures - etiology
Spinal Fractures - surgery
Spinal Fusion - instrumentation
Spine - diagnostic imaging
Traumas. Diseases due to physical agents
Citations: Items that cite this one
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Summary:Twenty-two patients with neurologic deficit due to delayed posttraumatic vertebral collapse after osteoporotic compression fractures of the thoracolumbar spine underwent anterior decompression and reconstruction with bioactive Apatite-Wollastonite containing glass ceramic vertebral prosthesis and Kaneda instrumentation. Eighteen patients previously had minor trauma that resulted in a mild vertebral compression fracture without any neurologic involvement and were either conservatively treated or not treated at all. Four had no history of back injury. The preoperative neurologic status was incomplete paralysis in all patients. The average age at surgery was 66 (53-79) years. The average follow-up was 34 (20-58) months after surgery. All patients had returned to their daily living with neurologic recovery and stable spine. This type of anterior procedure is effective in the osteoporotic patients and there was a very low incidence of instrumentation failure and very low morbidity.
ISSN:0362-2436
1528-1159
DOI:10.1097/00007632-199208001-00015