Pedicle screw augmentation in osteoporotic spine: indications, limitations and technical aspects.

Hoppe, S; Keel, MJ (2016). Pedicle screw augmentation in osteoporotic spine: indications, limitations and technical aspects. European journal of trauma and emergency surgery, 43(1), pp. 3-8. Springer-Medizin-Verlag 10.1007/s00068-016-0750-x

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PURPOSE The need for spinal instrumented fusion in osteoporotic patients is rising. In this review, we try to give an overview of the current spectrum of pedicle screw augmentation techniques, safety aspects and indications. METHODS Review of literature and discussion of indications, limitations and technical aspects. RESULTS Various studies have shown higher failure rates in osteoporotic patients, most probably due to reduced bone quality and a poor bone-screw interface. Augmentation of pedicle screws with bone cement, such as polymethylmethacrylate or calcium based cements, is one valid option to enhance fixation if required. CONCLUSIONS Crucial factors for success in the use of augmented screws are careful patient selection, a proper technique and choice of the ideal cement augmentation option.

Item Type:

Journal Article (Review Article)

Division/Institute:

04 Faculty of Medicine > Department of Orthopaedic, Plastic and Hand Surgery (DOPH) > Clinic of Orthopaedic Surgery
04 Faculty of Medicine > Pre-clinic Human Medicine > BioMedical Research (DBMR) > DBMR Forschung Mu35 > Forschungsgruppe Orthopädische Chirurgie
04 Faculty of Medicine > Pre-clinic Human Medicine > BioMedical Research (DBMR) > DBMR Forschung Mu35 > Forschungsgruppe Orthopädische Chirurgie

UniBE Contributor:

Hoppe, Sven and Keel, Marius

Subjects:

600 Technology > 610 Medicine & health

ISSN:

1863-9933

Publisher:

Springer-Medizin-Verlag

Language:

English

Submitter:

Lilianna Bolliger

Date Deposited:

07 Feb 2017 08:56

Last Modified:

06 Oct 2017 13:46

Publisher DOI:

10.1007/s00068-016-0750-x

PubMed ID:

27995283

Uncontrolled Keywords:

Cement augmentation; Osteoporosis; Pedicle screw; Spine; Surgery; Vertebroplasty

BORIS DOI:

10.7892/boris.94781

URI:

https://boris.unibe.ch/id/eprint/94781

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