[Instrumental fixation in spinal surgery. Particular characteristics in patients with manifest osteoporosis].
A number of factors need to be borne in mind in the planning and performance of instrumental fixation of the spine in patients with osteoporosis. Improved implant anchoring using special screws and cement augmentation can help to avoid implant dislocations. Nevertheless, particular attention should be paid to spinal balance in these patients.
Klöckner
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Praxis für Wirbelsäulenerkrankungen und Wirbelsäulenchirurgie, Hohlstr. 192, CH-8004, Zürich, Schweiz. info@spine-in-balance.ch
D000368:Aged; D001696:Biomechanical Phenomena; D001863:Bone Screws; D005260:Female; D017102:Fracture Healing / Q000502:physiology; D050815:Fractures, Compression / Q000503:physiopathology / Q000601:surgery; D005598:Fractures, Spontaneous / Q000503:physiopathology / Q000601:surgery*; D006801:Humans; D008875:Middle Aged; D015663:Osteoporosis, Postmenopausal / Q000503:physiopathology / Q000601:surgery*; D019057:Quality-Adjusted Life Years; D013122:Spinal Diseases / Q000503:physiopathology / Q000601:surgery*; D016103:Spinal Fractures / Q000503:physiopathology / Q000601:surgery*; D013123:Spinal Fusion / Q000379:methods*; D054854:Vertebroplasty / Q000379:methods