[Traumatic vertebral body fractures and osteoporosis: value of cement augmentation].
Traumatic vertebral body fractures are different from the osteoporotic vertebral sintering fractures with regard to accruement, classification and surgical treatment. The standard therapeutic regimen for traumatic vertebral fracture implies sufficient analgetic as well as antiosteoporotic medication and physiotherapy. In cases of A1 fractures and A2.1/A2.2 fractures, minimally invasive treatment strategies have proven to be appropriate treatment options when conservative treatment fails. Unstable fractures, the presence of neurological deficits or stenosis of the canal require conventional operative treatment. Due to reduced bone quality and age-dependent biomechanical changes, distinct operative procedures and strategies - cement augmentation of pedicle screws, additional cement augmentation of the fractured vertebra - for complex traumatic vertebral fractures have been established.
Klinik für Unfall-, Hand- und Wiederherstellungschirurgie, Klinikum der Johann Wolfgang Goethe-Universität, 60590, Frankfurt a.M., Deutschland. Helmut.Laurer@kgu.de
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Laurer
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Sander
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Wutzler
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Nau
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Marzi
D001843:Bone Cements / Q000627:therapeutic use*; D001863:Bone Screws; D004867:Equipment Design; D006801:Humans; D010024:Osteoporosis / Q000150:complications* / Q000628:therapy*; D015990:Placebo Effect; D016103:Spinal Fractures / Q000209:etiology* / Q000628:therapy*; D016896:Treatment Outcome; D054854:Vertebroplasty / Q000295:instrumentation* / Q000379:methods
D001843:Bone Cements