Orthopedic & Muscular System: Current Research
Open Access
ISSN: 2161-0533
ISSN: 2161-0533
Dharmendra Singh
Medanta ��? The Medicity Hospital, India
Posters & Accepted Abstracts: Orthop Muscular Syst
We describe a percutaneous approach of PMMA bone cement augmentation of fenestrated pedicle screws fixation in osteoporotic vertebral body fracture with pseudoarthrosis in a clinical series of 12 elderly osteoporotic patients. Clinical and functional outcome were assessed respectively. Data analysis included Visual Analogue Scale (VAS) score and the Oswestry Disability Index (ODI) and procedure related complications. Only 2 minor complications occurred. Cement leakage was observed in one patient with no further clinical relevance. Loosening of cement augmented pedicle screws occurred in 1 patient but there was no need to remove any of the cement-augmented screws in follow-ups. Radiographic follow-up was based on plain X-rays at 3, 6 and 12 months for a minimum period of 2 years and plain CT scan at the end of two years. VAS scores and ODI showed a statistically significant improvement postoperatively. The percutaneous PMMA augmented fenestrated screws provided an effective and long lasting fixation in vertebral body pseudoarthosis in osteoporotic patients.