Reconstructive Procedures in the Osteoporotic Patient
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In this chapter we discuss options to improve cortical bone instrumentation purchase in reconstructive surgery of the cervical spine and promote arthrodesis in an osteoporotic patient. However, all current evidence begins to point toward avoidance of operating on an osteoporotic patient until bone mineral density is improved enough to better accommodate instrumentation without the risk of failure, non-union, or pseudoarthrosis. A short guideline for preoperative workup and management of an osteoporotic patient is suggested. This is followed by a short discussion of reconstructive techniques available for patients with osteoporosis as well as their postoperative care.
KeywordsReconstructive procedures Bone mineral density Osteoporosis Osteopenia Osteoporotic patient
- 2.Steinmetz MP, Benzel EC. Benzel’s spine surgery: techniques, complication avoidance, and management. 4th ed. Philadelphia: Elsevier; 2016.Google Scholar
- 13.Nelson HD, Haney EM, Chou R, et al. U.S. preventive services task force evidence syntheses, formerly systematic evidence reviews. Screening for osteoporosis: systematic review to update the 2002 U.S. preventive services task force recommendation. Rockville: Agency for Healthcare Research and Quality (US); 2010.Google Scholar
- 21.Ebata S, Takahashi J, Hasegawa T, et al. Role of weekly Teriparatide Administration in Osseous Union Enhancement within six months after posterior or Transforaminal lumbar interbody fusion for osteoporosis-associated lumbar degenerative disorders: a multicenter, prospective randomized study. J Bone Joint Surg Am. 2017;99:365–72.CrossRefGoogle Scholar
- 33.Hansraj KK. Stem Cells in Spine Surgery. Surg Technol Int. 2016;XXIX:348–58.Google Scholar