Management of Failure of Osteoporotic Fixation
Reoperation rate because of failing fixation construct in osteoporotic bone is high (about 30%). Especially proximal junctional kyphosis (PJK) with balance problems of the spine is seen frequently after internal fixation of the aging spine. Multiple possible reasons were found regarding adjacent segment problems, but it is still unknown, if there are special rules in osteoporotic bone and in sagittal balance of elderly population. In this chapter a case of PJK as a typical complication will be described and possible pearls and pitfalls are highlighted.
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