Abstract
The treatment of spinal deformities secondary to osteoporotic fractures requires experience with adult spinal deformity reconstructions. The tenets of adult deformity surgery are followed, with the increasing complexity of poor bone quality and neurological compromise from pathological burst fractures. Appropriate pharmacologic treatment of the osteoporosis is necessary in all cases, regardless of whether the patient moves forward with surgery. With modern techniques, “all-posterior” approaches allow for decompression and correction of deformity, particularly with three-column osteotomies. Cement augmentation of instrumented and non-instrumented levels may improve fixation and reduce failures after these large reconstructions. Given the aging population, surgeons should familiarize themselves with the concepts and techniques necessary to treat these complex patients and deformities.
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Kelly, M.P. (2020). Management of Spinal Deformity in the Setting of Osteoporotic Vertebral Compression Fractures. In: Razi, A., Hershman, S. (eds) Vertebral Compression Fractures in Osteoporotic and Pathologic Bone. Springer, Cham. https://doi.org/10.1007/978-3-030-33861-9_15
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DOI: https://doi.org/10.1007/978-3-030-33861-9_15
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