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Vertebral Compression Fractures in Osteoporotic and Pathologic Bone pp 153–182Cite as

Operative Treatment of Pathologic Compression Fractures of the Spine

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Abstract

Patients with spinal column tumors, either primary or metastatic, may develop pathologic fractures of the vertebrae during any point in their cancer therapy. Such fractures can produce significant pain, disability, and hardship limiting function and activity. With the evolution of cancer therapeutics, patients are living longer with cancer. Pain associated with fractures of the spinal column is a major issue. With the development of modern surgical techniques, surgery to stabilize these fractures is possible and can be achieved in a number of different ways. Specific decision-making algorithms have been developed to help guide the evaluation, clinical management, and therapeutic interventions for pathologic fractures. This chapter provides a comprehensive evidence-based guide of the surgical management of pathological compression fractures of the spinal column utilizing representative cases.

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Authors and Affiliations

  1. Department of Neurosurgery, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA

    Theodosios Stamatopoulos, Ganesh M. Shankar & John H. Shin

  2. CORE-Center for Orthopedic Research at CIRI-AUTh, Aristotle University Medical School, Thessaloniki, Hellas, Greece

    Theodosios Stamatopoulos

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  1. Theodosios Stamatopoulos
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Correspondence to John H. Shin .

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  1. Vice Chair and Residency Program Director, Department of Orthopaedic Surgery, Maimonides Medical Center, Brooklyn, NY, USA

    Afshin E. Razi

  2. Department of Orthopaedic Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA

    Stuart H. Hershman

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Stamatopoulos, T., Shankar, G.M., Shin, J.H. (2020). Operative Treatment of Pathologic Compression Fractures of the Spine. 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_16

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