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Vertebral Augmentation for Osteoporotic Compression Fractures

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Arthroscopic and Endoscopic Spinal Surgery

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Abstract

Osteoporosis is a systemic disease currently afflicting approx 44 million Americans; this figure will increase as the population ages. It results in progressive bone mineral loss and concurrent changes in bony architecture that leave bone vulnerable to fracture, often after minimal or no trauma. The spine is the most common site of osteoporotic fracture, with vertebral compression fracture (VCF) occurring in 20% of people over the age of 70 yr, and up to 50% of women 80 yr and older (1,2). Overall, 700,000 people per year in the United States suffer a VCF, exceeding even the frequency of hip fractures (3). Osteoporotic VCFs have been shown to be associated with up to a 30% age-adjusted increase in mortality (4). The cost to society of managing osteoporotic VCF patients in the United States in 1995 was $746 million (5). Possible acute complications of vertebral fracture include cord compression, urinary retention, and ileus (6). Long-term consequences include considerable pain (reported in 35% of detectable VCFs) (7) as well as pulmonary compromise (a 9% loss in predicted forced vital capacity with each vertebral fracture) (8). Other chronic sequelae include deconditioning, deformity, insomnia, and depression, resulting in substantial physical, functional, and psychosocial impairment (8,9).

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Author information

Authors and Affiliations

  1. Department of Orthopaedic Surgery and Spine Institute, The Cleveland Clinic Foundation, Cleveland, OH

    Daisuke Togawa MD, PhD

  2. Center for Advanced Skills Training; Department of Orthopaedic Surgery and Spine Institute, The Cleveland Clinic Foundation, Cleveland, OH

    Isador H. Lieberman MD, MBA,FRCS (Center Director and Director of Minimally Invasive Surgery)

Authors
  1. Daisuke Togawa MD, PhD
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  2. Isador H. Lieberman MD, MBA,FRCS
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Editor information

Editors and Affiliations

  1. Drexel University College of Medicine, Philadelphia, PA

    Parviz Kambin MD (Professor Orthopedic Surgery and Endowed Chair of Spinal Surgery) (Professor Orthopedic Surgery and Endowed Chair of Spinal Surgery)

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© 2005 Humana Press Inc., Totowa, NJ

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Togawa, D., Lieberman, I.H. (2005). Vertebral Augmentation for Osteoporotic Compression Fractures. In: Kambin, P. (eds) Arthroscopic and Endoscopic Spinal Surgery. Humana Press. https://doi.org/10.1385/1-59259-904-4:239

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  • DOI: https://doi.org/10.1385/1-59259-904-4:239

  • Publisher Name: Humana Press

  • Print ISBN: 978-1-58829-522-4

  • Online ISBN: 978-1-59259-904-2

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