Eur Spine J (2017) 26 (Suppl 5):S555–S556 https://doi.org/10.1007/s00586-017-5344-8 OPEN OPERATING THEATRE (OOT) C.‑H. Hoffmann © Springer-Verlag GmbH Germany 2017 Keywords Complex fracture stabilisation · Osteoporosis · earlier. She showed no neurologic deficits. Primary lum- Decompression · TLIF · Cement augmentation · bar CT-scans revealed a complete burst fracture of L4, Kyphoscoliosis which lighted up in STIR MRI sequence, and led to spinal canal and foraminal stenosis, markedly on the left side. We obtained whole spine X-rays and DXA measurements, indic- Learning objectives ative of severe osteoporosis (T score − 3.3) and pre-existing degenerative kyphoscoliosis, which was exaggerated by the Operative procedure for fracture stabilisation of complex unstable fracture. osteoporotic fractures in presence of degenerative scoliosis with neuroforaminal stenosis. Surgical strategy General information As conservative treatment had failed, we suggested to the patient a two-step procedure addressing the unstable fracture Adequate treatment of osteoporotic lumbar fractures can be and the spinal and foraminal narrowing. In the first step, challenging, especially in the elderly, multimorbid patient, which is shown here, she underwent a cement-augmented even more so, if additional spinal degenerations exist [1–3]. dorsal stabilisation from L3 to L5 as well as S1, decompres- sion of the spinal canal and neuroforamina via laminectomy L4 and L5,
European Spine Journal – Springer Journals
Published: Oct 30, 2017
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