[Spinal Fractures]

Overview

Journal Z Gerontol Geriatr

Publisher Springer

Specialty Geriatrics

Date 2016 Jan 22

PMID 26790876

Citations 1

Authors

Roland Biber

S Wicklein

H J Bail

Affiliations

Soon will be listed here.

Abstract

Osteoporotic spinal fractures are typical age-related fragility fractures. Their impact on the quality of life is often underestimated; therefore, anti-osteoporotic drug treatment according to the current guidelines is essential. Occult vertebral fractures may be difficult to detect and a differentiation between fresh and old fractures is often only possible with magnetic resonance imaging (MRI) to reveal cancellous bone edema. Treatment recommendations are predominantly based on traumatic fractures in younger adults and are thus not applicable in orthogeriatrics. A new classification currently under validation and presented in this article was developed in order to aid decision-making for operative interventions. Minimally invasive treatment options include vertebroplasty, kyphopasty and internal fixation. The application of cement provides additional stability but can be accompanied by cement-specific complications, such as extravasation and embolism.

Citing Articles

Concomitant and previous osteoporotic vertebral fractures.

Lenski M, Buser N, Scherer M Acta Orthop. 2017; 88(2):192-197.

PMID: 28056595 PMC: 5385115. DOI: 10.1080/17453674.2016.1273644.

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