Occurrence of adjacent segment fractures after surgical treatment of an osteoporotic vertebral fracture: a retrospective comparison between two different treatment methods

• DOI: 10.1007/s00402-022-04434-0
• Publication Date: 2022-04-11T04:02:33Z
• Authors: Nazeer Aboud; Niklas Eckardt; Marcel A. Kamp; Christian Senft; Falko Schwarz
• Keywords: Male; Vertebroplasty; Bone Cements; Orthopaedic Surgery; 3. Good health; Cohort Studies; 03 medical and health sciences; Treatment Outcome; 0302 clinical medicine; Fractures, Compression; Quality of Life; Humans; Spinal Fractures; Female; Kyphoplasty; Osteoporotic Fractures; Aged; Retrospective Studies

Osteoporotic vertebral fractures are a major healthcare problem. Vertebral cement augmentation (VCA) is frequently used as minimally invasive surgical approach to manage symptomatic fractures. However, there potential risk of adjacent segment fracture (ASF), which may require second surgery. The addition transcutaneous screw-fixation with superior and inferior the [Hybrid screw fixation (HTSF)] might represent an alternative treatment option reduce incidence ASF.We retrospectively compared surgery time, hospital stay, intraoperative complication rate occurrence ASF need for in cohort 165 consecutive patients receiving either VCA or HTSF our academic neurosurgical department from 2012 2020. median follow-up was 52.3 weeks VCA-group 51.9 HTSF-group.During study period, 93 underwent VCA, 72 had HTSF. Of all patients, 113 were females (64 VCA; 49 HTSF) 52 males (29 23 HTSF). age 77 years both groups. Median time 32 min 81 HTSF-group (p < 0.0001). No surgery-related complications occurred two = 0.19). significantly higher (24 [26%] vs. 8 [11%] patients; p 0.02). proportion requiring additional due (13 6%), but this difference not statistically significant 0.18). stay 9 days 11.5 0.0001).Based on single-center study, appears be safe effective osteoporotic compression Surgical duration longer HTSF-group, reduced approach. Further studies required ascertain whether results long-term outcomes improved quality life.