Related Experiment Video
Updated: Dec 1, 2025
04:19
Minimally Invasive Treatment for Thoracolumbar Burst Fracture Using Sagittal Alignment Screws and A Trauma Reduction Device
Published on: November 8, 2024
896
Cement Augmented Anterior Reconstruction and Decompression without Posterior Instrumentation: A Less Invasive
Sang-Min Lee1, Hyeong Seok Oh1, Sang-Ho Lee2
1Department of Neurosurgery, Busan Wooridul Spine Hospital, Busan, Korea.
Korean Journal of Neurotrauma
|November 9, 2020
Summary
This study shows that anterolateral decompression and cement augmentation effectively treat osteoporotic thoracolumbar fractures with myelopathy, improving patient symptoms and spinal alignment without major complications.
Area of Science:
- Orthopedics
- Neurosurgery
- Spinal Surgery
Background:
- Osteoporotic thoracolumbar vertebral fractures with myelopathy pose significant clinical challenges.
- Current treatment options may involve risks, especially in elderly or comorbid patients.
Purpose of the Study:
- To evaluate the clinical and radiological outcomes of cement-augmented anterior reconstruction and decompression without pedicle screw fixation.
- To assess the efficacy of this technique in patients with osteoporotic thoracolumbar vertebral fractures and myelopathy.
Main Methods:
- Retrospective evaluation of 8 patients (2 male, 6 female) who underwent anterolateral decompression and cement augmentation with poly(methyl methacrylate) (PMMA).
- Mean follow-up exceeded 1 year.
- Assessment included demographic data, clinical outcomes (Visual Analog Scale, Oswestry Disability Index), and radiological parameters.
Main Results:
- All patients experienced improvement in myelopathy symptoms.
- Significant reduction in back and leg pain (VAS 8.5 to 3-4.25) and improved function (ODI 61.5 to 33).
- Restoration of spinal canal diameter, increased vertebral body height, and improved kyphotic deformity were observed, with sustained results at follow-up. No acute PMMA complications occurred, but one case of adjacent compression fracture and one surgical site infection were noted.
Conclusions:
- Anterolateral decompression with PMMA augmentation appears to be an effective method for treating osteoporotic thoracolumbar fractures with myelopathy.
- This approach may be particularly suitable for elderly patients or those with multiple medical comorbidities.
