What techniques can be considered to limit spinal instrumentationrelated complications in osteoporotic bone

• Use multiple points of fixation (segmental fixation) to distribute stress over many spine segments

• Use large-diameter screws that fill the pedicle

• Supplement screws with sublaminar wires or hooks

• Reinforce screws with PMMA (this indication for use is not approved by the United States Food and Drug Administration and represents "off-label" use)

• Use cross-links to connect rods on each side of the spine to increase stability of the implant construct

• Perform a supplemental anterior fusion to restore anterior column load sharing

• Accept fewer degrees of spinal deformity correction to decrease loads on spinal implants

• Avoid ending implant constructs at kyphotic spinal segments or at transitional areas of the spine

• Consider PMMA augmentation of vertebra at the proximal level of screw fixation and at the next adjacent vertebra to decrease the risk of fracture (this indication for use is not approved by the United States Food and Drug Administration and represents "off-label" use)

How To Win Your War Against Back Pain

How To Win Your War Against Back Pain

Knowing the causes of back pain is winning half the battle against it. The 127-page eBook, How To Win Your War Against Back Pain, explains the various causes of back pain in a simple manner and teaches you the various treatment options available. The book is a great pain reliever in itself. The sensible, practical tips that it presents will surely help you bid good-bye to back pain forever.

Get My Free Ebook


Post a comment