Instrumentación de fractura osteoporótica tóracolumbar: experiencia local y revisión de la literatura

Abstract

Osteoporosis is a major public health problem. The most common osteoporotic fractures are those of the thoracolumbar vertebrae. In most cases, initial management is conservative, however, serious complications can occur. Various classifications have been developed to define appropriate therapeutic conduct. There are different surgical techniques that consider the clinical condition of the patient, the time of evolution, and the level of severity of the fracture. The literature describes that kyphoplasty and vertebroplasty have no differences in terms of clinical outcomes, and that cementation with fenestrated screws increases resistance to pull out. The short minimally invasive instrumentation, with incorporation of the fractured vertebra, associated with vertebroplasty is a safe technique. A descriptive retrospective study of a series of cases is presented.