Application of cement-augmented pedicle screws in elderly patients with spinal tuberculosis and severe osteoporosis: a preliminary study

被引:0
|
作者
Gao, Shutao [1 ]
Hu, Yukun [1 ]
Mamat, Fulati [1 ]
Liang, Weidong [1 ]
Mamat, Mardan [1 ]
Xun, Chuanhui [1 ]
Zhang, Jian [1 ]
Sheng, Weibin [1 ]
机构
[1] Xinjiang Med Univ, Affiliated Hosp 1, Dept Spine Surg, 137 Liyushan Ave, Urumqi 830054, Xinjiang, Peoples R China
关键词
Cement-augmented pedicle screws; Spinal tuberculosis; Osteoporosis; Polymethylmethacrylate; FIXATION; MANAGEMENT; VERTEBROPLASTY;
D O I
10.1186/s13018-023-04099-4
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
Objective Surgical management of elderly patients with spinal tuberculosis and severe osteoporosis is challenging. Cement-augmented pedicle screws (CAPS) have been specifically designed for elderly patients with osteoporotic spines. Herein, we investigated the feasibility of CAPS applied in elderly patients with spinal tuberculosis and severe osteoporosis. Methods We retrospectively analyzed data of patients with spinal tuberculosis and severe osteoporosis between January 2017 and January 2021. Surgical data, including surgical duration and intraoperative blood loss, were recorded. Radiological parameters, such as correction of regional kyphotic angle and screw loosening, were also evaluated. Additionally, visual analog scores ( VAS) and Oswestry disability index (ODI) were used to evaluate back pain and functional recovery, respectively. Erythrocyte sedimentation (ESR) and C-reactive protein (CRP) concentrations were detected to assess tuberculosis activity. The presence of complications and fusion rate was also assessed. Results A total of 15 patients were included in this study. The surgical duration was 263.0 +/- 56.2 min, with an average blood loss of 378.7 +/- 237.0 ml. The correction of regional kyphotic angle was 12.4 degrees +/- 15.0 degrees, and it was well maintained until the final follow-up. The mean VAS decreased from 6.0 +/- 1.2 points to 0.5 +/- 0.6 points, and ODI reduced from 37.8% +/- 7.6% to 8.3% +/- 2.8% (P < 0.01). At the final follow-up, ESR and CRP levels were within normal range. Bony fusion occurred in all patients, with an average fusion duration of 8.8 +/- 1.5 months. No cases of pedicle screw pullout, screw loosening, or pseudoarthrosis occurred. Tuberculosis recurrence and dissemination were not observed during the follow-ups. Conclusions CAPS fixation is an effective and safe technique to achieve solid fixation and favorable clinical outcomes in elderly patients with spinal tuberculosis and severe osteoporosis.
引用
收藏
页数:9
相关论文
共 50 条
  • [1] Application of cement-augmented pedicle screws in elderly patients with spinal tuberculosis and severe osteoporosis: a preliminary study
    Shutao Gao
    Yukun Hu
    Fulati Mamat
    Weidong Liang
    Mardan Mamat
    Chuanhui Xun
    Jian Zhang
    Weibin Sheng
    Journal of Orthopaedic Surgery and Research, 18
  • [2] Pulmonary cement embolism following cement-augmented fenestrated pedicle screw fixation in adult spinal deformity patients with severe osteoporosis (analysis of 2978 fenestrated screws)
    Ulusoy, Onur Levent
    Kahraman, Sinan
    Karalok, Isik
    Kaya, Emel
    Enercan, Meric
    Sever, Cem
    Abay, Burak
    Karadereler, Selhan
    Hamzaoglu, Azmi
    EUROPEAN SPINE JOURNAL, 2018, 27 (09) : 2348 - 2356
  • [3] Pulmonary cement embolism following cement-augmented fenestrated pedicle screw fixation in adult spinal deformity patients with severe osteoporosis (analysis of 2978 fenestrated screws)
    Onur Levent Ulusoy
    Sinan Kahraman
    Isik Karalok
    Emel Kaya
    Meric Enercan
    Cem Sever
    Burak Abay
    Selhan Karadereler
    Azmi Hamzaoglu
    European Spine Journal, 2018, 27 : 2348 - 2356
  • [4] Outcomes of the use of cement-augmented cannulated pedicle screws in lumbar spinal fusion
    Son, Hee Jung
    Choi, Sung Hoon
    Heo, Dong Ryul
    Kook, Incheol
    Lee, Myoung Keun
    Ahn, Hyung Seob
    Kang, Chang-Nam
    SPINE JOURNAL, 2021, 21 (11): : 1857 - 1865
  • [5] A meta-analysis of complications associated with the use of cement-augmented pedicle screws in osteoporosis of spine
    Zhang, Jinlong
    Wang, Guohua
    Zhang, Nannan
    ORTHOPAEDICS & TRAUMATOLOGY-SURGERY & RESEARCH, 2021, 107 (07)
  • [6] Biomechanical study of expandable pedicle screw fixation in severe osteoporotic bone comparing with conventional and cement-augmented pedicle screws
    Chen, Yi-Long
    Chen, Wen-Chuan
    Chou, Chi-Wei
    Chen, Jou-Wen
    Chang, Chia-Ming
    Lai, Yu-Shu
    Cheng, Cheng-Kung
    Wang, Shih-Tien
    MEDICAL ENGINEERING & PHYSICS, 2014, 36 (11) : 1416 - 1420
  • [7] The Biomechanical Properties of Cement-Augmented Pedicle Screws for Osteoporotic Spines
    Wang, Yuetian
    Yang, Lei
    Li, Chunde
    Sun, Haolin
    GLOBAL SPINE JOURNAL, 2022, 12 (02) : 323 - 332
  • [8] Cement-Augmented Pedicle Screw Fixation in Patients with Osteoporosis : Safety, Efficacy and Complications
    Olbrycht, Tomasz
    Latka, Kajetan
    Kolodziej, Waldemar
    Krzeszowiec, Tomasz
    Latka, Dariusz
    JOURNAL OF KOREAN NEUROSURGICAL SOCIETY, 2025, 68 (02) : 127 - 136
  • [9] Failure of Cement-Augmented Pedicle Screws in the Osteoporotic Spine: A Case Report
    Mesfin, Addisu
    Komanski, Christopher B.
    Khanna, A. Jay
    GERIATRIC ORTHOPAEDIC SURGERY & REHABILITATION, 2013, 4 (03) : 84 - 88
  • [10] Revision of Cannulated and Perforated Cement-Augmented Pedicle Screws A Biomechanical Study in Human Cadavers
    Bullmann, Viola
    Schmoelz, Werner
    Richter, Marcus
    Grathwohl, Corinna
    Schulte, Tobias L.
    SPINE, 2010, 35 (19) : E932 - E939