Diagnostics and surgical treatment of vertebral osteoporosis

• Main Authors: V. V. Shchedrenok, I. V. Zuev, N. V. Topolskova, N. V. Anikeev, S. V. Orlov, K. I. Sebelev, M. V. Chizhova, O. V. Moguchaya
• Format: Article
• Language: Russian
• Published: Vreden Russian Research Institute of Traumatology and Orthopedics 2013-09-01
• Series: Travmatologiâ i Ortopediâ Rossii
• Subjects: остеопороз; остеопоротический перелом позвоночника; диагностика; хирургическое лечение; osteoporosis; osteoporotic vertebral fracture; diagnostics; surgical treatment
• Online Access: https://journal.rniito.org/jour/article/view/362

The retrospective analysis of clinical and radiological diagnostics of 76 patients with vertebral osteoporosis among which women prevailed (82.9%) is carried out. The average age was 57,7 ± 5,3 years. The complex diagnostics consists of the survey x-ray,the x-ray absorptiometry, the quantitative computed tomography, spiral computed tomography and magnetic resonance imaging procedure. The quantitative computed tomography is characterized by the highest diagnostic information value (sensitivity - 99.4%, specificity - 99.5% and the accuracy - 99.3%). Surgical treatment consisted in rigid (7.9%) and dynamic (10.5%) vertebral fixation and puncture vertebroplasty (81.6%), which was consist in a dereception of underlying facet joints with introduction into it the solution consisting in equal quantities of local anesthetic and alcohol 70° (1.5-2.0 ml). The optimized technique of vertebroplasty with an additional dereception of facet joints allows to increase the level of social rehabilitation of patients by 10.2% with full regress of a pain syndrome.