Open Access, Peer-reviewed
pISSN 2093-4378
eISSN 2093-4386
    J Korean Soc Spine Surg. 2009 Sep;8(3):242-247. Korean.
    Published online Sep 30, 2009.
    https://doi.org/10.4184/jkss.2001.8.3.242
    Copyright © 2001 Korean Society of Spine Surgery
    Original Article

    Osteoporotic Vertebral Fracture with Myelopathy

    Kyu-Yeol Lee, M.D., Chul-Hong Kim, M.D. and Sang-Howa Shin, M.D.
      • Department of Orthopaedic Surgery, College of Medicine, Dong-A University, Pusan, Korea.
    • Address reprint requests to Kyu Yeol Lee, M.D. Department of Orthopaedic Surgery, College of Medicine, Dong-A University, #3Ga-1 Dongdaesin-dong, Seo-gu, Pusan 602-715, Korea. Tel: 82-51-240-2867, Fax: 82-51-243-9764, Email: gylee@mail.donga.ac.kr

    Abstract

    Study design

    Retrospective analysis of surgical treatment in patients with osteoporotic vertebral fracture associated myelopathy.

    Objectives

    To evaulate the clinical outcome of anterior decompression and fusion for osteoporotic vertebral fracture associated with myelopathy.

    Summary of Literature Review

    Major treatment of osteoporotic vertebral fracture were conservative methods. In patients with myelopathy, surgical treatment is recommanded.

    Materials and Methods

    From January 1995 to December 1998, twelve patients who had osteoporotic vertebral fracture associated with myelopathy and treated by operation were evaluated retrospectively. With simple roentgenography and dual energy absorptiometry, osteoporosis was evaluated. And with MRI and nerve conduction velocity test, we could diagnosed myelopathy. In ten patients, anterior approach was used, and in two patients, posterior approach was used.

    Results

    In all patients after operation, the neurologic symptoms according to the Frankel grading scale were improved over one grade and follow-up X-ray showed bone union finding unrelated to the site, shape, and severity of fracture. No significant complications such as increasing of kyphotic angle and metal loosening were existed in all cases.

    Conclusions

    For the osteoporotic vertebral fracture associated with myelopathy, we can treat properly with spinal decompression and interbody fusion with internal fixation.

    Keywords
    Spine; Vertebral fracture; Osteoporosis; Myelopathy; Operation

    Figures

    Fig. 1
    66-year-old female. She was treated with T12 anterior decompression and T11-L1 anterior interbody fusion.

    A. Preoperative X-ray shows severe compression fracture of T12 vertebral body.

    B. Preoperative MRI shows compression of T12 spinal cord.

    C. Immediate postoperative X-ray shows autogenous bone graft and plate and screws fixation state.

    D. Postoperative one year X-ray shows well maintained state of plate and screws, and bone union of graft site.

    Tables

    Table 1
    Results of preoperative evaluation and operation methods in osteoporotic vertebral fracture with myelopathy.

    Table 2
    Number of patients with postoperative neurologic improvement(Frankel grading system)

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