Ko Myung-Sup, Park Hyung-Youl, Ko Young-Il, Kim Sang-Il, Kim Young-Hoon
Department of Orthopedic Surgery, Seoul St. Mary's Hospital, The Catholic University of Korea, Seoul, South Korea.
Department of Orthopedic Surgery, Eunpyeong St. Mary's Hospital, The Catholic University of Korea, Seoul, South Korea.
Osteoporos Sarcopenia. 2024 Sep;10(3):95-100. doi: 10.1016/j.afos.2024.06.002. Epub 2024 Jul 11.
The objectives of fusion surgery for spinal deformities include decompressing neural elements and achieving balanced spinal alignment. Particularly, in cases where spinal deformities coexist with osteoporosis, successful surgery requires careful consideration due to the susceptibility to fixation failure and non-union. Various efforts are being made to restore spinal alignment through surgery in osteoporotic patients. The administration of osteoporosis medications before and after surgery is effective for bony union. Additionally, appropriate selection of fusion range, rigid internal fixation, and utilization of bone substitutes play significant roles in successful fusion surgery. Although surgical treatment for spinal deformities accompanied by osteoporosis remains still challenging, we can anticipate successful outcomes with effective strategies and ongoing advancements in the future.
脊柱畸形融合手术的目标包括减压神经组织和实现脊柱平衡排列。特别是在脊柱畸形与骨质疏松症并存的情况下，由于存在固定失败和不愈合的易感性，成功的手术需要仔细考虑。目前正在进行各种努力，通过手术恢复骨质疏松症患者的脊柱排列。手术前后使用骨质疏松症药物对骨愈合有效。此外，适当选择融合范围、坚固的内固定以及使用骨替代物在成功的融合手术中起着重要作用。虽然伴有骨质疏松症的脊柱畸形的手术治疗仍然具有挑战性，但我们可以通过有效的策略和未来不断的进步期待成功的结果。
