Do Hung Manh, Doan Ha Thi-Ngoc, Dinh Son Ngoc
Spine Surgery Department, Vietduc University Hospital, Viet Nam.
Bachmai Hospital, Viet Nam.
Surg Pract Sci. 2024 Sep 5;19:100260. doi: 10.1016/j.sipas.2024.100260. eCollection 2024 Dec.
This descriptive longitudinal study aims to assess the risk factors for severe thoracic and lumbar vertebral compression fractures before and after surgery, contributing to preventive knowledge enhancement in communities and effective treatment management. The study involved 34 patients diagnosed with thoracic and lumbar vertebral compression fractures requiring surgery with bio-cement-augmented pedicle screws between June 2021 and June 2022. Postoperative complications, notably adjacent segment injury, were monitored, and patients received osteoporosis management post-surgery. The majority of patients were female (61.8 %), with an average age of 66.4 ± 9.2 years. Daily life accidents were the most common cause of injuries (88.2 %). Most patients underwent surgery more than 3 months after injury (58.8 %), with a notable percentage seeking examination and treatment post-injury. Osteoporosis prevalence was high among patients at the time of spinal injury, indicating a need for improved osteoporosis management strategies post-surgery. Various comorbidities were observed, with a portion of patients having pre-existing conditions like diabetes, hypertension, and kidney failure. Changes in bone mineral density correlated with age, highlighting the increased fracture risk seen in older individuals. Two patients required vertebral body reconstruction due to adjacent vertebra damage post-surgery. A significant proportion of patients received osteoporosis treatment after the surgical intervention. Patients with lumbar-thoracic osteoporosis fractures need a comprehensive assessment of clinical and paraclinical factors to select appropriate and effective treatment methods. Postoperatively, these patients also require osteoporosis management, regular monitoring, and evaluations to reduce postoperative complications, including the risk of adjacent segment injury and other vertebral compression fractures.
这项描述性纵向研究旨在评估手术前后严重胸腰椎椎体压缩骨折的风险因素，以增进社区的预防知识并进行有效的治疗管理。该研究纳入了34例在2021年6月至2022年6月期间被诊断为胸腰椎椎体压缩骨折且需要采用生物水泥增强椎弓根螺钉进行手术的患者。对术后并发症，尤其是邻近节段损伤进行了监测，并且患者在术后接受了骨质疏松管理。大多数患者为女性（61.8%），平均年龄为66.4±9.2岁。日常生活意外是最常见的受伤原因（88.2%）。大多数患者在受伤后3个月以上接受手术（58.8%），有相当比例的患者在受伤后寻求检查和治疗。脊柱损伤时患者的骨质疏松患病率较高，这表明术后需要改进骨质疏松管理策略。观察到各种合并症，部分患者有糖尿病、高血压和肾衰竭等既往疾病。骨密度变化与年龄相关，突出了老年人骨折风险增加的情况。两名患者因术后邻近椎体损伤需要进行椎体重建。相当比例的患者在手术干预后接受了骨质疏松治疗。胸腰椎骨质疏松性骨折患者需要对临床和辅助检查因素进行全面评估，以选择合适有效的治疗方法。术后，这些患者还需要进行骨质疏松管理、定期监测和评估，以减少术后并发症，包括邻近节段损伤和其他椎体压缩骨折的风险。
