The treatment of osteoporotic fractures is approached differently from those caused by higher energy trauma to a healthy bone. The importance of evaluating each case in particular.
In osteoporosis, there is a decrease in bone density.
Osteoporosis is a disease that causes bones to become more brittle. and, therefore, have a greater risk of fractures. Contrary to what many believe, bones once formed They are not staticbut they are continually reabsorbing and regenerating bone tissue.
In the osteoporosisthere is a decreased bone density, caused by an imbalance between bone loss and generation in favor of the former. So, the bone is less resistant and fragile, increasing your risk of fracture. These fractures, for example, can occur in the spine. Unlike other fractures, these are generally caused by low energy traumasuch as with a fall.
Osteoporosis also affects men
The treatment of osteoporotic spinal fractures is approached differently from those caused by higher energy trauma to a healthy bone. However, it should also be taken into account that a patient with osteoporosis may also suffer from a high energy trauma. One of the central pillars of treatment is osteoporosis treatment itself, to prevent that vertebra from continuing to be crushed or from adding any other fracture inside or outside the spine.
The first thing we do when treating these types of fractures is classify it according to its characteristics that we generally see in MRI. Among the possible treatments for osteoporotic spinal fractures is kyphoplasty, which is a treatment that we usually perform. It is a type of minimally invasive vertebra cementation which we do through a barter that we place on each side percutaneously. We access the working cannula fractured vertebral body and there we inflate a ball which allows us two things: it can generate a recovery at least partial of the height of the fractured vertebra and on the other hand generates a cavity in the bone and then place the cement at low pressure. The latter reduces the chances of complications of the procedure related to cement migration.
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However, you always have to evaluate each case in particular to define whether or not you have an indication to carry out a kyphoplasty or other treatment.
Source: Ambito
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