Surgery for spinal deformity with osteoporosis: Achieving successful fusion
10.1016/j.afos.2024.06.002
- Author:
Myung-Sup KO
1
;
Hyung-Youl PARK
;
Young-Il KO
;
Sang-Il KIM
;
Young-Hoon KIM
Author Information
1. Department of Orthopedic Surgery, Seoul St. Mary’s Hospital, The Catholic University of Korea, Seoul, South Korea
- Publication Type:Review article
- From:Osteoporosis and Sarcopenia
2024;10(3):95-100
- CountryRepublic of Korea
- Language:English
-
Abstract:
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.
