Article
Figure 1 . Preoperative p-a (A) and lateral (B) x-rays demonstrating degenerative lum- bar scoliosis with anterolateral lystesis at L2-L3-L4 and L5.
Figure 2 . Postoperative p-a and lateral x- rays showing a posterolateral arthrodesis from T10 to S1 and iliac screw in the right side, augmented with cement at T10, T11, L1, L5 and S1. Prophylactic vertebroplasty at T9 was performed to avoid the “topping- off syndrome”. Balanced profi le in both frontal and sagittal planes were obtained.
Figure 3 . Computed tomography revealing a collapse and wedging of the T10 verte- bral body and distraction pattern fracture at pedicles through the upper edge of the screw, with anterior subluxation of T9.
increase the mechanical strength of the fractured vertebral bodies. This procedure produces significant pain relief with lim- ited complications in most patients under- going this treatment for osteoporotic ver-
tebral compression fractures3,4
. However,
this procedure has a well-known complica- tion: the increased risk of adjacent verte-
brae compression fractures. Nevertheless percutaneous vertebral augmentation has a role in the prevention of further fractures of the spine adjacent to a multilevel lum-
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editor@pelgrp.com Autumn 2012 | SpinalSurgeryNews | 31
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