Management of postoperative complications in spinal surgery patients with osteoporosis

Jeremy L. Fogelson, Panagiotis Kerezoudis, Mohammed Ali Alvi, Sandy Goncalves, William E. Krauss, Mohamad Bydon

Research output: Contribution to journalArticle

Abstract

Osteoporosis is a relatively common finding in patients undergoing spine surgery. Osteoporosis increases the risk for complications secondary to implant or bone union failure, including proximal junctional failure and pseudarthrosis. In cases of severe symptoms or progressive deformity, pathology-driven revision surgery may be required. In general, posterior surgery is commonly advocated in cases of fixed deformity with additional osteotomies and decompressions as needed. Conversely, an anterior approach is typically reserved for cases with flexible deformity and anterior compressive structures. In these cases, the use of autograft is also recommended in order to facilitate bone osseo-integration.

Original languageEnglish (US)
JournalSeminars in Spine Surgery
DOIs
StateAccepted/In press - 2017

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

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    Fogelson, J. L., Kerezoudis, P., Alvi, M. A., Goncalves, S., Krauss, W. E., & Bydon, M. (Accepted/In press). Management of postoperative complications in spinal surgery patients with osteoporosis. Seminars in Spine Surgery. https://doi.org/10.1053/j.semss.2017.09.004