Reconstructive Procedures in the Osteoporotic Patient
In this chapter we discuss options to improve cortical bone instrumentation purchase in reconstructive surgery of the cervical spine and promote arthrodesis in an osteoporotic patient. However, all current evidence begins to point toward avoidance of operating on an osteoporotic patient until bone mineral density is improved enough to better accommodate instrumentation without the risk of failure, non-union, or pseudoarthrosis. A short guideline for preoperative workup and management of an osteoporotic patient is suggested. This is followed by a short discussion of reconstructive techniques available for patients with osteoporosis as well as their postoperative care.
KeywordsReconstructive procedures Bone mineral density Osteoporosis Osteopenia Osteoporotic patient
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