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Reconstructive Procedures in the Osteoporotic Patient

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Book cover Degenerative Cervical Myelopathy and Radiculopathy

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Abstract

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.

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Author information

Authors and Affiliations

  1. Department of Neurosurgery and Brain Repair, University of South Florida, Tampa, FL, USA

    Jacob Januszewski & Juan S. Uribe

Authors
  1. Jacob Januszewski
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  2. Juan S. Uribe
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Editor information

Editors and Affiliations

  1. Columbia University Medical Center, New York, NY, USA

    Michael G. Kaiser

  2. Atlanta Brain and Spine Care, Atlanta, GA, USA

    Regis W. Haid

  3. Duke University Health System, Durham, NC, USA

    Christopher I. Shaffrey

  4. Toronto Western Hospital, University of Toronto, Toronto, ON, Canada

    Michael G. Fehlings

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Januszewski, J., Uribe, J.S. (2019). Reconstructive Procedures in the Osteoporotic Patient. In: Kaiser, M., Haid, R., Shaffrey, C., Fehlings, M. (eds) Degenerative Cervical Myelopathy and Radiculopathy . Springer, Cham. https://doi.org/10.1007/978-3-319-97952-6_32

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  • DOI: https://doi.org/10.1007/978-3-319-97952-6_32

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-97951-9

  • Online ISBN: 978-3-319-97952-6

  • eBook Packages: MedicineMedicine (R0)

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