J Korean Orthop Assoc.  2024 Feb;59(1):61-66. 10.4055/jkoa.2024.59.1.61 .

Neglected Osteoporotic Vertebral Compression Fracture Treated with Postural Reduction and Minimally Invasive Transpedicular Fixation with Weekly Teriparatide

• Shin WJ
• Suh SP
• Kang BJ
• Kang TB

• KMID: 2553350
• DOI: http://doi.org/10.4055/jkoa.2024.59.1.61

Abstract

Osteoporotic vertebral compression fractures (OVCFs) are the most common osteoporotic fractures in postmenopausal women. One the other hand, they may be misdiagnosed if the deformity is not severe at the time of occurrence. In general, it is treated through absolute bed rest and braces. Vertebroplasty or kyphoplasty is sometimes performed when there is a severe decrease in the height of the vertebral body. In addition, transpedi cular fixation can be performed when there is an accompanying injury to the posterior complex or neurologic symptoms. In this case, the authors performed minimally invasive transpedicular fixation after achieving vertebral body height recovery through postural reduction in OVCF patient who were neglected for one month after the injury. After securing initial stability through screw fixation, complete bony union was achieved more quickly and stably through weekly teriparatide administration. The authors report this case with a review of the relevant literature.

Keyword

osteoporotic vertebral compression fracture; postural reduction; minimally invasive spinal surgery; teriparatide