Tips and Tricks: Fixation Options in the Osteoporotic Cervical Spine.

IF 1.7 4区医学 Q3 CLINICAL NEUROLOGY

Clinical Spine Surgery Pub Date : 2025-09-18 DOI:10.1097/BSD.0000000000001898

Mohit Patel, Sang H Lee

{"title":"Tips and Tricks: Fixation Options in the Osteoporotic Cervical Spine.","authors":"Mohit Patel, Sang H Lee","doi":"10.1097/BSD.0000000000001898","DOIUrl":null,"url":null,"abstract":"Study design: Narrative review.Objective: To outline current fixation strategies and adjunctive techniques used to optimize surgical outcomes in patients with osteoporosis undergoing cervical spine surgery.Summary of background data: Osteoporosis, a common metabolic bone disorder characterized by low bone mineral density and high fracture risk, can impair the outcomes of cervical spine surgery. In patients with osteoporosis, durable fixation is challenging to achieve because of compromised bone quality and anatomic constraints. While lumbar spine fixation techniques have been extensively studied and adapted, the cervical spine presents unique obstacles that warrant consideration.Methods: A review of clinical series, biomechanical studies, and surgical techniques was conducted to summarize intraoperative strategies for cervical fixation in patients with osteoporosis.Results: Optimization of screw fixation, creation of an ancillary load sharing column, cement augmentation, and perioperative management of osteoporosis can improve patient outcomes.Conclusions: A combination of intraoperative techniques and pharmacological treatment is critical in the management of patients with osteoporosis who are undergoing cervical spine fixation.","PeriodicalId":10457,"journal":{"name":"Clinical Spine Surgery","volume":" ","pages":""},"PeriodicalIF":1.7000,"publicationDate":"2025-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Clinical Spine Surgery","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1097/BSD.0000000000001898","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"CLINICAL NEUROLOGY","Score":null,"Total":0}

引用次数: 0

Abstract

Study design: Narrative review.

Objective: To outline current fixation strategies and adjunctive techniques used to optimize surgical outcomes in patients with osteoporosis undergoing cervical spine surgery.

Summary of background data: Osteoporosis, a common metabolic bone disorder characterized by low bone mineral density and high fracture risk, can impair the outcomes of cervical spine surgery. In patients with osteoporosis, durable fixation is challenging to achieve because of compromised bone quality and anatomic constraints. While lumbar spine fixation techniques have been extensively studied and adapted, the cervical spine presents unique obstacles that warrant consideration.

Methods: A review of clinical series, biomechanical studies, and surgical techniques was conducted to summarize intraoperative strategies for cervical fixation in patients with osteoporosis.

Results: Optimization of screw fixation, creation of an ancillary load sharing column, cement augmentation, and perioperative management of osteoporosis can improve patient outcomes.

Conclusions: A combination of intraoperative techniques and pharmacological treatment is critical in the management of patients with osteoporosis who are undergoing cervical spine fixation.

查看原文本刊更多论文

提示和技巧：骨质疏松症颈椎的固定选择。

研究设计：叙述性回顾。目的：概述目前用于优化骨质疏松症颈椎手术患者手术效果的固定策略和辅助技术。背景资料概述：骨质疏松症是一种常见的代谢性骨疾病，其特点是低骨密度和高骨折风险，可影响颈椎手术的预后。在骨质疏松症患者中，由于骨质量受损和解剖限制，持久的固定是具有挑战性的。虽然腰椎固定技术已被广泛研究和适应，但颈椎有独特的障碍，值得考虑。方法：回顾临床系列、生物力学研究和手术技术，总结骨质疏松症患者术中颈椎固定的策略。结果：优化螺钉固定、建立辅助负荷分担柱、骨水泥增强和骨质疏松症的围手术期管理可以改善患者的预后。结论：术中技术与药物治疗相结合是治疗骨质疏松症颈椎固定患者的关键。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Clinical Spine Surgery Medicine-Surgery

CiteScore

3.00

自引率

5.30%

发文量

236

期刊介绍： Clinical Spine Surgery is the ideal journal for the busy practicing spine surgeon or trainee, as it is the only journal necessary to keep up to date with new clinical research and surgical techniques. Readers get to watch leaders in the field debate controversial topics in a new controversies section, and gain access to evidence-based reviews of important pathologies in the systematic reviews section. The journal features a surgical technique complete with a video, and a tips and tricks section that allows surgeons to review the important steps prior to a complex procedure. Clinical Spine Surgery provides readers with primary research studies, specifically level 1, 2 and 3 studies, ensuring that articles that may actually change a surgeon’s practice will be read and published. Each issue includes a brief article that will help a surgeon better understand the business of healthcare, as well as an article that will help a surgeon understand how to interpret increasingly complex research methodology. Clinical Spine Surgery is your single source for up-to-date, evidence-based recommendations for spine care.