Spinal Cord Stimulation Avoiding Deformity Fusion in an Osteoporotic Patient with Sagittal Imbalance: A Case Report.

Q4 Medicine

JBJS case connector Pub Date : 2026-06-05 eCollection Date: 2026-04-01 DOI:10.2106/JBJS.CC.26.00160

Daigo Arimura, Akira Shinohara, Mitsuru Saito

引用次数: 0

Abstract

Case: A 78-year-old woman had gluteal pain radiating to both lateral thighs and calves and progressive neurogenic claudication. Imaging revealed osteoporotic thoracolumbar compression fractures, L4 spondylolisthesis with severe L4-5 stenosis, and sagittal kyphosis. Spinopelvic parameters were not measured, owing to extreme forward-flexed posture. Given the high risk of instrumentation failure and complications, spinal cord stimulation (SCS) was selected after initiating osteoporosis therapy. The pain improved, with pain relief and ambulatory function maintained at 18 months without surgery.

Conclusion: SCS may be an alternative to fusion in selected osteoporotic patients with severe sagittal imbalance and lumbar radiculopathy.

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脊髓刺激避免骨质疏松症矢状面不平衡患者畸形融合一例报告。

病例：一名78岁女性，臀部疼痛放射至大腿外侧和小腿，并伴有进行性神经源性跛行。影像学显示骨质疏松性胸腰椎压缩性骨折，L4椎体滑脱伴严重L4-5狭窄，矢状后凸。由于极度前屈的姿势，没有测量脊柱参数。考虑到内固定失败和并发症的高风险，在骨质疏松症治疗开始后选择脊髓刺激（SCS）。疼痛得到改善，疼痛缓解，无需手术维持18个月的行走功能。结论：对于有严重矢状面失衡和腰椎神经根病的骨质疏松患者，SCS可作为融合的替代方法。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

JBJS case connector Medicine-Medicine (all)

CiteScore

0.60

自引率

0.00%

发文量

319

期刊介绍： JBJS Case Connector helps improve patient care by providing the medical community with a journal that harnesses technology to provide information tools for discovery and reporting of unusual musculoskeletal problems, findings, treatment, and outcomes. Co-edited by Thomas W. Bauer, MD, PhD, and Ronald W. Lindsey, MD, JBJS Case Connector assists orthopaedic surgeons in the search for precedents, connections, and trends in their efforts to improve patient care. Using this unique journal, surgeons can find the commonalities between cases, benefit from the experience of their peers, and filter case information by many important variables in order to provide the best possible care for orthopaedic patients. This cross-referenced online journal includes thousands of orthopaedic case reports. It compiles symptoms, conditions, and demographic details to empower surgeons to find cases similar to theirs. Surgeons can mine the database to reveal emerging trends and identify patterns, distinguishing between truly rare cases and repeated, related single instances of a larger problem. The JBJS Case Connector Image Quiz feature provides interactive quizzes based on images from content published by JBJS and includes a discussion area for further exploration of ideas and concepts. The JBJS Image Quiz app for iPad and iPhone is available in the App Store. Contributions to JBJS Case Connector are welcomed from anywhere in the world and are considered on their merits. Articles must be written in English and should be submitted as outlined in the Instructions to Authors. All authors must abide by the JBJS ethics policies and all submissions to JBJS Case Connector are covered by the JBJS embargo policy.