{"title":"提示和技巧：骨质疏松症颈椎的固定选择。","authors":"Mohit Patel, Sang H Lee","doi":"10.1097/BSD.0000000000001898","DOIUrl":null,"url":null,"abstract":"<p><strong>Study design: </strong>Narrative review.</p><p><strong>Objective: </strong>To outline current fixation strategies and adjunctive techniques used to optimize surgical outcomes in patients with osteoporosis undergoing cervical spine surgery.</p><p><strong>Summary of background data: </strong>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.</p><p><strong>Methods: </strong>A review of clinical series, biomechanical studies, and surgical techniques was conducted to summarize intraoperative strategies for cervical fixation in patients with osteoporosis.</p><p><strong>Results: </strong>Optimization of screw fixation, creation of an ancillary load sharing column, cement augmentation, and perioperative management of osteoporosis can improve patient outcomes.</p><p><strong>Conclusions: </strong>A combination of intraoperative techniques and pharmacological treatment is critical in the management of patients with osteoporosis who are undergoing cervical spine fixation.</p>","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":"{\"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\":\"<p><strong>Study design: </strong>Narrative review.</p><p><strong>Objective: </strong>To outline current fixation strategies and adjunctive techniques used to optimize surgical outcomes in patients with osteoporosis undergoing cervical spine surgery.</p><p><strong>Summary of background data: </strong>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.</p><p><strong>Methods: </strong>A review of clinical series, biomechanical studies, and surgical techniques was conducted to summarize intraoperative strategies for cervical fixation in patients with osteoporosis.</p><p><strong>Results: </strong>Optimization of screw fixation, creation of an ancillary load sharing column, cement augmentation, and perioperative management of osteoporosis can improve patient outcomes.</p><p><strong>Conclusions: </strong>A combination of intraoperative techniques and pharmacological treatment is critical in the management of patients with osteoporosis who are undergoing cervical spine fixation.</p>\",\"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}","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}
Tips and Tricks: Fixation Options in the Osteoporotic Cervical Spine.
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.
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.
求助内容：
应助结果提醒方式：
京公网安备 11010802042870号
