Spinal augmentation: how to choose the best candidate?

Abstract

The overall management principles for treating spinal injuries focuses on maximizing clinical outcome by obtaining and maintaining spinal stability and optimizing neurologic function. An optimal treatment method should reduce the detrimental effects of injury, reduce pain and suffering, improve functional outcome and quality of life, provide the best outcome with the least amount of associated morbidity. In osteporotic patients without neurological deficit; we can do indirect reduction and kyphoplasty, indirect reduction and titanium vertebral body stent or percutaneous cement augmented pedicle screw fixation and kyphoplasty or titanium vertebral body stent. In the presence of neurological deficit; anterior decompression with mini open or endoscopic route is necessary.