Managenent of Osteoporotic Vertebral Compression Fracture in Spine at Sancheti

Dr. Ajay Kothari

A 56 year old female, came to the outdoor patient department with complaints of pain over the lower back and bilateral hip weakness since 6 months,with the pain radiating to both lower limbs.It was as associated with tingling,numbness and both hip weakness.Patient was diagnosed by Dr.Kothari as a case of D12 osteoporotic wedge compression fracture with pseudoarthrosis and bilateral hip weakness with L3-L4 grade 1 anterolisthesis with L3-L5 lumbar canal stenosis which means compression of spinal cord in lumbar spine and fracture of vertebrae. 
Patient and relatives were explained about the problem in detail and need for surgery was explained as the patient’s walking was impaired.Relatives were very worried about old age and success rate of surgery.
Spine expert Dr.Ajay Kothari explained them in detail about the modern surgical advancements about use of microscope and that with minimally invasive spine surgery techniques,faster recovery is easily possible and that patient is made ambulatory immediately on the second day of surgery.so surgery in the form of lumbar decompression and cement augumented vertebroplasty was planned.Surgery went on for 2 hours and patient tolerated the procedure well and the surgery was completely uneventful.Patient was kept for a day in the ICU and then shifted to the room a day after the surgery.Patient showed good signs of recovery.Physiotherapy as per protocol was started on day 2.Patient was made to stand on the first day and made to walk on day 2 after surgery.Patient could walk completely pain free and individually with walker support.Patient was completely pain free on day 5 after surgery.

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