Conservative Treatment of the Delayed or Nonunion in the Osteoporotic Vertebral Fractures Hidenao KUROGI 1 , Yoriko TOUTEN 2 , Takashi AOKI 3 , Kiyotaka YAMADA 4 , You OKAMURA 5 , Kenji NISHIYAMA 6 , Naoyuki MIZUNO 7 , Hirofumi SASAKI 2 , Ryu TOTOKI 8 , Satoshi SERA 9 1Kurogi Orthopaedic and Rehabilitation Clinic 2Department of Orthopaedic Surgery, Chugoku Rosai Hospital 3Nozomi Orthopaedics Clinic 4Department of Orthopaedic Surgery, JA Hiroshima General Hospital 5Okamura Clinic 6Nishiyama Orthopaedics and Gastrointestinal Clinic 7Department of Orthopaedic Surgery, Hiroshima General Hospital of West Japan Railway Company 8Department of Orthopaedic Surgery, Mitsubishi Mihara Hospital 9Department of Orthopaedic Surgery, Fuchu Kita Municipal Hospital Keyword: 骨粗鬆症性椎体骨折(osteoporotic vertebral fracture) , 遷延癒合あるいは骨癒合不全(delayed or nonunion) , 保存的治療(conservative treatment) pp.11-20
Published Date 2015/1/25
DOI https://doi.org/10.11477/mf.1408200088
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 Background:The treatment of delayed or nonunion osteoporotic vertebral fractures (OVFs) is still controversial.

 Methods:This study looked at 253 patients (318 vertebral fractures) of OVFs over a 13 year period from 2000 prospectively. All patients were treated with conservative measures using Jewett Corsets. The sixteen cases developed into delayed or non-union with vacuum cleft in the vertebral body. We had continued with the same Jewett Corset treatment for between 5−88 months (mean 17.8 months).

 Outcome:Lower back pain improved completely after 7−25 months (mean 12 months). Vacuum clefts in the vertebral bodies disappeared 7-88 months (mean. 22 months). Bony union in the fractures sites were achieved with bony bridging calluses from the adjacent injured vertebral end plate between 8−88 months (mean. 20.7months) after injury.

 Conclusion:All patients achieved the same ADL as before their injuries without any severe side effects or complaints, therefore OVFs without severe nerve disorders should be treated conservatively.

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