Multiple-level noncontinuous spinal fractures with osteoporosis treated by one stage internal fixation combined with percutaneous vertebroplasty

Objective To evaluate the effect of one stage internal fixation combined with percutaneous vertebroplasty(PVP) in treating multiple-level noncontinuous spinal fractures.Methods There were 15 patients suffered from multiple-level noncontinuous spinal fractures in our department and there were 33 vertebras injured.All were performed CT or MRI examination.All patients underwent short internal fixation combined with PVP.All patients underwent one stage internal fixation at the level with spine cord injury or three column injured.Decompression was performed according to the spine cord compression.PVP was performed at the vertebras with intact posterior wall.Results All patients got followed for 5~24 months.There was no infection,and all incision got primary healing without fixation failure.There was no secondary kyphosis progress or nerve injury.All patients had neurological function recovery,who had neurlogical injury.Conclusions One stage internal fixation combined with PVP is an safe and effective alternative for multiple-level noncontinuous spinal fractures combined with osteoporosis.