Pathological fractures caused by osteoporosis or metastasic bone diseases are a common source of pain and disability in the aging population.
The initial treatment is usually conservative therapy with bed rest or bracing. Beyond that, the surgical treatment of fragility fractures involves the introduction of cement into the effected vertebral body. This commonly results in satisfactory resolution of the pain with improvement in overall function and an improved sense of well-being.
In cases where the fracture is recent and therefore relatively mobile, the surgeon can also actively reconstruct the fractured vertebral body through the use of a balloon catheter, or a vertebral body stent.
For tumour cases where there is significant damage to the posterior wall of the vertebral body and a potential risk of leakage, there is the option to introduce an ultra-high viscosity cement through a porous mesh bag to help control the placement and flow of cement.
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