Abstract
This report describes the management of a significant lumbar spinal deformity caused by progressive hemi-vertebral compression fractures associated with steroid induced osteoporosis. Loss of spinal balance accelerated the progression of the compression fractures. The spinal column was reconstructed posteriorly with pedicle screw instrumentation and supplemental sublaminar hooks. Hydroxyapatite sticks were used to enhance the pedicle screw fixation, because of the fragility of the bones. This case demonstrates that in this type of complex situation surgeons should be prepared to use a variety of approaches to achieve a restoration of spinal balance and so relieve pain and restore function.
Published Version
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