{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,30]],"date-time":"2025-10-30T11:27:08Z","timestamp":1761823628785,"version":"3.37.3"},"reference-count":23,"publisher":"Wiley","license":[{"start":{"date-parts":[[2014,1,1]],"date-time":"2014-01-01T00:00:00Z","timestamp":1388534400000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/3.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["BioMed Research International"],"published-print":{"date-parts":[[2014]]},"abstract":"<jats:p><jats:italic>Introduction<\/jats:italic>. Management of elderly patients with thoracolumbar fractures is still challenging due to frequent osteoporosis and risk of screws pull-out. The aim of this study was to evaluate results of a percutaneous-only procedure to treat these fragile patients using cement-augmented screws.<jats:italic>Methods<\/jats:italic>. 12 patients diagnosed with a thoracolumbar fracture associated with an important loss of bone stock were included in this prospective study. Surgical procedure included systematically a percutaneous osteosynthesis using cemented fenestrated screws. When necessary, additional anterior support was performed using a kyphoplasty procedure. Clinical and radiographic evaluations were performed using CT scan.<jats:italic>Results<\/jats:italic>. On the whole series, 15 fractures were diagnosed and 96 cemented screws were inserted. The difference between the pre- and postoperative vertebral kyphosis was statistically significant (12.9\u00b0 versus 4.4\u00b0,<mml:math xmlns:mml=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M1\"><mml:mi>P<\/mml:mi><mml:mo>=<\/mml:mo><mml:mn>0.0006<\/mml:mn><\/mml:math>). No extrapedicular screw was reported and one patient was diagnosed with a cement-related pulmonary embolism. During follow-up period, no infectious complications, implant failures, or pull-out screws were noticed.<jats:italic>Discussion<\/jats:italic>. Aging spine is becoming an increasing public health issue. Management of these patients requires specific attention due to the augmented risk of complications. Using percutaneous-only screws fixation with cemented screw provides satisfactory results. A rigorous technique is mandatory in order to achieve best outcomes.<\/jats:p>","DOI":"10.1155\/2014\/610675","type":"journal-article","created":{"date-parts":[[2014,2,26]],"date-time":"2014-02-26T01:11:14Z","timestamp":1393377074000},"page":"1-5","source":"Crossref","is-referenced-by-count":22,"title":["Percutaneous Cement-Augmented Screws Fixation in the Fractures of the Aging Spine: Is It the Solution?"],"prefix":"10.1155","volume":"2014","author":[{"given":"S\u00e9bastien","family":"Pesenti","sequence":"first","affiliation":[{"name":"Spine Division, Aix-Marseille University, H\u00f4pital de la Timone, 264 Rue Saint Pierre, 13005 Marseille, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8896-5277","authenticated-orcid":true,"given":"Benjamin","family":"Blondel","sequence":"additional","affiliation":[{"name":"Spine Division, Aix-Marseille University, H\u00f4pital de la Timone, 264 Rue Saint Pierre, 13005 Marseille, 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