Background: Bone tumours are comparatively rare tumours and delays in diagnosis and treatment are common. The purpose of this study was to analyse sociodemographic risk factors for bone tumour patients in order to identify those at risk of prolonged patients delay (time span from first symptoms to consultation), professional delay (from consultation to treatment) or symptom interval (from first symptoms to treatment). Understanding these relationships might enable us to shorten time to diagnosis and therapy.
The treatment of osteoporotic vertebral body fractures often requires a well-thought-out therapeutic strategy. Most of the patients are at older age and multimorbid, so that therapy should be as gentle as possible. On the other hand, an early surgical stabilization to avoid immobilization of the patients often is necessary. Kyphoplasty and vertebroplasty are established minimal invasive procedures in the therapy of osteoporotic vertebral fractures. In literature the outcome after cement augmentation is quite good and the complication rate, especially in kyphoplasty, is low. In cases of a total collapse of the vertebral body, in older fractures with kyphotic deformity or in cases of instability, a posterior instrumentation with an anterior column support is needful. Due to the fact that there is no comparative long-term evidence-based data in literature concerning the different implants, general recommendations cannot be given. To avoid implant failure we propose an additional instrumentation of the adjacent vertebral bodies within the posterior stabilization and -if procurable -we always do an anterior column support with an expandable titanium cage. Furthermore, a pedicle screw system which allows cement augmentation of the screws after placement of the screws could be helpful to elevate the stability of the instrumentation. Further clinical examinations have to be carried out.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
customersupport@researchsolutions.com
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.