| CASE REPORT |
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| Year : 2020 | Volume
: 8
| Issue : 2 | Page : 118-122 |
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Revision spine surgery with hartshill-sublaminar wiring in operated osteoporotic fracture: A case note
Shailesh Hadgaonkar, Pradhyumn Rathi, Vivek Vincent, Ashok Shyam, Parag Sancheti
Department of Spine, Sancheti Institute of Orthopedics and Rehabilitation, Pune, Maharashtra, India
Correspondence Address:
Dr. Pradhyumn Rathi
Department of Spine, Sancheti Institute of Orthopedics and Rehabilitation, Pune - 411 005, Maharashtra
India
 Source of Support: None, Conflict of Interest: None
DOI: 10.4103/JOASP.JOASP_5_20
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Osteoporotic vertebral compression fractures (OVCF) are one of the most common fractures seen in a day-to-day practice. We present a unique case of failure of pedicle screw instrumentation in OVCF revised by sublaminar wiring (SLW). A 70-year-old female with old operated osteoporotic fracture with the sagittal imbalance and implant loosening was revised with a single spinal rectangular loop and sublaminar wires (SLW). Pedicle screw constructs for short-segment fixation are rigid and biomechanically superior with the greatest pull-out strength, which mainly depends on the bone mineral density. However, sublaminar wires should be considered far more superior in severely osteoporotic bone.
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