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Year : 2020  |  Volume : 8  |  Issue : 2  |  Page : 118-122

Revision spine surgery with hartshill-sublaminar wiring in operated osteoporotic fracture: A case note

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
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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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