2018 AANS Annual Scientific Meeting-Adult Deformity Surgery in the Osteoporotic Spine

Video Transcription

Video Summary

In this video, Mark Schaffrey discusses the topic of adult deformity surgery in the osteoporotic spine. He highlights the increasing prevalence of spinal deformities in the aging population, particularly among elderly women. Schaffrey emphasizes the need for surgery options that address bone quality issues and improve patient outcomes. He explores the use of parathyroid hormone analogs, such as teriparatide, to improve bone mineral density and stability. Schaffrey also discusses surgical techniques, including the use of larger diameter screws, pedicle screw augmentation with polymethylmethacrylate, and the incorporation of polyethylene bands to tether uninstrumented levels. He discusses the importance of achieving alignment goals specific to the elderly population and the potential risks and benefits of different surgical approaches. Schaffrey concludes by suggesting the need for further research and careful consideration of surgical options in order to optimize osteoporotic fixation and avoid complications.

Asset Caption

Christopher I. Shaffrey, MD, FAANS

Keywords

adult deformity surgery

osteoporotic spine

spinal deformities

bone quality issues

parathyroid hormone analogs