Although long-segment posterior spinal fixation might provide more rigid fixation, the procedure increases perioperative morbidities in the elderly. The present study reviews the results of short-segment decompression and reconstruction in thoracolumbar fragile fractures.

This study included 20 elderly patients with osteoporotic thoracolumbar burst fractures and neurological compromise. The participants were followed-up for a period of 40.6 (24-68) months. A visual analog scale (VAS) and the Oswestry Disability Index (ODI) were used to measure back pain and disability. Radiologic assessment and neurological status were also analyzed.

Inclusion Criteria

• osteoporotic burst fracture at a single level of the thoracolumbar region
• dual-energy X-ray absorptiometry and T-score value less than -2.5

Exclusion Criteria

• translational displacement at the fracture site (fracture-dislocation)
• loss of structural integrity within the posterior osteoligamentous complex (such as flexion-distraction ligament disruption)
• spondylolisthesis of the adjacent vertebrae
• malignancy
• chronic steroid administration
• previous spinal surgery
• prior vertebroplasty and infection

Twenty elderly patients (60-89 years, mean 73.2 years) with osteoporotic thoracolumbar burst fractures and neurological compromise