• D Ruiz Picazo, J Ramírez Villaescusa, E Portero Martínez, and F Doñate Pérez.
• Complejo Hospitalario Universitario de Albacete, Hermanos Falcó, No 37, 02006, Albacete, Spain, davidcop85@gmail.com.
• Eur Spine J. 2014 Dec 1;23(12):2696-702.

AbstractVertebral fracture is a frequent phenomenon in people with osteoporosis and does not lead to clinical problems in most cases. Only a small number of patients suffer from serious neurological complications related to late collapse. Acute or subacute painful osteoporotic vertebral fracture can be tackled using reinforcement techniques; however, neural compression by displaced bone fragments and late kyphosis can produce neurological deficit and require surgical decompression and stabilization. The identification of risk factors associated with a patient's poor recovery is important for adequate treatment. In elderly patients, both the morbidity of the approach and the difficulty of stabilization are the main drawbacks. We present here a case study of an osteoporotic fracture in an elderly man with severe late collapse and neurological impairment. A posterior approach was used with bilateral posterior transpedicular decompression and instrumented arthrodesis with cemented pedicle screws. The post-operative period was incident-free and the patient recovered the neurological deficit and the ability to walk.

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