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  • Response to: the ‘armed concrete’ approach: stent-screw-assisted internal fixation (SAIF) reconstructs and internally fixates the most severe osteoporotic vertebral fractures

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Response to: the ‘armed concrete’ approach: stent-screw-assisted internal fixation (SAIF) reconstructs and internally fixates the most severe osteoporotic vertebral fractures
  1. Douglas P Beall
  1. Interventional Musculoskeletal Radiology, Summit Medical Center LLC, Edmond, Oklahoma, USA
  1. Correspondence to Dr Douglas P Beall, Interventional Musculoskeletal Radiology, Summit Medical Center LLC, Edmond, OK 85013-4409, USA; db{at}clinrad.org

https://doi.org/10.1136/neurintsurg-2020-016894

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    Screw assisted internal fixation (SAIF) represents a definite advancement in the treatment of vertebral compression fractures (VCFs), especially in fractures with a greater degree of instability. The manuscript by Cianfoni et al discusses the use of SAIF in treating patients with VCFs involving the middle-column (MC), the pedicles and burst-type fractures.1 This report documents significant success not only in reducing their pain and improving their clinical condition but also in maintaining structural integrity.1

    Fractures involving the posterior wall, the pedicle-vertebral body junction and low energy burst fractures are common and represent fractures that need to be treated with a greater amount of anterior and middle column support than typical anterior column only fractures. In patients with poor bone quality, inadequate fixation can lead to refracture of the incident level with displacement of cement and significant worsening of the patient’s condition.2–4 This is almost always …

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    Footnotes

    • Twitter @dougbeall

    • Contributors All commentary is original and from the contributing author.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Patient consent for publication Not required.

    • Provenance and peer review Not commissioned; externally peer reviewed.

    • Data availability statement No data are available.

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