Pathological and Osteoporotic Fractures

Cases

A 79-year-old male presented with severe low back pain and difficulty in walking secondary to a pathological fracture of the lumbar spine. Radiological investigations demonstrated lumbar vertebral collapse with associated spinal instability and neural compromise. The patient experienced progressive pain and functional limitation despite conservative treatment measures. In view of persistent symptoms, impaired ambulation, and spinal instability, he underwent cement augmented surgical stabilization and decompression of the affected lumbar segment. Postoperatively, the patient showed significant pain relief, improved stability, and better ambulatory function.

Gallery 3

A 94-year-old female presented with severe low back pain and difficulty in walking secondary to an osteoporotic fracture of the lumbar spine. Radiological evaluation revealed vertebral collapse with associated instability in the setting of advanced osteoporosis. Despite conservative management, the patient continued to experience significant pain and impaired mobility affecting activities of daily living. Considering the persistent symptoms and spinal instability, she underwent cement-augmented pedicle screw fixation for stabilization of the lumbar spine. Following surgery, the patient experienced significant pain relief with improved stability and ambulation