Posterior Fixation Combined with Vertebroplasty or Vertebral Column Resection for the Treatment of Osteoporotic Vertebral Compression Fractures with Intravertebral Cleft Complicated by Neurological Deficits

Figure 2

A 67-year-old male patient experienced OVCFs with IVC complicated by neurological deficits and underwent PVCR treatment. (a) Preoperative sagittal plain radiographs revealed collapsed fracture at L1 and kyphosis. (b, d) Sagittal T1- and T2-weighted MRI and STIR MRI scans showed a decreased signal in the intravertebral cleft in L1. (e, f) Coronal and sagittal CT showed an IVC in L1. (g, h) Immediate postoperative plain radiographs showed corpectomy, screw fusion, increased anterior vertebral height, and restored kyphosis. (i–m) Coronal and sagittal CT showed no reduction in vertebral height and no kyphosis recurrence at the 1- and 2-year follow-up examinations.