Kotaro Ohashi

Surgical Treatment for Paraparesis after Vertebral Fracture with Osteoporosis using Luque Instrumentation

The number of high aged patients with osteoporosis are increasing. We treated surgically two patients with paraparesis after fracture of vertebral body with osteoporosis using Luque instrumentation. These cases showed good neurological recovery after operation. Up to now, surgical treatment for osteoporosis was aboided, but we proved that surgical treatment was useful for improvement of neurological deficit.

Luque Instrumentation after Posterior Decompression for Lumbar Degeneration of High Aged Patients

Eighteen cases of Luque instrumentation with spinous process wiring after posterior decompression for lumbar degeneration of high aged patients were discussed.The operative time and intraoperative bleeding of them were not so different from those of the cases without Luque instrumentation. The mean duration until ambulation was 10 days. The improvement rate of JOA score was 72%.Comfortable stabilization for decompressed segment was obtained. The decrease in total lumbar motion was about 10 degree, and it did not disturb the ADL so much.This method is easy, and has good application when high aged patients need early ambulation, and when the instability of multiple segments exists or will occur by decompression.