ArticleAmerican journal of translational research2025
Simultaneous minimally invasive surgery improves outcomes and reduces complications in elderly with combined osteoporotic fractures.
Article in American journal of translational research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
objectiveTo compare the outcomes of simultaneous versus staged minimally invasive surgery in elderly patients with combined osteoporotic extremity fractures and vertebral compression fractures (VCFs).
methodsA retrospective analysis was conducted on 118 patients (aged 60-82 years), randomized into two groups: simultaneous (n=59) and staged (n=59). The outcomes measured included re-fracture rates, SF-36, surgical parameters, healing time, functional scores (Constant-Murley, Cooney, Harris, ODI), and complications.
resultsThe simultaneous group had a longer operative time, but significantly reduced blood loss and fewer internal fixations (all P<0.01). Pain relief was faster and more sustained in the simultaneous group at 6 months (P<0.05), with superior functional scores (Constant-Murley, Cooney, Harris) at 1-3 months (P=0.047) and maintained upper limb benefits at 6 months. Spinal function (ODI) improved by 30% more in the simultaneous group (P<0.01). Fracture healing was accelerated across all sites (P<0.01), and complications, including cement leakage (P=0.022) and surgical site infections (P=0.049), were significantly lower. SF-36 scores for physical function, pain, vitality, and social function showed 12-18% superiority in the simultaneous group at 3-6 months (P=0.029).
conclusionsSimultaneous minimally invasive surgery reduces pain, accelerates recovery, and lowers complications without increasing re-fracture risk, making it a safer treatment strategy for elderly patients with combined osteoporotic fractures.
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