Background: Osteoporosis has become a major medical problem as the aged population of the world rapidly grows. Aim of the Work: We aimed to assess different methods of surgical treatment of Spondylolithesis in osteoprotic patients.
Patient and methods: This prospective study was conducted on 30 cases with spondylolithesis and osteoporosis at Al-Azhar university hospitals. All patients were operated upon by posterior approach with neural decompression and internal metallic fixation.
Results: The percentage of improvement (6.7%), fair (33.3%), good (46.7%), excellent (13.3%) of low back pain, also Fair (6.7%), good (33.3%),Excellent (60.0%) of Sciatica; good (50.0%), excellent (50.0%) of claudication; while Fair (25.0%), good (25.0%) and excellent (50.0%) of motor; Good (66.7%), excellent (33.3%) of Sensory; as well as Good (50.0%), excellent (50.0%) of sphincter.
Conclusion: In patients with osteoporosis, spine surgery presents a difficult challenge, and a multidisciplinary approach is encouraged for medical optimization and preparation of patients for whom surgery is indicated. Preoperative planning is imperative for the success of the procedure, and the treating surgeon must be aware of potential complications and pitfalls. Multiple techniques can be used to improve fixation and construct stability, and the literature continues to evolve as additional clinical evidence is reported. Despite the challenges inherent in this patient population, with appropriate patient selection and surgical techniques, spine surgery can provide pain relief, deformity correction, and improved function. The surgical interventions with proper instrumented techniques with no postponing until improvement BMD showed better outcome with post operative satisfying improvement.