ArticleEuropean spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society2026
The challenge of OF5 vertebral fractures treatment: a modified muscle-preserving surgical technique and case-series presentation with a minimum 2-Year follow-up.
Article in European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society, 2026. 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
purposeThe surgical management of severe osteoporotic vertebral fractures (OF5 type) is complex and lacks a standardized approach. This study aimed: (1) to describe a modified surgical technique designed to offer broad exposure of the spine while preserving the paraspinal musculature; and (2) to present a case series of 15 OF5 patients with a 2-year follow-up.
methodsPatients with OF5 were consecutively treated with SpineJack
resultsIn the 15 patients, a mean of 4.1 vertebrae (min. 2 - max. 6) were instrumented, with a mean operative time of 200.7 ± 80.4 min (min. 101 - max. 373 min). Mean blood loss was 246.9 ± 234.1 mL (min. 0 - max. 700 mL). Two postoperative complications occurred. All the radiographic parameters (VKA and VH) improved postoperatively: mean VKA improved from 17.8 ± 6.4° preoperatively to 6.0 ± 4.7° at 12 months and 6.9 ± 4.9° at final follow-up (p < 0.001); mean medial/posterior vertebral height ratio improved from 55.2 ± 16.9% to 87.1 ± 11.9% at 12 months and 74.6 ± 11.8% at final follow-up (p < 0.001). The improvement was stable at the latest long-term follow-up.
conclusionsIn this technical note and consecutive case series, the described technique was associated with favorable radiographic outcomes, low complication rates and acceptable blood loss. These preliminary findings suggest potential benefit, but prospective comparative studies are needed to confirm efficacy and safety.
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