Two cases with paraparesis resulting from osteoporotic vertebral fractures were treated by an anterior operation using the Kaneda anterior spinal device. Case 1 was a 57-year-old woman with a T12 wedge compression fracture. The kyphotic deformity at T11-12 had caused the paraparesis.
Case 2 was a 65-year-old woman with a T10 compression fracture and L1 burst fracture. Spinal cord compression at L1 was evident on the myelogram, CTM and MRI.
We employed an anterior operation using the Kaneda anterior spinal device in both cases, achieving clinical improvement with no complications.
We prefer the anterior operation using the Kaneda anterior spinal device for such fractures, because this ensures a more satisfactory decompression, allows reconstruction of the anterior pillar of the vertebral column in the short fusion, and early ambulation.