Did you not read the post? Vertebral augmentation obviously 😉
Or have the surgeon take care of it. You my friend can not treat screws with lucency
It appears either revision surgery is what surgeon may do, bone stimulator and time with meds, stop smoking, work on bone health
OR
Anything else?
Here's a Pub med article on it (
https://www.ncbi.nlm.nih.gov/books/NBK554385/)- following is closest I can find for non-surgical management.
When the bone has a decrease in blood supply, it can not heal. This can occur with poor nutrition (pre-albumin levels pre-op to measure) and smoking from poor living habits. Biologic causes of poor blood flow and poor bone healing include diabetes, peripheral vascular disease, vitamin D deficiency, renal insufficiency, and medications (steroids, NSAIDs, opiates). Treatment may contribute to inadequate fracture fixation or stabilization.
- Not sure if NSAIDs are proven in this setting
- Opiates, definetely avoid - may be hard after surgery depending on outcome
- Can optimize bone health certainly with medications
- Steroid is a risk vs. benefit
- Stop Smoking
"The usual course of nonoperative treatment with ultrasound is the placement of ultrasound therapy within three months after the last surgical procedure."
- What the F does this mean?
