ArticleGlobal spine journal2023
Avoiding Spinal Implant Failures in Osteoporotic Patients: A Narrative Review.
Article in Global spine journal, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.
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Who cites it
23 citing papers in PubMed, 28 citations in OpenAlex.
- Osteoporosis and adult spinal deformity-a review for spinal surgeons by the SRS adult spinal deformity task force on senescence.Spine deformity · 2026Review
- Patch-Wise Approach with Vision Transformer for Detecting Implant Failure in Spinal Radiography.Journal of imaging informatics in medicine · 2026Article
- Biomechanical analysis of a novel, triangular spinal fixation system.North American Spine Society journal · 2026Article
- Shaping the future of spinal implants: advancing bioactive composites with 3D printing for next-generation surgical care.Journal of orthopaedic surgery and research · 2026Review
- Article
- The bisegmental Cobb angle in osteoporotic spine fractures: Does it influence treatment decision or functional outcome?Brain & spine · 2026Article
- A novel UHMWPE anchor for improving the pullout resistance of pedicle screws.Frontiers in bioengineering and biotechnology · 2026Article
- Biomechanical optimization of pedicle screw trajectories in osteoporotic lumbar fusion: finite element analysis and validation of robotic-assisted implementation.Journal of robotic surgery · 2025Article
- Biomechanical analysis of trivergent, a new posterior lumbar spinal fixation system.North American Spine Society journal · 2025Article
- Canal Bone Ratio for Predicting Bone Mineral Density in Lumbar Degenerative Diseases.International journal of spine surgery · 2025Article
- Loosening of stand-alone ALIF versus TLIF in degenerated lumbar human spines: an in vitro biomechanical study.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 · 2025Article
- Percutaneous endoscopic treatment for osteoporotic vertebral compression fracture complicated with lumbar spinal stenosis: a case report and literature review.Frontiers in medicine · 2025Article
- The identification of low-pathogenic bacteria on removed spinal implants and implications for antimicrobial prophylaxis.Brain & spine · 2025Article
- Synergistic predictive value of MRI-based vertebral bone quality and CT hounsfield units for postoperative sagittal balance deterioration after cervical laminoplasty.Frontiers in surgery · 2025Article
- How to Avoid and Handle Problems in the Placement of Cement-Augmented Fenestrated Percutaneous Pedicle Screws?Neurosurgery practice · 2024Article
- Alignment considerations in degenerative spinal conditions: A narrative review.North American Spine Society journal · 2024Article
- Surgical Management of Adult Spinal Deformity Patients with Osteoporosis.Journal of clinical medicine · 2024Review
- Comparison of three sacral screw internal fixation techniques in the treatment of L4-S1 lumbar degenerative disease with osteoporosis: a retrospective observational study.Journal of orthopaedic surgery and research · 2024Observational
- Personalized Approaches to Spine Surgery.International journal of spine surgery · 2024Article
- The Effects of Longer Use of Teriparatide on Clinical and Radiographic Outcomes after Spinal Fusion in Geriatric Patients.Medicina (Kaunas, Lithuania) · 2024Article
Corrections and comments
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Authors and funding
7 authors at 4 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
STUDY
designNarrative review.
objectivesWith an aging population, the prevalence of osteoporosis is continuously rising. As osseous integrity is crucial for bony fusion and implant stability, previous studies have shown osteoporosis to be associated with an increased risk for implant failure and higher reoperation rates after spine surgery. Thus, our review's purpose was to provide an update of evidence-based solutions in the surgical treatment of osteoporosis patients.
methodsWe summarize the existing literature regarding changes associated with decreased bone mineral density (BMD) and resulting biomechanical implications for the spine as well as multidisciplinary treatment strategies to avoid implant failures in osteoporotic patients.
resultsOsteoporosis is caused by an uncoupling of the bone remodeling cycle based on an unbalancing of bone resorption and formation and resulting reduced BMD. The reduction in trabecular structure, increased porosity of cancellous bone and decreased cross-linking between trabeculae cause a higher risk of complications after spinal implant-based surgeries. Thus, patients with osteoporosis require special planning considerations, including adequate preoperative evaluation and optimization. Surgical strategies aim towards maximizing screw pull-out strength, toggle resistance, as well as primary and secondary construct stability.
conclusionsAs osteoporosis plays a crucial role in the fate of patients undergoing spine surgery, surgeons need to be aware of the specific implications of low BMD. While there still is no consensus on the best course of treatment, multidisciplinary preoperative assessment and adherence to specific surgical principles help reduce the rate of implant-related complications.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.