This study aims to compare the clinical and radiological outcomes of bone-cement-augmented transpedicular screw fixation versus cannulated pedicle screw fixation in patients with osteoporotic spines requiring posterior instrumentation, with respect to implant stability (loosening/pull-out), pain relief, functional recovery, and complication rates.
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Eligibility Criteria
Inclusion Criteria:
* Age ≥18 years old.
* Both sexes.
* Patients with confirmed osteoporosis on dual-energy X-ray absorptiometry (DEXA) scan (T-score ≤ -2.5),
* Patients presented with painful osteoporotic vertebral fractures, degenerative instability, or traumatic compression fractures.
* Patient…
Inclusion Criteria:
* Age ≥18 years old.
* Both sexes.
* Patients with confirmed osteoporosis on dual-energy X-ray absorptiometry (DEXA) scan (T-score ≤ -2.5),
* Patients presented with painful osteoporotic vertebral fractures, degenerative instability, or traumatic compression fractures.
* Patients are unresponsive to conservative management and require surgical stabilization.
Exclusion Criteria:
* Patients with healed or stable fractures respond to medical treatment.
* Patients with uncontrolled coagulopathy, active spinal infections such as discitis or osteomyelitis.
* Patients with spinal deformity exceeding thirty degrees, or vertebral body collapse greater than seventy percent.
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