A Systematic Review of Treatment Strategies for Lumbar Spine Fusion Surgery in Osteoporotic Patients

Purpose: Evaluate the current evidence in the literature on treatment strategies for lumbar spine fusion in patients with osteoporosis. Methods: A systematic review of the literature from 1950-2015. Results: The review of the literature yielded 15 studies on the effect of treatment options for osteoporosis on lumbar fusion rates. One study demonstrated an association between low bone mass as measured by Hounsfield Units and lower fusion rates. Six studies evaluated perioperative medical treatment of osteoporosis and showed higher fusion rates in patients treated with alendronate and teriparatide. The strongest evidence was for perioperative teriparatide. Eight studies evaluated surgical treatment strategies in osteoporosis patients and showed that cement augmentation of pedicle screws and expandable pedicle screws demonstrated improved fusion rates over traditional pedicle screws. The strongest evidence was for expandable pedicle screws. Conclusion: There are 15 articles evaluating osteoporosis in lumbar fusion patients and the highest level of evidence is for perioperative use of teriparatide.