Letter to the Editor: Surgical Treatment of Osteoporotic Vertebral Fracture with Neurological Deficit A Nationwide Study in Japan A Pain Physician's Perspective

Abstract

Osteoporotic vertebral fractures have become a common occurrence in the elderly population. In this commentary, on the article "Surgical Treatment of Osteoporotic Fracture with Neurological Deficit—A Nationwide Multicenter Study in Japan" by Hosogane et al., we acknowledge the benefit of spinal fusion surgery for those patients with neurological compromise but also emphasize the importance of minimally invasive procedures. Balloon kyphoplasty and vertebroplasty are two viable options that have been proven to improve patients' quality of life and activities of daily living. Minimally invasive and conservative therapies should be the standard of care at first. Surgical options should be considered when these approaches have been exhausted.