Abstract
Six female patients with neurological deficit due to late vertebral collapse after an osteoporotic vertebral fracture underwent posterior decompression and posterior interbody fusion without rigid instrumentation. The average age at surgery was 76 (69-86) years. T12 was collapsed in 1 patient, L1 in 1, L2 in 2, L4 in 1, and L5 in 1. The average follow-up was 25 (7-57) months after surgery. All patients had returned to their routine daily life, and symptoms were improved soon after surgery. In follow-up, no notable complication was encountered. We conclude that this procedure can provided a satisfactory outcome without instrumentation failure for elderly patients with osteoporosis.