About this Course
This session provides practical surgical strategies for instrumenting osteoporotic spines. Learn junctional protection techniques, including hooks versus pedicle screws at the upper instrumented vertebra (UIV), strategic cement augmentation at UIV and UIV+1, junctional tethers and ligament augmentation, and “soft-landing” construct design to minimize proximal junctional stress. Master fixation strategies for poor bone quality, including fenestrated screws with cement augmentation, sacropelvic fixation with S2-alar-iliac screws and multi-rod constructs, endplate preparation techniques to limit subsidence, and appropriate use of sublaminar wires. Understand alignment planning principles that avoid overcorrection and set realistic targets to reduce proximal junctional kyphosis risk in the osteoporotic population.
1 hour of video content
Earn CMEs
