Insufficiency Fracture with Neural Deficit
We are unable to recommend for or against any specific treatment for patients who present with an osteoporotic spinal compression fracture on imaging with correlating clinical signs and symptoms and who are not neurologically intact.
Rationale
Patients who present with neurological symptoms and osteoporotic spinal compression fractures clearly require treatment because they face pain, diminished function, and increased mortality.68 However, despite the need to treat such patients, there is an absence of studies that examine which treatments are most effective for these patients. Therefore, we are unable to recommend for or against any specific treatment.