29 papers · updated 2026-09-26 · General Orthopaedics · All topics
The newest papers on osteoporosis and fragility fractures from the orthopaedic journals The Reduction reads, newest first, each with a one-line summary. The list is drawn from the digest’s archive and refreshed every week.
Get new General Orthopaedics papers by email, free: subscribe to The Reduction, focused on your interests, on the days you pick.
SRS task force review synthesizes current knowledge on osteoporosis diagnosis, surgical risk, and non-operative/operative management in adult spinal deformity surgery.
Combined proximal humerus and femur fragility fractures required roughly twice the hospital stay of isolated humerus fractures but showed similar one-year mortality and readmission rates, suggesting benefit from shared orthogeriatric pathways.
Office-based kyphoplasty for osteoporotic vertebral compression fractures has fewer medical complications than inpatient or ASC-based procedures in carefully selected patients.
In fragility pelvic fractures (type III/IV), robot-assisted reduction achieved better reduction quality and 1-year mobility than manual/navigation-assisted fixation, though a survival benefit was not confirmed.
Global review finds fragility fracture care gaps persist despite strong evidence for timely surgery and secondary prevention, with implementation limited mainly by health-system constraints in low- and middle-income countries.
In a propensity-matched study of over 56,000 pairs, GLP-1 receptor agonist use in osteoporotic women over 50 was linked to roughly half the risk of vertebral fracture and augmentation procedures.
CT analysis shows distal radius curvature, size, and bone density are greater in men and younger patients, suggesting young male donor grafts are optimal for glenoid allograft reconstruction.
A novel 3D Hounsfield unit method using routine CT scans matched QCT's accuracy for diagnosing osteoporosis and osteopenia, enabling opportunistic screening without extra cost or radiation.
In 3,302 THA/TKA patients, osteopenia carried an intermediate reoperation risk between normal BMD and osteoporosis, showing a graded relationship between lower preoperative BMD and worse two-year outcomes.
Meta-analysis of 13 studies (2,247 patients) finds perioperative anabolic osteoporosis drugs, mainly teriparatide, roughly halve rates of proximal junctional kyphosis and mechanical-failure reoperation after adult spinal deformity surgery.
This systematic review finds low bone quality is repeatedly associated with mechanical complications after long-segment fusion for degenerative lumbar scoliosis, but heterogeneous, low-certainty evidence precludes definitive pooled conclusions or confirmation of anabolic therapy benefit.
In osteoporotic lumbar fusion, cortical bone trajectory screws were associated with better 24-month pain/disability improvement and shorter hospital stay than cement-augmented pedicle screws, with similar complication rates, though this retrospective, non-randomized comparison warrants cautious interpretation.
Elbow CT Hounsfield unit measurements, especially at the trochlear notch and capitulum, correlate well with DXA and may help screen for osteoporosis when DXA isn't available preoperatively.
In fragility pelvic fractures, posterior-only fixation had lower blood loss and operative time than combined anterior-posterior stabilization, without increasing reoperation risk, questioning the need for routine anterior fixation.
Edema-enhanced CT derived from dual-energy CT improves diagnostic accuracy and reliability for sacral fragility fractures regardless of observer experience.
Lower denosumab doses reduced skeletal-related events risk while decreasing osteonecrosis of the jaw risk in metastatic cancer patients, suggesting dose reduction may optimize the benefit-harm profile.
Educational attainment, not personal or familial osteoporosis history, predicted osteoporosis knowledge in German adult population, highlighting need for targeted educational interventions.
A prospective study found that most patients with femoral fractures eligible for osteoporosis treatment were not receiving guideline-concordant therapy, and many were on fall/fracture-risk-increasing medications, highlighting missed secondary prevention opportunities.
Surgical fixation of fragility pelvis fractures enables greater discharge home rates compared to nonsurgical treatment without increased complications, improving elderly patient independence.
Reverse TSA causes sustained BMD loss around short humeral stems, particularly in osteoporotic patients; zone 3 loss correlates with worse clinical outcomes.
Optimized OF-Score improves osteoporotic vertebral fracture treatment prediction accuracy to 80.7% using MCID outcomes.
Placing lower instrumented vertebra distal to both sagittal stable vertebra and end vertebra reduces distal junctional kyphosis risk after short-segment three-column osteotomy.
Standard population age cutoffs miss many osteoporosis cases in lumbar fusion patients; lower, individualized thresholds and broader screening starting at age 50 are recommended.
Review concludes intranasal salmon calcitonin offers modest bone density benefits and short-term analgesic effects for osteoporotic vertebral fractures and acute orthopaedic pain, but is inferior to bisphosphonates/anabolics and best reserved as a second-line option.
Diagnosis and Management of Osteoporotic Vertebral Compression Fractures.
This review outlines diagnosis and management of osteoporotic vertebral compression fractures, favoring conservative care first-line and noting kyphoplasty's advantage over vertebroplasty for reducing kyphosis and adjacent fractures.
Classifications and treatment management of fragility fracture of the pelvis: A scoping review.
This scoping review of 117 studies found FFP classifications plus pain/mobility scores dominate management decisions, but sacral insufficiency fractures and cement augmentation outcomes remain inconsistently standardized—highlighting a need for unified protocols.
Oxidative Stress and Osteoporosis.
This review links oxidative stress to reduced bone mineral density in osteoporosis and suggests antioxidant-rich diets and lifestyle changes may help protect bone health, pending larger trials.
Upper Extremity Fragility Fractures.
This review outlines current recommendations for hand surgeons on evaluating and managing osteoporosis and preventing secondary fractures in patients with upper extremity fragility fractures.
Osteoporosis and Spine Surgery: A Critical Analysis Review.
This review argues osteoporosis screening and multidisciplinary management should be routinely integrated into preoperative planning for spine surgery to reduce bone-density-related complications.
Changes in Trabecular Pattern of the Upper End of the Femur as an Index of Osteoporosis
Proposes a six-grade trabecular pattern scale on hip radiographs of the proximal femur as a practical way to diagnose and stage osteoporosis severity.
Early kyphoplasty series showed safe restoration of vertebral height and significant pain/function improvement in osteoporotic compression fractures, with low complication rates.
Home · All topics · Archive · Subscribe · FAQ
© 2026 The Reduction