Clinical Research Directory

Inclusion Criteria: * Age ≥18 years old. * Both sexes. * Patients with confirmed osteoporosis on dual-energy X-ray absorptiometry (DEXA) scan (T-score ≤ -2.5), * Patients presented with painful osteoporotic vertebral fractures, degenerative instability, or traumatic compression fractures. * Patients are unresponsive to conservative management and require surgical stabilization. Exclusion Criteria: * Patients with healed or stable fractures respond to medical treatment. * Patients with uncontrolled coagulopathy, active spinal infections such as discitis or osteomyelitis. * Patients with spinal deformity exceeding thirty degrees, or vertebral body collapse greater than seventy percent.