Healthcare professionals’ perspectives and experiences of osteoporosis medication treatment: a qualitative systematic review

The influence of osteoporosis on mechanical complications in lumbar fusion surgery: a systematic review

“…Underutilization of osteoporosis screening may be related to a variety of issues including logistical difficulties, concerns about the accuracy of lumbar T-scores in the degenerative spine, or lack of consensus regarding the implications of low bone density for surgical management. In the absence of clear specialty-specific guidelines addressing bone density in elective lumbar fusion, many surgeons may feel uncomfortable assuming the responsibility for osteoporosis screening and treatment [ 17 , 18 ]. Inadequate insurance coverage and reimbursement practices can also discourage providers from ordering diagnostic testing or prescribing pharmacologic therapies, and may make patient adherence to treatment cost-prohibitive [ 19 , 20 ].…”