Posterior Fusion With Pedicle Screw Cement Augmentation and Vertebroplasty Using Calcium Phosphate Cement for Osteoporotic Vertebral Fracture: A Case Report.

Osteoporotic vertebral fractures (OVFs) in elderly patients pose challenges due to bone destruction and surgical risks. This case report describes a minimally invasive approach using calcium phosphate cement (CPC) vertebroplasty and short fusion with cement augmentation of pedicle screws (CAPS) in a 91-year-old woman with severe OVF. The patient underwent CPC vertebroplasty at L1 and CAPS fixation at T12-L2, followed by osteoporosis medication. She regained mobility with no complications, screw loosening, or loss of correction at a two-year follow-up. We suggest this combined CPC-CAPS technique as a viable treatment option for OVF in high-risk elderly patients, providing minimal invasiveness and favorable long-term outcomes.