|Surgical treatment of the osteoporotic spine is a treatment of last resort, when all less invasive options have failed. Medical therapy and core strength building act to reduce spinal injury, however, injuries will continue to occur. Surgical care for injuries to the osteoporotic spine is complex and relies on limited literature. Surgical spinal intervention in general has never been more advanced. However, the objective evidence for intervention has never been more assailed. To definitively answer critical questions about spinal interventions, a system that records data for every clinical encounter, in perpetuity, is needed. The data on each patient encounter needs to be organized to permit easy search and analysis thus permitting, for the first time, continuous quality improvement and hypothesis driven research.
Open access to the scientific literature means the removal of barriers (including price barriers) from accessing scholarly work. There are two parallel âroadsâ towards open access: Open Access articles and self-archiving. Open Access articles are immediately, freely available on their Web site, a model mostly funded by charges paid by the author (usually through a research grant). The alternative for a researcher is âself-archivingâ (i.e., to publish in a traditional journal, where only subscribers have immediate access, but to make the article available on their personal and/or institutional Web sites (including so-called repositories or archives)), which is a practice allowed by many scholarly journals.
Open Access raises practical and policy questions for scholars, publishers, funders, and policymakers alike, including what the return on investment is when paying an article processing fee to publish in an Open Access articles, or whether investments into institutional repositories should be made and whether self-archiving should be made mandatory, as contemplated by some funders.