|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.
Peer review refers to the work done during the screening of submitted manuscripts and funding applications. This process encourages authors to meet the accepted standards of their discipline and reduces the dissemination of irrelevant findings, unwarranted claims, unacceptable interpretations, and personal views. Publications that have not undergone peer review are likely to be regarded with suspicion by academic scholars and professionals.