TY - JOUR TI - Off Label Use of Teriparatide in Spine AU - Drakopoulos, Panagiotis AU - Flevas, Dimitrios A. AU - Galanopoulos, AU - Ioannis P. AU - Lepetsos, Panagiotis AU - Zafeiris, Christos JO - CUREUS PY - 2021 VL - 13 TODO - 7 SP - null PB - CUREUS INC SN - null TODO - 10.7759/cureus.16522 TODO - off-label; teriparatide; spine; spinal fusion; parathyroid hormone TODO - Teriparatide belongs to osteo-anabolic compounds and has been used in recent years to treat patients with osteoporosis, with the benefits of increased bone density. Its osteo-anabolic action has led to the investigation of the use of teriparatide for the improvement of bone quality. Apart from the enhancement of fracture union, teriparatide has been extensively studied in the promotion of fusion rate after spinal fusion. This study summarizes the preclinical and clinical results of the off-label use of teriparatide in the spine, and specifically its intermittent administration after instrumented spinal arthrodesis along with its impact on the spinal bone quality and spinal bone mineral density. ER -