Vertebroplasty for acute painful osteoporotic vertebral compression fractures: An update.
osteoporosis
osteoporotic fractures
vertebral compression fractures
vertebral fractures
vertebroplasty
Journal
Journal of medical imaging and radiation oncology
ISSN: 1754-9485
Titre abrégé: J Med Imaging Radiat Oncol
Pays: Australia
ID NLM: 101469340
Informations de publication
Date de publication:
Dec 2019
Dec 2019
Historique:
received:
14
03
2019
accepted:
19
04
2019
pubmed:
21
5
2019
medline:
20
6
2020
entrez:
21
5
2019
Statut:
ppublish
Résumé
Vertebral compression fractures (VCFs) are a common cause of back pain and disability and are usually osteoporotic in nature. Therapy aims to adequately control pain and allow early mobilisation and return of function while preventing additional fractures. A proportion of patients do not achieve adequate pain relief using conservative measures alone. Unwanted adverse effects from medications may also ensue. Vertebroplasty represents an alternative treatment option for VCFs. Patients with acute VCFs (≤6 weeks old) may gain the most benefit from vertebroplasty as healed fractures are not as amenable to cement injection. High-quality studies have reported conflicting results regarding the use of vertebroplasty in the treatment of acute VCFs. Despite high-quality evidence, varying study designs and heterogenous patient cohorts make interpretation of this data difficult. Only one sham-controlled randomised controlled trial (RCT) has evaluated vertebroplasty exclusively in patients with acute VCFs, reporting favourable results. Pooled data from RCTs also suggest vertebroplasty to be safe. This article provides a concise and critical review of the current literature regarding vertebroplasty for the treatment of acute VCFs.
Identifiants
pubmed: 31106977
doi: 10.1111/1754-9485.12900
doi:
Substances chimiques
Bone Cements
0
Types de publication
Journal Article
Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
779-785Informations de copyright
© 2019 The Royal Australian and New Zealand College of Radiologists.
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