Why we should stop performing vertebroplasties for osteoporotic spinal fractures

2019 ◽  
Vol 49 (11) ◽  
pp. 1367-1371 ◽  
Author(s):  
Rachelle Buchbinder ◽  
Lucy Busija
Keyword(s):  
Spinal Fractures ◽  
Osteoporotic Spinal Fractures

scholarly journals Research of the Clinical Effect of Kyphoplasty in the Treatment of Multiple Senile Osteoporotic Spinal Fractures

2021 ◽  
Vol 5 (1) ◽  
Author(s):  
Tianhui Liu ◽  
Jianmin Cui
Keyword(s):  
Clinical Effect ◽  
Spinal Fractures ◽  
The Elderly ◽  
Effective Rate ◽  
Clinical Indicators ◽  
Medical Institutions ◽  
Osteoporotic Vertebral Fractures ◽  
Study Evaluation ◽  
Before And After ◽  
Osteoporotic Spinal Fractures

Objective: To evaluate the clinical effect of kyphoplasty in the treatment of multiple osteoporotic vertebral fractures in the elderly. Methods: The duration of the study was selected from January 2018 to December 2020, and 38 patients with multiple osteoporotic spinal fractures were selected for study evaluation. All patients were treated with kyphoplasty. The clinical indicators of the two groups were compared and analyzed. Results: The total effective rate was 94.7% and the complication rate was 5.3%. The height of midline, anterior and posterior vertebral body, Cobb angle, VAS score, ODI score and ADL score of 38 patients before and after treatment were compared, which were significantly better than those before treatment (P<0.05). Conclusion: The clinical effect of kyphoplasty in the treatment of elderly patients with multiple osteoporosis is significant, which can be promoted in all levels of medical institutions.

Trends in vertebral augmentation for spinal fractures in myeloma patients: a 2002–2012 population-based study using a large national cancer registry

2017 ◽  
Vol 10 (2) ◽  
pp. 183-190 ◽  
Author(s):  
Falgun H Chokshi ◽  
David H Howard ◽  
Jeffrey G Jarvik ◽  
Richard Duszak
Keyword(s):  
Temporal Trends ◽  
Spinal Fractures ◽  
Sociodemographic Factors ◽  
Spinal Fracture ◽  
Population Based ◽  
Vertebral Augmentation ◽  
Population Based Study ◽  
Black Patients ◽  
The Impact ◽  
Osteoporotic Spinal Fractures

PurposeTo evaluate temporal trends and factors associated with vertebral augmentation use in myeloma patients with spinal fractures from 2002 to 2012.MethodsThis retrospective cohort study used the Surveillance, Epidemiology and End Results (SEER)-Medicare claims database for 2002 through 2012. We included patients age ≥66 years with myeloma and spinal fractures. First, we evaluated receipt of vertebral augmentation. Second, multivariate logistic regression was used to assess the impact of sociodemographic factors, treatment facility type, and underlying comorbidities on the odds of undergoing vertebral augmentation.ResultsOf 4725 myeloma patients with spinal fractures, 653 underwent vertebral augmentation. Procedures increased initially from <1.7% in 2002 to 21.0% (109/520) in 2007, 18.6% (81/435) in 2008, 21.4% (109/509) in 2009, and 17.5% (76/435) in 2011. Patients with a spinal fracture before myeloma diagnosis were twice as likely to undergo vertebral augmentation as patients with fracture after myeloma diagnosis (OR 2.06, 95% CI 1.55 to 2.75). Black patients were half as likely to undergo vertebral augmentation as white patients (OR 0.48, 95% CI 0.34 to 0.68). Patients with 3–5 comorbidities (OR 0.78, 95% CI 0.64 to 0.96) and ≥6 comorbidities (OR 0.69, 95% CI 0.54 to 0.87) were less likely than patients with 0–2 comorbidities to undergo vertebral augmentation.ConclusionsVertebral augmentation for myeloma patients with spinal fractures peaked between 2007 and 2009 and then declined. Providers may have adopted vertebral augmentation in myeloma patients since its introduction, and potentially modified practice patterns following the publication of trials of vertebral augmentation in patients with osteoporotic spinal fractures.

Vertebroplasty for Osteoporotic Spinal Fractures

2016 ◽  
Author(s):  
Christoph I. Lee
Keyword(s):  
Quality Of Life ◽  
Back Pain ◽  
Spinal Fractures ◽  
Clinical Implications ◽  
Clinical Context ◽  
Similar Symptom ◽  
Additional Information ◽  
Study Methodology ◽  
Osteoporotic Spinal Fractures

This chapter, found in the back pain section of the book, provides a succinct synopsis of a key study examining the use of vertebroplasty for osteoporotic spinal fractures. This summary outlines the study methodology and design, major results, limitations and criticisms, related studies and additional information, and clinical implications. For patients with pain from fractures of less than 1 year duration, vertebroplasty brings similar symptom and quality of life improvements as a simulated vertebroplasty. In addition to outlining the most salient features of the study, a clinical vignette and imaging example are included in order to provide relevant clinical context.

Sign in / Sign up

Export Citation Format

Share Document