Balloon kyphoplasty and vertebroplasty in the management of vertebral compression fractures
| Autor: | Mary L. Bouxsein, Karl Obrant, M. L. Brandi, G. P. Lyritis, Steven Boonen, Ethel S. Siris, Kristina Åkesson, S. Silverman, L Nauroy, David Marsh, D. A. Wahl, Jörg Goldhahn, E. M. Lewiecki |
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| Rok vydání: | 2011 |
| Předmět: |
medicine.medical_specialty
Endocrinology Diabetes and Metabolism medicine.medical_treatment Osteoporosis Kyphosis Balloon Internal medicine Fractures Compression medicine Humans Multicenter Studies as Topic Pain Management Kyphoplasty Prospective Studies Reduction (orthopedic surgery) Randomized Controlled Trials as Topic Vertebroplasty Medical treatment business.industry medicine.disease Compression (physics) Rheumatology Surgery Treatment Outcome Orthopedic surgery Physical therapy Spinal Fractures business Osteoporotic Fractures |
| Zdroj: | Osteoporosis International. 22:2915-2934 |
| ISSN: | 1433-2965 0937-941X |
| DOI: | 10.1007/s00198-011-1639-5 |
| Popis: | Vertebral compression fractures (VCFs) are the most prevalent fractures in osteoporotic patients. The classical conservative management of these fractures is through rest, pain medication, bracing and muscle relaxants. The aim of this paper is to review prospective controlled studies comparing the efficacy and safety of minimally invasive techniques for vertebral augmentation, vertebroplasty (VP) and balloon kyphoplasty (BKP), versus non-surgical management (NSM). The Fracture Working Group of the International Osteoporosis Foundation conducted a literature search and developed a review paper on VP and BKP. The results presented for the direct management of osteoporotic VCFs focused on clinical outcomes of these three different procedures, including reduction in pain, improvement of function and mobility, vertebral height restoration and decrease in spinal curvature (kyphosis). Overall, VP and BKP are generally safe procedures that provide quicker pain relief, mobility recovery and in some cases vertebral height restoration than conventional conservative medical treatment, at least in the short term. However, the long-term benefits and safety in terms of risk of subsequent vertebral fractures have not been clearly demonstrated and further prospective randomized studies are needed with standards for reporting. Referral physicians should be aware of VP/BKP and their potential to reduce the health impairment of patients with VCFs. However, VP and BKP are not substitutes for appropriate evaluation and treatment of osteoporosis to reduce the risk of future fractures. |
| Databáze: | OpenAIRE |
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