Vertebroplasty and Kyphoplasty for Osteoporotic Vertebral Fractures: What Are the Latest Data?

被引:91
作者
Chandra, R. V. [1 ,2 ]
Maingard, J. [3 ]
Asadi, H. [1 ,3 ,4 ]
Slater, L. -A. [1 ,2 ]
Mazwi, T. -L. [5 ]
Marcia, S. [6 ]
Barr, J. [7 ]
Hirsch, J. A. [5 ]
机构
[1] Monash Hlth, Monash Imaging, Intervent Neuroradiol Unit, Melbourne, Vic, Australia
[2] Monash Univ, Fac Med Nursing & Hlth Sci, Melbourne, Vic, Australia
[3] Radiol Austin Hosp, Intervent Neuroradiol Serv, Dept Radiol, Melbourne, Vic, Australia
[4] Deakin Univ, Sch Med, Fac Hlth, Waurn Ponds, Vic, Australia
[5] Harvard Med Sch, Massachusetts Gen Hosp, Neuroendovasc Program, Boston, MA USA
[6] SS Trinita Hosp, Dept Radiol, Cagliari, Italy
[7] Univ Texas Southwestern Med Ctr Dallas, Intervent Neuroradiol, Dallas, TX 75390 USA
关键词
COMPRESSION FRACTURES;
D O I
10.3174/ajnr.A5458
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Osteoporotic vertebral compression fractures frequently result in significant morbidity and health care resource use. For patients with severe and disabling pain, vertebral augmentation (vertebroplasty and kyphoplasty) is often considered. Although vertebroplasty was introduced >30 years ago, there are conflicting opinions regarding the role of these procedures in the treatment of osteoporotic vertebral compression fractures. This review article updates clinicians on the published prospective randomized controlled data, including the most recent positive trials that followed initial negative trials in 2009. Analysis of multiple national claim datasets has also provided further insight into the utility of these procedures. Finally, we considered the recent recommendations of national organizations and medical societies that advise on the use of vertebral augmentation procedures for osteoporotic vertebral compression fractures.
引用
收藏
页码:798 / 806
页数:9
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