Vertebroplasty for painful acute osteoporotic vertebral fractures: recent Medical Journal of Australia editorial is not relevant to the patient group that we treat with vertebroplasty

被引：23

作者：

Clark, William A. ^{[1
]}

Diamond, Terrence H. ^{[2
]}

McNeil, H. Patrick ^{[2
]}

Gonski, Peter N. ^{[3
]}

Schlaphoff, Glen P. ^{[4
]}

Rouse, John C. ^{[3
,5
]}

机构：

[1] St George Private Hosp, Sydney, NSW, Australia

[2] Univ New S Wales, Sydney, NSW, Australia

[3] Sutherland Hosp, Sydney, NSW, Australia

[4] Liverpool Hosp, Sydney, NSW, Australia

[5] St George Hosp, Sydney, NSW, Australia

来源：

MEDICAL JOURNAL OF AUSTRALIA | 2010年 / 192卷 / 06期

关键词：

RANDOMIZED CONTROLLED-TRIAL; PERCUTANEOUS VERTEBROPLASTY; COMPRESSION FRACTURES; CLINICAL-OUTCOMES; EFFICACY; THERAPY; SAFETY;

D O I：

10.5694/j.1326-5377.2010.tb03533.x

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

We use vertebroplasty for patients with the most severe pain caused by osteoporotic vertebral fractures less than 6 weeks old, and have observed dramatic pain relief in this acute setting. A recent editorial in the Journal, written by the authors of two recent vertebroplasty trials, suggested that vertebroplasty is not an effective therapy for acute osteoporotic vertebral fractures. The trials described in the editorial sampled a very different patient cohort to the one that we treat with vertebroplasty. Our clinical experience and most of the published literature relating to the benefits of vertebroplasty are in striking contrast to the opinions presented in that editorial. MJA 2010; 192: 334-337

引用

收藏

页码：334 / 337

页数：4

相关论文

共 16 条

[1]

[Anonymous], 2009, SPINE PHILA PA 1976, DOI DOI 10.1097/brs.0b013e3181a4e628

[2] Vertebroplasty appears no better than placebo for painful osteoporotic spinal fractures, and has potential to cause harm [J].

Buchbinder, Rachelle ;

Osborne, Richard H. ;

Kallmes, David .

MEDICAL JOURNAL OF AUSTRALIA, 2009, 191 (09) :476-477

[3] Efficacy and safety of vertebroplasty for treatment of painful osteoporotic vertebral fractures: a randomised controlled trial [ACTRN012605000079640] [J].

Buchbinder, Rachelle ;

Osborne, Richard H. ;

Ebeling, Peter R. ;

Wark, John D. ;

Mitchell, Peter ;

Wriedt, Chris J. ;

Wengier, Lainie ;

Connell, David ;

Graves, Stephen E. ;

Staples, Margaret P. ;

Murphy, Bridie .

BMC MUSCULOSKELETAL DISORDERS, 2008, 9 (1)

[4] A Randomized Trial of Vertebroplasty for Painful Osteoporotic Vertebral Fractures [J].

Buchbinder, Rachelle ;

Osborne, Richard H. ;

Ebeling, Peter R. ;

Wark, John D. ;

Mitchell, Peter ;

Wriedt, Chris ;

Graves, Stephen ;

Staples, Margaret P. ;

Murphy, Bridie .

NEW ENGLAND JOURNAL OF MEDICINE, 2009, 361 (06) :557-568

[5] Clinical outcomes after acute osteoporotic vertebral fractures: a 2-year non-randomised trial comparing percutaneous vertebroplasty with conservative therapy [J].

Diamond, TH ;

Bryant, C ;

Browne, L ;

Clark, WA .

MEDICAL JOURNAL OF AUSTRALIA, 2006, 184 (03) :113-117

[6] Comparison of vertebroplasty and balloon kyphoplasty for treatment of vertebral compression fractures: a meta-analysis of the literature [J].

Eck, Jason C. ;

Nachtigall, Dean ;

Humphreys, S. Craig ;

Hodges, Scott D. .

SPINE JOURNAL, 2008, 8 (03) :488-497

[7] INvestigational Vertebroplasty Efficacy and Safety Trial (INVEST): a randomized controlled trial of percutaneous vertebroplasty [J].

Gray, Leigh A. ;

Jarvik, Jeffrey G. ;

Heagerty, Patrick J. ;

Hollingworth, William ;

Stout, Lydia ;

Comstock, Bryan A. ;

Turner, Judith A. ;

Kallmes, David F. .

BMC MUSCULOSKELETAL DISORDERS, 2007, 8 (1)

[8] Percutaneous vertebroplasty in the therapy of osteoporotic vertebral compression fractures: a critical review [J].

Hochmuth, K ;

Proschek, D ;

Schwarz, W ;

Mack, M ;

Kurth, AA ;

Vogl, TJ .

EUROPEAN RADIOLOGY, 2006, 16 (05) :998-1004

[9] A Randomized Trial of Vertebroplasty for Osteoporotic Spinal Fractures [J].

Kallmes, David F. ;

Comstock, Bryan A. ;

Heagerty, Patrick J. ;

Turner, Judith A. ;

Wilson, David J. ;

Diamond, Terry H. ;

Edwards, Richard ;

Gray, Leigh A. ;

Stout, Lydia ;

Owen, Sara ;

Hollingworth, William ;

Ghdoke, Basavaraj ;

Annesley-Williams, Deborah J. ;

Ralston, Stuart H. ;

Jarvik, Jeffrey G. .

NEW ENGLAND JOURNAL OF MEDICINE, 2009, 361 (06) :569-579

[10]

Kaufmann TJ, 2006, AM J NEURORADIOL, V27, P1933