Osteoporotic vertebral compression fracture – Treatment with kyphoplasty and vertebroplasty

Abstract

The Guidelines Project, an initiative of the Brazilian Medical Association, aims to combine information from the medical field in order to standardize procedures to assist the reasoning and decision-making of doctors. The information provided through this project must be assessed and criticized by the physician responsible for the conduct that will be adopted, depending on the conditions and the clinical status of each patient. evidence collection MethodThis guideline followed the standard of a systematic review with evidence retrieval based on the evidence-based medicine (EBM), so that clinical experience is integrated with the ability to critically analyze and apply scientific information rationally, thus improving the quality of medical care.We used the structured mode of formulating questions synthesized by the acronym PICO, where P stands for patients with osteoporotic vertebral fracture, I refers to intervention using kyphoplasty, C stands for comparison with vertebroplasty and O stands for the outcomes of efficacy and adverse events.By raising a relevant question related to the proposed topic, we identified, based on the structured question, the keywords that formed the basis of the search for evidence in the databases: Medline-Pubmed, Embase Cochrane Library. The studies had their abstracts reviewed and after applying the eligibility criteria (inclusion and exclusion), 15 articles were selected in order to answer the clinical doubt (Annex I).clinical question

A Comparative Study on the Treatment of Osteoporotic Vertebral Compression Fractures With Early Ambulation and at Least 1 Week of Absolute Bed Rest

“…Percutaneous vertebroplasty and balloon kyphoplasty are the main surgical treatments for vertebral compression fractures. 4 11 12 15 23) However, many patients with OVCFs and mild kyphosis often choose conservative treatments because of their favorable results and for psychological or economic reasons. Nevertheless, a clear protocol for the conservative treatment of OVCFs has not yet been established.…”

Percutaneous kyphoplasty in treating osteoporotic vertebral compression fracture with kyphotic deformity: a compared study

“…On basis of technical drawbacks above, with injection of polymethyl methacrylate (PMMA) into the fractured vertebral body, percutaneous kyphoplasty (PKP) and percutaneous vertebroplasty (PVP) were developed to treat OVCF [12][13][14]. Both PKP and PVP have shown effectiveness to pain relief and low complications in patients with OVCF [15][16][17].…”

Percutaneous Kyphoplasty in Treating Osteoporotic Vertebral Compression Fracture With Kyphotic Deformity: A Compared Study

“…On basis of technical drawbacks above, with injection of polymethyl methacrylate (PMMA) into the fractured vertebral body, percutaneous kyphoplasty (PKP) and percutaneous vertebroplasty (PVP) were developed to treat OVCF [12][13][14]. Both PKP and PVP have shown effectiveness to pain relief and low complications in patients with OVCF [15][16][17].…”