“…The present findings, together with those from future in vitro determinations of other cement properties as a function of PLMR, notably, the extent of extravasation of the cement outside the treated VB (a major complication, especially in VP7, 8, 45) in an appropriate animal spine model, such as spines of skeletally mature sheep46 and red deer,47 should inform clinicians in making decisions regarding the manipulation of the PLMR to be used in VP or BKP. It is realized, however, that the significance/implications of these findings can only be established through randomized, prospective, long‐term, multicentered clinical studies in which all variables (in particular, patient characteristics, notably, time between occurrence of compression VB fractures, and performance of VP or BKP), with the exception of the PLMR used, are the same between the study groups.…”