ACR Appropriateness Criteria Management of Vertebral Compression Fractures

Biomechanical effects of cement distribution in the fractured area on osteoporotic vertebral compression fractures: a three-dimensional finite element analysis

“…8 and 9). [27], and the American College of Radiology in 2014 [28], respectively, all recommended PVP for symptomatic OVCFs refractory to conservative or traditional management. However, two highprofile, multicenter, prospective, randomized controlled trials compared PVP with a sham control group, both of which found that patients randomized to PVP did not experience decreases in pain or disability relative to patients in the placebo arm [29,30].…”

Comparison of the Efficacy Between Two Micro‐Operative Therapies of Old Patients With Osteoporotic Vertebral Compression Fracture: A Network Meta‐Analysis

“…About 10% patients with vertebral compression fracture, an important factor results in disability and even premature mortality of old people, reach to an average of 8‐day hospitalization [Old and Calvert, ]. Generally, non‐operative therapy is the recommended pain‐control treatment for OVCF traditionally according to American College of Radiology Appropriateness Criteria for the management of vertebral compression fractures in 2013 [McConnell et al, ]. And physical therapy, like massage, analgesic medications, bed rest, occupational therapy, recreational therapy, and pharmacologic therapy are the common conservative therapy (CT).…”

Benign Spine Lesions: Advances in Techniques for Minimally Invasive Percutaneous Treatment

“…Traditional vertebroplasty involves instillation of methyl methacrylate cement directly into the vertebral body, while kyphoplasty involves first creating a cavity or several cavities with inflatable balloons, bone tamps, or osteotomes to attempt more controlled cement delivery and improved cement interdigitation. [8][9][10][11] Although both vertebroplasty and kyphoplasty offer durable pain relief, improved quality of life, and improved spine alignment, no randomized clinical trials exist for direct comparison of these techniques. 12 Indirect comparison of these techniques based on systematic reviews shows no substantial difference in patient outcome.…”

“…Several randomized controlled trials have demonstrated the safety, efficacy, and durability of PVA for the management of benign and malignant spine compression fractures. [8][9][10][11] It is the position of multiple radiologic and neurosurgical societies that PVA remains an appropriate therapy for the treatment of painful vertebral compression fractures refractory to nonoperative medical therapy and for vertebrae weakened by neoplasia when performed for the medical indications outlined in the published standards. 9 Recently, radiofrequency (RF)-induced high-viscosity cement has been used for PVA to potentially reduce intervertebral disc and venous cement leakage.…”