Management of acute osteoporotic vertebral fractures: a nonrandomized trial comparing percutaneous vertebroplasty with conservative therapy

Vertebroplasty: a point of view on this surgical treatment

“…These changes are surprisingly small, and considerably smaller than those reported in studies that compared vertebroplasty with no treatment [4][5][6]. Importantly, the findings suggest that the chronic back pain in these patients might have originated from somewhere other than the fractured vertebra.…”

Vertebroplasty and kyphoplasty

“…We have had to rely mainly on observational uncontrolled studies and case series. An overwhelming impression from the results is that the patients are almost immediately relieved of back pain, whether after VP or KP (Barr et al 2000, Lieberman et al 2001, McGraw et al 2002, Coumans et al 2003, Diamond et al 2003, Evans et al 2003, Ledlie and Renfro 2003, McGraw et al 2003, Mehbod et al 2003, Phillips et al 2003, Rao and Singrakhia 2003, Weisskopf et al 2003, Crandall et al 2004, Donovan et al 2004, Grohs and Krepler 2004, Heini and Orler 2004, Hillmeier et al 2004, Masala et al 2004). Most of these reports have shown a short-term success rate of relieving pain of 75-90%.…”

“…In this survey, 97 of the patients reported substantial pain reduction, assessed by VAS, with the pain level dropping from 8.9 to 2.0. In another study, it had been possible for the authors to use a control group for comparison (Diamond et al 2003). This is surely one of the very few studies published, if not the only one, in which such an attempt was made.…”

“…The method gained further popularity in the United States during the 1990s, mainly for the treatment of osteoporotic fractures. At the end of the millennium, the method was also established in most western European countries (Barr et al 2000, McGraw et al 2002, Diamond et al 2003, Evans et al 2003, Mehbod et al 2003. The VP method was further developed by the introduction of the percutaneous balloon KP technique (Lieberman et al 2001).…”

Vertebroplasty: benefits are more than risks in selected and evidence-based informed patients. A retrospective study of 59 cases

“…Since then, indications were extended to spinal column metastatic lesions, myelomas and acute vertebral fractures. During the past decades there has been adequate evidence in support of its safety, immediate pain reduction effectiveness exceeds 90% of cases and biomechanical stability [17][18][19][20][21]. Anyway, patient selection criteria and precise indications about timing of treatment for osteoporotic vertebral fractures have not been established yet.…”