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Management Of Osteoporosis And Spinal Fractures: Contemporary Guidelines And Evolving Paradigms – Balloon Kyphoplasty

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The article discusses the importance of understanding the pathogenesis and current guidelines for managing diminished bone mineral density in patients with spine fractures secondary to osteopenia and osteoporosis. It reviews various imaging and laboratory tests used to diagnose osteoporotic fractures and explores contemporary medical and surgical management options. The use of scoring systems like FRAX® for evaluating fracture risk in osteoporosis is highlighted, particularly in preoperative bone health optimization strategies. The article also discusses the role of primary surgical intervention for vertebral compression fractures and pharmacological therapy for secondary fracture prevention. It presents an evidence-based clinical management algorithm for treating osteoporotic vertebral body compression fractures and discusses recent guidelines and recommendations on surgical intervention. The efficacy of cement augmentation of vertebral compression fractures via vertebroplasty and balloon kyphoplasty is compared to conservative medical management in the elderly population

Summarised by Mr Mo Akmal – Lead Spinal Surgeon
The London Spine Unit : best situated sugical centre on Harley Street UK

Published article

Physicians involved in treating spine fractures secondary to osteopenia and osteoporosis should know the pathogenesis and current guidelines on managing the underlying diminished bone mineral density, as worldwide fracture prevention campaigns are trailing behind in meeting their goals. This is a narrative review exploring the various imaging and laboratory tests used to diagnose osteoporotic fractures and a comprehensive compilation of contemporary medical and surgical management. We have…

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Abstract Physicians involved in treating spine fractures secondary to osteopenia and osteoporosis should know the pathogenesis and current guidelines on managing the underlying diminished bone mineral density, as worldwide fracture prevention campaigns are trailing behind in meeting their goals. This is a narrative review exploring the various imaging and laboratory tests used to diagnose osteoporotic,

Abstract

Physicians involved in treating spine fractures secondary to osteopenia and osteoporosis should know the pathogenesis and current guidelines on managing the underlying diminished bone mineral density, as worldwide fracture prevention campaigns are trailing behind in meeting their goals. This is a narrative review exploring the various imaging and laboratory tests used to diagnose osteoporotic fractures and a comprehensive compilation of contemporary medical and surgical management. We have incorporated salient recommendations from the Endocrine Society, the American Association of Clinical Endocrinology (AACE), and the American Society for Bone and Mineral Research (ASBMR). The use of modern scoring systems such as Fracture Risk Assessment Tool (FRAX®) for evaluating fracture risk in osteoporosis with a 10-year probability of hip fracture and major fractures in the spine, forearm, hip, or shoulder is highlighted. This osteoporosis risk assessment tool can be easily incorporated into the preoperative bone health optimization strategies, especially before elective spine surgery in osteoporotic patients. The role of primary surgical intervention for vertebral compression fracture and secondary fracture prevention with pharmacological therapy is described, with randomized clinical trial-based wisdom on its timing and dosage, drug holiday, adverse effects, and relevant evidence-based literature. We also aim to present an evidence-based clinical management algorithm for treating osteoporotic vertebral body compression fractures, tumor-induced osteoporosis, or hardware stabilization in elderly trauma patients in the setting of their impaired bone health. The recent guidelines and recommendations on surgical intervention by various medical societies are covered, along with outcome studies that reveal the efficacy of cement augmentation of vertebral compression fractures via vertebroplasty and balloon kyphoplasty versus conservative medical management in the elderly population.

Keywords: Cement augmentation; Kyphoplasty; Osteoporosis; Postmenopausal; Spinal fractures; bone density.

The London Spine Unit : best situated sugical centre on Harley Street UK

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Management of Osteoporosis and Spinal Fractures: Contemporary Guidelines and Evolving Paradigms

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Abstract Physicians involved in treating spine fractures secondary to osteopenia and osteoporosis should know the pathogenesis and current guidelines on managing the underlying diminished bone mineral density, as worldwide fracture prevention campaigns are trailing behind in meeting their goals. This is a narrative review exploring the various imaging and laboratory tests used to diagnose osteoporotic

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