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The treatment of symptomatic osteoporotic spinal compression fractures

This clinical practice guideline is based on a series of systematic reviews of published studies on the treatment of symptomatic osteoporotic spinal compression fractures. Of 11 recommendations, one is strong; one, moderate; three, weak; and six, inconclusive. The strong recommendation is against the use of vertebroplasty to treat the fractures; the moderate recommendation is for the use of calcitonin for 4 weeks following the onset of fracture. The weak recommendations address the use of ibandronate and strontium ranelate to prevent additional symptomatic fractures, the use of L2 nerve root blocks to treat the pain associated with L3 or L4 fractures, and the use of kyphoplasty to treat symptomatic fractures in patients who are neurologically intact

Keywords : Bone Density,Bone Density Conservation Agents,Calcitonin,Combined Modality Therapy,Diphosphonates,Evidence-Based Medicine,Fractures,Compression,Humans,Ibandronic Acid,Kyphoplasty,methods,Nerve Block,Organometallic Compounds,Osteoporotic Fractures,Pain,Pain Measurement,Patients,Spinal Fractures,therapeutic use,therapy,Thiophenes,Vertebroplasty,, Treatment,Symptomatic,Osteoporotic,Spinal, lower back pain patch

Date of Publication : 2011 Mar

Authors : Esses SI;McGuire R;Jenkins J;Finkelstein J;Woodard E;Watters WC;Goldberg MJ;Keith M;Turkelson CM;Wies JL;Sluka P;Boyer KM;Hitchcock K;

Organisation : Southwest Orthopaedic Group, Houston, TX, USA

Journal of Publication : J Am Acad Orthop Surg

Pubmed Link : https://www.ncbi.nlm.nih.gov/pubmed/21368099

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