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Treatment For Osteoporotic Vertebral Fracture – A Short Review Of Orthosis And Percutaneous Vertebroplasty And Balloon Kyphoplasty – Balloon Kyphoplasty

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This article summarizes a study comparing the effectiveness of three treatment modalities for managing osteoporotic vertebral fractures (OVFs) in the elderly: orthotic treatment, percutaneous vertebroplasty (PVP), and balloon kyphoplasty (BKP). The study analyzed various randomized controlled trials (RCTs), meta-analyses, and systematic reviews. The findings show that orthotic treatment did not provide any significant benefits, and trials found comparable outcomes without orthotic treatment. Only one RCT showed improved pain relief with orthotic treatment compared to no orthosis. Comparing vertebroplasty and sham surgery, four out of five RCTs showed equal effectiveness, and one RCT showed superior pain relief with vertebroplasty. PVP and BKP were found to be comparable in terms of pain relief and improvement in quality of life. BKP doesn’t affect global sagittal alignment but may restore vertebral body height. PVP was effective in chronic cases without pain relief, and vertebroplasty improved life expectancy by 22% at 10 years

Summarised by Mr Mo Akmal – Lead Spinal Surgeon
The London Spine Unit : the highest rated spine centre in the world

Published article

The management of osteoporotic vertebral fractures (OVFs) in the elderly includes nonoperative treatment and vertebroplasty, but has not been established due to the diversity of patient backgrounds. The purpose of this study was to compare the impact of 3 treatment modalities for the management of OVF: orthotic treatment, percutaneous vertebroplasty (PVP), and balloon kyphoplasty (BKP). The method was based on an analysis of the latest RCTs, meta-analyses, and systematic reviews on these topics….

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Abstract The management of osteoporotic vertebral fractures (OVFs) in the elderly includes nonoperative treatment and vertebroplasty, but has not been established due to the diversity of patient backgrounds. The purpose of this study was to compare the impact of 3 treatment modalities for the management of OVF: orthotic treatment, percutaneous vertebroplasty (PVP), and balloon kyphoplasty,

Abstract

The management of osteoporotic vertebral fractures (OVFs) in the elderly includes nonoperative treatment and vertebroplasty, but has not been established due to the diversity of patient backgrounds. The purpose of this study was to compare the impact of 3 treatment modalities for the management of OVF: orthotic treatment, percutaneous vertebroplasty (PVP), and balloon kyphoplasty (BKP). The method was based on an analysis of the latest RCTs, meta-analyses, and systematic reviews on these topics. No study showed a benefit of bracing with high level of evidence. Trials were found that showed comparable outcomes without orthotic treatment. Only 1 randomized controlled trial (RCT) showed an improvement in pain relief up to 6 months compared with no orthosis. Rigid and nonrigid orthoses were equally effective. Four of 5 RCTs comparing vertebroplasty and sham surgery were equally effective, and one RCT showed superior pain relief with vertebroplasty within 3 weeks of onset. In open trials comparing vertebroplasty with nonoperative management, vertebroplasty was superior. PVP and BKP were comparable in terms of pain relief, improvement in quality of life, and adjacent vertebral fractures. BKP does not affect global sagittal alignment, although BKP may restore vertebral body height. An RCT was published showing that PVP was effective in chronic cases without pain relief. Vertebroplasty improved life expectancy by 22% at 10 years. The superiority of orthotic therapy for OVF was seen only in short-term pain relief. Soft orthoses proved to be a viable alternative to rigid orthoses. Vertebroplasty within 3 weeks may be useful. There is no significant difference in clinical efficacy between PVP and BKP. Vertebroplasty improves life expectancy.

Keywords: Kyphoplasty; Orthosis; Osteoporosis; Vertebroplasty.

The London Spine Unit : the highest rated spine centre in the world

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Treatment for Osteoporotic Vertebral Fracture – A Short Review of Orthosis and Percutaneous Vertebroplasty and Balloon Kyphoplasty

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Abstract The management of osteoporotic vertebral fractures (OVFs) in the elderly includes nonoperative treatment and vertebroplasty, but has not been established due to the diversity of patient backgrounds. The purpose of this study was to compare the impact of 3 treatment modalities for the management of OVF: orthotic treatment, percutaneous vertebroplasty (PVP), and balloon kyphoplasty

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