Navigation Links
IOF urges systematic osteoporosis management after vertebral fracture augmentation
Date:8/1/2011

A working group of the International Osteoporosis Foundation (IOF) has issued a literature review of prospective controlled studies comparing the efficacy and safety of two minimally invasive techniques for vertebral augmentation after spine fracture: vertebroplasty (VP) and balloon kyphoplasty (BKP). The review also lists important recommendations to facilitate the comparison of future studies and highlights research questions still unresolved.

Vertebral fractures, most often due to osteoporosis, are associated with acute or chronic back pain, disability and kyphosis (stooped back). One in five women with a vertebral fracture will sustain another within a year, which may lead to a 'cascade' of fractures. Vertebral fractures impact severely on quality of life and may have serious health consequences such as spinal deformity, immobility, decreased pulmonary function, early satiety and impaired gait. Clinical vertebral fractures are also associated with an 8-fold increase in mortality.

Conservative treatment of vertebral fractures is typically through rest, pain medication, bracing and muscle relaxants. VP and BKP are two minimally invasive techniques that consist of inserting a bone cement into the compressed vertebra and stabilising the fracture.

In the studies observed, the review found that:

  • Overall, VP and BKP are relatively safe procedures and serious complications are rare.
  • In the short term, VP and BKP provide quicker pain relief and mobility recovery than does conservative treatment alone.
  • VP and BKP are able to stabilise the fracture and in some cases restore lost vertebral body height.
  • The added benefit of injecting cement over a sham-controlled surgery is still contentious.
  • The clinical outcome after VP and BKP appears to be dependent on the time elapsed between the fracture and the intervention.
  • The incidence of new (including adjacent) vertebral fractures are similar after VP or BKP, but longer term data are required.
  • Further studies are needed with standardised and systematic reporting of health outcomes and complications.

Kristina kesson, chair of the IOF Fracture Working Group and Professor at the Department of Orthopedics, Skne University Hospital Malm in Sweden, stated, "Referring physicians should be aware that VP and BKP are available options for the management of vertebral compression fractures, with possible clinical benefits to their patients in terms of acute pain relief and improved quality of life. However, longer follow-up of patients are needed to ensure the efficacy and safety of these techniques, which should not be considered as a substitute for the medical management of osteoporosis, vitally needed in these patients at high risk of other fractures."


'/>"/>

Contact: L. Misteli
info@iofbonehealth.org
41-229-940-100
International Osteoporosis Foundation
Source:Eurekalert

Related biology news :

1. Strong El Niño could bring increased sea levels, storm surges to US East Coast
2. Innovation Task Force urges approval of America COMPETES Act
3. Storm Surges Congress 2010 -- scientists from 30 countries meet in Hamburg
4. UF researcher urges caution in reducing blood pressure in patients with diabetes, coronary disease
5. SNM urges Congress to support CARE bill
6. FCSO Selects Burgess as Exclusive Pricing Solution for New Medicare Contract
7. Top scientific meeting urges coordinated response to economic and environmental crises
8. Molecular methods are not sufficient in systematics and evolution
9. Space agencies join forces to systematically observe climate variables
10. Experts discuss applying systematic review to the field of nutrition
11. Registration opens for first Middle East and Africa osteoporosis meeting
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:3/28/2017)... , March 28, 2017 The ... Hardware (Camera, Monitors, Servers, Storage Devices), Software (Video Analytics, ... Region - Global Forecast to 2022", published by MarketsandMarkets, ... 2016 and is projected to reach USD 75.64 Billion ... and 2022. The base year considered for the study ...
(Date:3/24/2017)... , March 24, 2017 The Controller General ... Controller Mr. Abdulla Algeen have received the prestigious international IAIR ... Continue Reading ... ... picture) and Deputy Controller Abdulla Algeen (small picture on the right) have ...
(Date:3/23/2017)... -- The report "Gesture Recognition and Touchless Sensing Market by Technology ... Forecast to 2022", published by MarketsandMarkets, the market is expected to be worth ... and 2022. Continue Reading ... ... ...
Breaking Biology News(10 mins):
(Date:10/12/2017)... ... October 12, 2017 , ... ... genomics analysis platform specifically designed for life science researchers to analyze and ... researcher Rosalind Franklin, who made a major contribution to the discovery of ...
(Date:10/11/2017)... LINDA, CA (PRWEB) , ... October 11, 2017 ... ... to upregulate any gene in its endogenous context, enabling overexpression experiments and avoiding ... (CRISPRa) system with small RNA guides is transformative for performing systematic gain-of-function studies. ...
(Date:10/11/2017)... (PRWEB) , ... October 11, 2017 , ... ComplianceOnline’s Medical ... place on 7th and 8th June 2018 in San Francisco, CA. The Summit brings ... well as several distinguished CEOs, board directors and government officials from around the world ...
(Date:10/11/2017)... 2017  VMS BioMarketing, a leading provider of patient support ... Nurse Educator (CNE) network, which will launch this week. The ... health care professionals to enhance the patient care experience by ... other health care professionals to help women who have been ... ...
Breaking Biology Technology: