Standards of practicePosition Statement on Percutaneous Vertebral Augmentation: A Consensus Statement Developed by the American Society of Interventional and Therapeutic Neuroradiology, Society of Interventional Radiology, American Association of Neurological Surgeons/Congress of Neurological Surgeons, and American Society of Spine Radiology
Section snippets
Vertebral Augmentation versus Traditional Conservative Management
Although “conservative” implies “safe,” conservative therapy of vertebral compression fractures is neither benign nor risk-free and its complications are well documented (46, 47, 48). Conservative treatment of painful vertebral compression fractures usually consists of bed rest, bracing, and narcotic analgesia. In a recent prospective study of 498 hospitalized patients aged 70 years or older, low mobility (defined as bed rest or ability to transfer to chair) or intermediate mobility (defined as
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Cited by (43)
Vertebroplasty, Kyphoplasty, Lordoplasty, Expandable Devices, and Current Treatment of Painful Osteoporotic Vertebral Fractures
2016, World NeurosurgeryCitation Excerpt :The consensus of most neurosurgeons is that vertebroplasty and kyphoplasty are statistically both effective and safe if applied when properly indicated (i.e., for pain control if medical treatment fails in osteoporotic or neoplastic vertebral fracture patients) and have been proven in both retrospective and prospective studies as well as in meta-analysis.8-10 The benefits of the procedure supersede its risks, and it has proven to be cost effective.11 Few studies deny the benefits of vertebroplasty.12,13
The role of neurosurgery journals in evidence-based neurosurgical care
2015, Neurosurgery Clinics of North AmericaVertebroplasty trials: The medium is the message
2014, Journal of Vascular and Interventional RadiologyPercutaneous vertebroplasty: Multi-centric results from EVEREST experience in large cohort of patients
2012, European Journal of RadiologyCitation Excerpt :Percutaneous vertebroplasty (PV) is a minimally invasive procedure in which bone cement polymethylmethacrylate (PMMA) is injected, using a needle positioned under CT or fluoroscopic guidance, into a vertebral body to treat pain associated with a vertebral compression fracture. The cement functions as an internal cast in the vertebra to provide pain relief and structural stabilization [3,4]. Some observational studies suggested that there is pain reduction after this procedure is performed [5–7] but the efficacy of PV is still debated [8–10]; in fact not only is the short-term efficacy of vertebroplasty unproven, but some authors hypothesized that after PV an increased risk of subsequent vertebral fractures may occur [8].