An overview of clinical guidelines for the management of vertebral compression fracture: a systematic review

Management of vertebral fragility fractures: a clinical care pathway developed by a multispecialty panel using the RAND/UCLA Appropriateness Method

“…The diagnostic evaluation of patients with back pain and a suspected VFF is important, and the panel agreed strongly that patients with an intermediate to high probability of a VFF should undergo advanced imaging including MRI or CT and nuclear bone scan and that MRI is the preferred modality, to be used whenever clinically possible. Most currently available guidelines are not very explicit in their recommendations on the diagnostic evaluation of patients with or suspected of having VFF [25]. The American College of Radiology recommends MRI and CT on patients for whom VA is considered [31].…”

“…The current debate on the appropriate management of VFF is also reflected in divergent recommendations of clinical guidelines. A recent systematic review (SR) of evidence-based guidelines for the management of VFF showed considerable inconsistencies [25]. These concerned not only recommendations on the interventional treatment of VFF but also on the diagnostic evaluation and prevention of future fractures [25].…”

Update on Symptomatic Treatment of Acute Vertebral Compression Fracture

“…Several professional bodies have published their stance on vertebral augmentation [4,6,15,16,31]. The American College of Radiology [4] and the National Institute for Health and Care Excellence (NICE) of United Kingdom REVIEW [6] stated a low level of evidence regarding PVP or PKP and the recommendation of these procedures for VCF-related pain is not strong.…”

“…Calcitonin has been used to relieve acute pain due to VCF but is regarded to have weak evidence by international clinical practice guidelines [6]. A metaanalysis has shown that short-term calcitonin is effective in reducing VCF-related acute back pain within 4 weeks but there is no convincing evidence to support the use of calcitonin for chronic pain associated with VCF [7].…”

Spinal aging

“…Treatment for osteoporotic vertebral compression fractures (OVCFs) is characterized by a substantial variety in treatment advice as there is no generally acknowledged consensus for decision-making. Therapeutic recommendations for conservative treatment are generally inconsistent [61]. Since OVCFs are an increasing health problem with serious clini- Assisted Rehabilitation Environment (CAREN) is an acknowledged tool to assess balance and motion/gait in patients.…”