Impact of Magnetic Resonance Imaging on Treatment-Related Decision Making for Osteoporotic Vertebral Compression Fracture: A Prospective Randomized Trial

Cong, Jing; Xu, Guojian; Weng, Dong; Xie, Mingjun; Qian, Yu

doi:10.12659/msm.905729

Cited by 10 publications

(17 citation statements)

References 23 publications

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“…9 Jin et al found similar outcomes for height and pain scores in a study published in 2018. 10 They determined that balloon kyphoplasty patients had greater improvement in pain scores, height restoration, and rate of bone union and lower kyphosis angles at 1-year follow-up compared to patients who had conservative treatment alone. 10 …”

Section: Introductionmentioning

confidence: 99%

Balloon Kyphoplasty vs Vertebroplasty: A Systematic Review of Height Restoration in Osteoporotic Vertebral Compression Fractures

Patel¹,

Jacobs²,

John³

et al. 2022

JPR

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Purpose of Review This systematic review comprehensively compared balloon kyphoplasty and vertebroplasty with respect to height restoration and pain relief. Recent Findings PRISMA guidelines were utilized to compare balloon kyphoplasty and vertebroplasty, focusing on the primary outcome of height restoration and the secondary outcomes of pain relief and functionality. A total of 33 randomized controlled trials were included; 20 reviewed balloon kyphoplasty, 7 reviewed vertebroplasty, and 6 compared vertebroplasty to balloon kyphoplasty. Both treatments restored some vertebral body height and showed benefits in pain reduction and improved patient-reported functionality. Summary Balloon kyphoplasty and vertebroplasty are effective treatments for vertebral compression fractures and this review suggests that balloon kyphoplasty may be favored for vertebral height restoration. Further studies are needed to conclude whether balloon kyphoplasty or vertebroplasty is superior for alleviating pain.

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Section: Introductionmentioning

confidence: 99%

Balloon Kyphoplasty vs Vertebroplasty: A Systematic Review of Height Restoration in Osteoporotic Vertebral Compression Fractures

Patel¹,

Jacobs²,

John³

et al. 2022

JPR

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“…The best access information could be obtained before operation. Therefore, the tunnel's quality is higher, and the terminate is closer to the weight-bearing area, and more overlapped with the OVCF area 9 . The balloon's expanding can lead to a better effect in the vertebra compression area, obtain better height recovery 10 .…”

Section: Resultsmentioning

confidence: 99%

Pre-operation on 3D-print Model Can Improve Curative Effect of Percutaneous Kyphoplasty (PKP)

shen

Xing

2021

Preprint

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Background: The 3D-print technology has been widely used in the medical field. The purpose of this study is to investigate the advantages of 3D-print model pre-operation for percutaneous kyphoplasty (PKP).Methods: Before the operations of 25 Osteoporotic vertebral body compression fractures (OVCF) cases as the experimental group, and 35 cases of the same disease in the same period were retrospectively selected as the control group without pre-operation. The 3D-print model was made by CT imagine. The puncture point and insertion angle were determined by the pre-operation on that model. The data recorded included data about operation time/fluoroscopy times/Changing channel times and preoperative and postoperative VAS(Visual Analogue Score), JOA(Japanese Orthopedic Association) score, Cobb’s angles.Results: There are significant advantages in the 3D printing group compared with the control group in the time of operation, the number of tunnel changes and the number of perspectives (p<0.05). The postoperative Cobbs angle is significantly improved (p<0.05) in both the short and long term compared with the control group. The recent postoperative VAS score is significantly lower than that in the control group (p<0.05), and there is no significant difference in the long-term postoperative VAS score. There is no significant difference between the two groups of JOA functional score and improvement index.Conclusions: preoperation with 3D-print model can significantly improve the accuracy, reduce the change times of tunnels, shorten the operation time and reduce the number of fluoroscopy. Postoperative pain can be better relieved.

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“…Diagnoses were made by combining T1‐weighted images (T1WIs), T2‐weighted images (T2WIs), and STIR images in the sagittal plane. A fresh VF or old unhealed VF was diagnosed based on a low signal in T1WIs and on a high signal in T2WIs and STIR images in part of or the entire vertebral body, respectively, with particular emphasis on a high signal in STIR images . Otherwise, painful VFs were excluded.…”

Section: Methodsmentioning

confidence: 99%

“…A fresh VF or old unhealed VF was diagnosed based on a low signal in T1WIs and on a high signal in T2WIs and STIR images in part of or the entire vertebral body, respectively, with particular emphasis on a high signal in STIR images. (8,(21)(22)(23)(24)(25)(26) Otherwise, painful VFs were excluded. For example, a fracture was considered a healed fracture when a vertebral deformity existed and MRI signals were normal compared with those of the adjacent normal vertebrae.…”

Section: Protocolmentioning

confidence: 99%

Back Pain-Inducing Test, a Novel and Sensitive Screening Test for Painful Osteoporotic Vertebral Fractures: A Prospective Clinical Study

Jin

Liu

et al. 2019

Journal of Bone and Mineral Research

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To detect painful vertebral fractures (VFs) in back pain populations at risk of osteoporosis, we designed a physical examination test (the Back Pain‐Inducing Test [BPIT]) that included three movements: lying supine, rolling over, and sitting up. If back pain is induced during any of these movements, the result is defined as positive, thereby establishing a presumptive diagnosis of painful VFs. Pain severity is quantified using a self‐reported numerical rating scale (NRS). The presence or absence of painful VFs is verified by whole‐spine magnetic resonance imaging (MRI), the gold standard for final diagnosis. According to the standards for reporting diagnostic accuracy, a real‐world, prospective, and observational study was performed on 510 back pain patients (enrolled from a single institute) at risk of osteoporosis. The sensitivity, specificity, and accuracy of the BPIT for identifying painful VFs were 99.1% (95% CI, 97.5% to 99.8%), 67.9% (95% CI, 60.4% to 74.5%), and 89.0%, respectively. The positive and negative predictive values were 86.6% (95% CI, 82.9% to 89.6%) and 97.4% (95% CI, 92.6% to 99.3%), respectively. Cutoff NRS scores for lying supine, rolling over, and sitting up were 3, 0, and 2, respectively. The corresponding area under the receiver operating characteristic curves (AUROCs) of each movement was 0.898 (95% CI, 0.868 to 0.922), 0.884 (95% CI, 0.854 to 0.911), and 0.910 (95% CI, 0.882 to 0.933), respectively. Although the high prevalence of VFs in the enrolled cohort partially limits the external validity of the predictive value in the general population, we conclude that the BPIT is potentially effective for detecting painful VFs in back pain populations at risk of osteoporosis. This test may be used as a stratification tool in decision‐making on subsequent imaging procedures: a negative BPIT rules out painful VFs and indicates that an MRI should be spared, whereas a positive BPIT means that an MRI is necessary and is likely to identify painful VFs. © 2019 American Society for Bone and Mineral Research.

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Impact of Magnetic Resonance Imaging on Treatment-Related Decision Making for Osteoporotic Vertebral Compression Fracture: A Prospective Randomized Trial

Cited by 10 publications

References 23 publications

Balloon Kyphoplasty vs Vertebroplasty: A Systematic Review of Height Restoration in Osteoporotic Vertebral Compression Fractures

Balloon Kyphoplasty vs Vertebroplasty: A Systematic Review of Height Restoration in Osteoporotic Vertebral Compression Fractures

Pre-operation on 3D-print Model Can Improve Curative Effect of Percutaneous Kyphoplasty (PKP)

Back Pain-Inducing Test, a Novel and Sensitive Screening Test for Painful Osteoporotic Vertebral Fractures: A Prospective Clinical Study

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