New vertebral fractures after osteoporotic vertebral compression fracture between balloon kyphoplasty and nonsurgical treatment PRISMA

Abstract

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Percutaneous vertebroplasty with granulated allogeneic bone grafting using screw-view model of navigation for thoracolumbar compressive fracture

“…Vertebra compression fractures were caused by trauma of the spine, osteoporotic degeneration, metastatic disease, or primary tumor. [1,2,5,21] Vertebra compression fracture can lead to chronic back pain in 84% of symptomatic patients, [22] increased incidence of new vertebra compression fracture, [1,15] deformity of kyphosis, loss of mobility and pulmonary dysfunction. [23,24] As a result, mortality is also higher.…”

“…New vertebral fracture after PVP in osteoporosis patients is also a common complication. [1,15] Uppin et al [15] reported that two-thirds of new fractures occur in the vertebrae adjacent to those previously treated. Wasnich et al [28] explained the reason for new fractures was probably because deformity and kyphosis vary the vectors of the forces which were in action throughout the spine after a vertebral compression fracture.…”

“…Vertebral compression fractures have numerous causes and seriously affect the quality of life of the elderly population. [1] Osteoporosis is considered the most common cause of vertebral compression fracture. [2] Traditionally, most patients with osteoporotic vertebral compression fracture (OVCF) were managed conservatively with pain management, short periods of bed rest and bracing.…”

“…[4,7–9] Buchbinder et al, [10] Kallmes et al, [11] and Kallmes et al [11] reported that painful control in patients with OVCF was similar among those having received PVP and those having not. Besides, there are other risks related to the use of bone cement, including leakage of cement canal, [7–9,12–14] new fracture in vertebrae adjacent to the fracture treated previously [1,15] and even intracardiac bone cement embolism. [16]…”

<p>The Application of Vertebral Augmentation Procedures and Teriparatide in the Treatment of Osteoporotic Vertebral Compression Fractures [Response to Letter]</p>

“…Short-term (eg pain relief, restoration of mechanical stability, mobility improvement and fracture healing) and long-term achievements (eg progressive QOL improvement and prevention of NVCFs) need to be realized in strategies for patients who suffered osteoporotic vertebral compression fractures (OVCFs). 2,3 Vertebral augmentation procedures (VAP), ie percutaneous vertebroplasty (PVP) and/or PKP, is a minimally invasive therapy adopted in the treatment of OVCFs with the aim of prior pain alleviation by stabilizing the vertebral fracture and recovery of function by restoring vertebral body height (VBH). 4 Literature reported that PVP/PKP quickly restored patients' walking ability soon after operation and improved QOL in the early stage of OVCFs.…”