Significantly Fewer Refractures After Vertebroplasty in Patients Who Engage in Back-Extensor-Strengthening Exercises

Physical exercise and osteoporosis: effects of different types of exercises on bone and physical function of postmenopausal women

“…(22) observed that by improving the back extensors muscle force in postmenopausal women a significant reduction in vertebral fracture occurred, as well as the enhancement of body balance and fall reduction. In the same line, other study showed that the increase in the back extensors strength reduced the incidence of new vertebral fractures in patients that underwent vertebroplasty surgery (23). This way, the strengthening of back extensor muscles should be a target in a physical training program for postmenopausal women.…”

Pathological Vertebral Compression Fracture of C3 Due to a Breast Cancer Metastasis in a Male Patient

“…Huntoon et al demonstrated that although patients treated with a vertebroplasty continue to suffer further fractures, the time to a new fracture is prolonged if back extensor muscles exercises are carried out. 21,22 As in the case, we describe the VCF due to metastatic invasion follows a different pattern from osteoporotic fracture. A major alteration of the bone density in the adjacent vertebrae is not expected.…”

“…It has been seen that patients with vertebroplasty could suffer refracture earlier. 20,21 Rehabilitation with back extensor muscles potentiating exercises in the patient treated with vertebroplasty, could be 1 beneficial option. There are studies that show a lower risk of VCF in women suffering from osteoporosis who follow this rehabilitation.…”

“…6,8,12 This allows patients to enroll in exercise routines, diminishing their loss of bone mass and improving their quality of life. 10,11,21,22 Key Points • Vertebroplasty is appropriate and safe for cervical vertebral body fractures treatment. • HIV does not increase the risk of breast cancer neoplasm.…”

Osteoporosis Primer for the Vertebroplasty Practitioner: Expanding the Focus Beyond Needles and Cement

“…Patients may benefit from referral to a physiatrist or physical therapist for instruction in exercises aimed at maintaining proper alignment and good posture to limit progressive kyphosis from additional compression fractures. 26 Patients often resist making changes to their activity or using a cane or walker because of the fear of admitting aging and frailty. Discussing these recommendations in the light of an overall strategy to maintain independence by limiting future fractures is sometimes helpful.…”