Is vertebral augmentation an effective treatment for osteoporotic compression fractures

Multiple studies have reported that vertebral body augmentation with PMMA leads to rapid diminution of pain and improvement in quality of life measures that persist at least in the short and medium term in appropriately selected patients. There have been some trials directly comparing kyphoplasty and vertebroplasty, but the results of these investigations are mixed. In a meta-analysis of these techniques, adverse events were rare, but short-term adverse events were more common with vertebroplasty, specifically cement leakage. Publication of results from two randomized clinical trials in the New England Journal of Medicine in 2009 questioned the efficacy of vertebroplasty. A subsequent study (Vertos II) countered these arguments. The debate regarding effectiveness of vertebroplasty remains an area of controversy.

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How To Win Your War Against Back Pain

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