Engelsk titel: Vertebroplasty, new treatment of osteoporotic vertebral fractures?
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Författare:
Österheden Andersen M
;
Thomsen K
Språk: Dan
Antal referenser: 26
Dokumenttyp:
Översikt
UI-nummer: 04021455
Sammanfattning
Vertebral fracture is a common complication of osteoporosis. In some patients such a fracture results in prolonged and intractable pain. Traditionally treatment has included bed rest, physiotherapy, pain management and in some cases bracing. During the last decade vertebroplasty has been developed as a treatment for these fractures. To evaluate the safety and the results of this procedure, we preformed a MEDLINE search in June 2002 using the terms »Vertebroplasty« and »Fracture«. The search revealed 15 clinical studies reporting pain 62% to 100% of the treated patients. Rare clinical complications relate to extravertebral leakage of cement, including local compression of the neural structures or cement emboli. Vertebroplasty seems to be a safe and effective treatment of painful osteoporotic compression fractures. Controlled trials are needed to determine the long-term safety of the procedure.