Abstract
Vertebral fragility fractures (VFF) constitutes a major complication of osteoporosis affecting the quality of patient life. Debates about diagnosis and therapeutic measures are still ongoing. VFF might be considered as an independent factor of severe osteoporosis. Magnetic resonance image can be a useful diagnostic tool by giving more information than simple X-ray regarding the severity of the fracture, the healing process, the neurological damage, and possible secondary metastasis. Vertebroplasty and kyphoplasty, even a conservative treatment, have been applied to treat such fractures; we will discuss each technique and to our belief, any technique used should take into consideration the restoration of the normal curvature of the spine.
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References
Prevention O (2001) Diagnosis and therapy. NIH consensus development panel on osteoporosis prevention, diagnosis, and therapy. JAMA 285:785–795, Links
Dempster D, Shane E, Horbert W et al (1986) A simple method for correlative light and scanning electron microscopy of human iliac crest bone biopsies: qualitative observations in normal and osteoporotic subjects. J Bone Miner Res 1:15–21
Wasnich R (1997) Epidemiology of osteoporosis in the United States of America. Osteoporosis international: a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA, 7:S68
Cooper C, Campion G, Melton L (1992) Hip fractures in the elderly: a world-wide projection. Osteoporos Int 2:285–289
Riggs B, Melton L III (1995) The worldwide problem of osteoporosis: insights afforded by epidemiology. Bone 17:505
Lindsay R, Silverman S, Cooper C et al (2001) Risk of new vertebral fracture in the year following a fracture. JAMA 285:320
Zebaze R, Seeman E, Maalouf G et al (2007) The spinal curvature irregularity index independently identifies vertebral fractures. Osteoporos Int 18:279–283
Nevitt M, Ettinger B, Black D et al (1998) The association of radiographically detected vertebral fractures with back pain and function: a prospective study. Ann Intern Med 128:793
Center J, Nguyen T, Schneider D et al (1999) Mortality after all major types of osteoporotic fracture in men and women: an observational study. Lancet 353:878–882
Gehlbach S, Bigelow C, Heimisdottir M et al (2000) Recognition of vertebral fracture in a clinical setting. Osteoporos Int 11:577–582
Genant H, Wu C, van Kuijk C et al (1993) Vertebral fracture assessment using a semiquantitative technique. J Bone Miner Res 8:1137–1148
Taylor R, Fritzell P (2006) Balloon kyphoplasty and vertebroplasty for vertebral compression fractures: a comparative systematic review of efficacy and safety. Spine 31:2747
Eck J, Nachtigall D, Humphreys S et al (2008) Comparison of vertebroplasty and balloon kyphoplasty for treatment of vertebral compression fractures: a meta-analysis of the literature. Spine J 8:488–497
Buchbinder R, Osborne R, Ebeling P et al (2009) A randomized trial of vertebroplasty for painful osteoporotic vertebral fractures. N Engl J Med 361:557
Kallmes D, Comstock B, Heagerty P et al (2009) A randomized trial of vertebroplasty for osteoporotic spinal fractures. N Engl J Med 361:569
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Maalouf, G., Issa, M., Atallah, F. et al. Vertebral fragility fractures: where do we stand?. Eur Orthop Traumatol 1, 231–235 (2011). https://doi.org/10.1007/s12570-011-0053-y
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DOI: https://doi.org/10.1007/s12570-011-0053-y