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Osteoplastic Procedures for the Treatment of Vertebral Fractures

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Non-Pharmacological Management of Osteoporosis

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Abstract

Pain induced by vertebral fractures in osteoporosis can be treated by osteoplastic procedures, i.e., kyphoplasty or vertebroplasty. The extent of the pain reduction by the procedure depends on the presence of additional causes for pain as spondylosis deformans, osteochondrosis, stenosis of the spinal canal or intervertebral nerve compression. To identify additional reasons for pain apart from a vertebral fracture-induced pain, a detailed preoperative analysis of the patient’s complaints is crucial for the outcome after an osteoplastic procedure. In addition, the technical aspects for performing the procedure and potential complications have to be considered as well as the stability of the cortical bone of the respective vertebral body. A complete collapse of the vertebra (vertebra plana) is not a promising situation for any osteoplastic procedure. In case of inflammatory or infectious vertebral lesions (e.g., spondylodiscitis), osteoplastic procedures are contraindicated. An interdisciplinary discussion of the individual case among oncologists, radiotherapists, trauma/spine surgeons, radiologists and osteologists/endocrinologists is a prerequisite for the identification of patients who will truly benefit from an osteoplastic procedure and to avoid overtreatment and economical exploitation of the patient and of healthcare providers.

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Authors and Affiliations

  1. Division of Osteology, Department of Medicine I and Clinical Chemistry, University Hospital Heidelberg, INF 410, 69120, Heidelberg, Germany

    Christian Kasperk MD, PhD

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  1. Christian Kasperk MD, PhD
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Correspondence to Christian Kasperk MD, PhD .

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Editors and Affiliations

  1. Department of Physical Medicine and Rehabilitation, Mayo Clinic, Rochester, Minnesota, USA

    Mehrsheed Sinaki

  2. Institute of Clinical Osteology and Clinic “DER FÜRSTENHOF”, German Osteology Foundation, Bad Pyrmont, Niedersachsen, Germany

    Michael Pfeifer

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Kasperk, C. (2017). Osteoplastic Procedures for the Treatment of Vertebral Fractures. In: Sinaki, M., Pfeifer, M. (eds) Non-Pharmacological Management of Osteoporosis. Springer, Cham. https://doi.org/10.1007/978-3-319-54016-0_12

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  • DOI: https://doi.org/10.1007/978-3-319-54016-0_12

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-54014-6

  • Online ISBN: 978-3-319-54016-0

  • eBook Packages: MedicineMedicine (R0)

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