Der Unfallchirurg

, Volume 115, Issue 12, pp 1066–1069

Zementaugmentation bei osteoporotischen Wirbelkompressionsfrakturen

Leitthema

Zusammenfassung

Qualitativ hochwertige evidenzbasierte Studien haben wesentliche Fragen zur weit verbreiteten Anwendung der Vertebroplastie zur Behandlung von osteopenen Insuffizienzfrakturen von Wirbelkörpern aufgeworfen. Weitere Studien verschieben gar die Beweislast für interventionelle Verfahren, beispielsweise für die Ballonkyphoplastie. Um ihre Relevanz zu sichern, werden neue prospektive klinische Studien möglicherweise Placeboarme in Betracht ziehen müssen.

Schlüsselwörter

Vertebroplastie Wirbelkörperaugmentation Osteopene Wirbelkörperinsuffizienzfraktur Ballonkyphoplastie Assessment 

Cement augmentation for osteoporotic compression fractures

Abstract

High-quality evidence has raised significant questions on the widespread use of vertebroplasty in the treatment of osteopenic vertebral insufficiency fractures. Further research is shifting the burden of proof on procedures such as balloon kyphoplasty and other interventions. New prospective clinical trials may need to consider including sham arms to enhance their relevance.

Keywords

Vertebroplasty Vertebral augmentation Osteopenic vertebral insufficiency fracture Balloon kyphoplasty Assessment 

Supplementary material

113_2012_2307_MO1_ESM.pdf (366 kb)
Englische Version of: "Zementaugmentation bei osteoporotischen Wirbelkompressionsfrakturen" (PDF 120kB)

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Copyright information

© Springer-Verlag Berlin Heidelberg 2012

Authors and Affiliations

  1. 1.Orthopedic Surgery and Sports Medicine, Neurological SurgeryUniversity of Washington Medical Center, University of WashingtonSeattleUSA
  2. 2.Radiology, Orthopedic Surgery and Sports MedicineHarborview Medical Center, University of WashingtonSeattleUSA

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