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Neuroradiology

, Volume 60, Issue 8, pp 777–783 | Cite as

What is the role of vertebral augmentation for osteoporotic fractures? A review of the recent literature

  • Stefano Marcia
  • Mario Muto
  • Joshua A. Hirsch
  • Ronil V. Chandra
  • Nicole Carter
  • Paola Crivelli
  • Emanuele Piras
  • Luca Saba
Review

Abstract

Purpose

Vertebral augmentation procedures such as vertebroplasty and kyphoplasty are utilized in the treatment of vertebral compression fractures (VCFs). However, their capacity for providing analgesia, reducing disability, and improving quality of life in patients with osteoporotic VCFs remains a topic of debate. The objective of this narrative review is to summarize the latest evidence for the safety and efficacy of vertebral augmentation for osteoporotic vertebral compression fractures (VCFs).

Methods

A systematic literature search was conducted using the PubMed and Cochrane electronic databases for systematic reviews, review articles, meta-analyses, and randomized clinical trials prior to May 2017. The keywords were “vertebroplasty,” “kyphoplasty,” and “vertebral augmentation.”

Results

Thirty-three papers (7 systematic reviews, 6 cohort studies, 15 randomized clinical trials, and 5 international guidelines) were included in this narrative review.

Conclusion

Vertebral augmentation is a safe procedure, with low rates of serious complications and no increase in subsequent post-treatment fracture risk.

Keywords

Vertebral augmentation Vertebroplasty Kyphoplasty Osteoporosis Vertebral fracture 

Notes

Compliance with ethical standards

Funding

No funding was received for this study.

Conflict of interest

The authors declare that they have no conflict of interest.

Ethical approval

This article does not contain any studies with human participants performed by any of the authors.

Informed consent

Statement of informed consent was not applicable since the manuscript does not contain any patient data.

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Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Radiology Department SS Trinità Hospital, ATS Sardegna, ASSL CagliariCagliariItaly
  2. 2.Neuroradiology Department, Ospedale CardarelliNaplesItaly
  3. 3.Neuroendovascular Program, Department of Radiology, Massachusetts General HospitalHarvard Medical SchoolBostonUSA
  4. 4.Interventional Neuroradiology Unit, Monash Imaging, Monash Health, Melbourne, Australia and Faculty of Medicine, Nursing and Health SciencesMonash UniversityMelbourneAustralia
  5. 5.Department of RadiologyUniversity of SassariSassariItaly
  6. 6.Department of RadiologyUniversity of CagliariCagliariItaly
  7. 7.Department of RadiologyAzienda Ospedaliero Universitaria of CagliariCagliariItaly

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