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Management of Osteoporotic Vertebral Fracture: Review Update 2022.
| Content Provider | Europe PMC |
|---|---|
| Author | Jang, Hae-Dong Kim, Eung-Ha Lee, Jae Chul Choi, Sung-Woo Kim, Hak Soo Cha, Joong-Suk Shin, Byung-Joon |
| Copyright Year | 2022 |
| Abstract | A vertebral fracture is the most common type of osteoporotic fracture. Osteoporotic vertebral fractures (OVFs) cause a variety of morbidities and deaths. There are currently few “gold standard treatments” outlined for the management of OVFs in terms of quantity and quality. Conservative treatment is the primary treatment option for OVFs. The treatment of pain includes short-term bed rest, analgesic medication, anti-osteoporotic medications, exercise, and a brace. Numerous reports have been made on studies for vertebral augmentation (VA), including vertebroplasty and kyphoplasty. There is still debate and controversy about the effectiveness of VA in comparison with conservative treatment. Until more robust data are available, current evidence does not support the routine use of VA for OVF. Despite the fact that the majority of OVFs heal without surgery, 15%–35% of patients with an unstable fracture, persistent intractable back pain, or severely collapsed vertebra that causes a neurologic deficit, kyphosis, or chronic pseudarthrosis frequently require surgery. Because no single approach can guarantee the best surgical outcomes, customized surgical techniques are required. Surgeons must stay current on developments in the osteoporotic spine field and be open to new treatment options. Osteoporosis management and prevention are critical to lowering the risk of future OVFs. Clinical studies on bisphosphonate’s effects on fracture healing are lacking. Teriparatide was intermittently administered, which dramatically improved spinal fusion and fracture healing while lowering mortality risk. According to the available literature, there are no standard management methods for OVFs. More multimodal approaches, including conservative and surgical treatment, VA, and medications that treat osteoporosis and promote fracture healing, are required to improve the quality of the majority of guidelines. |
| ISSN | 19761902 |
| Journal | Asian Spine Journal |
| Volume Number | 16 |
| PubMed Central reference number | PMC9827207 |
| Issue Number | 6 |
| PubMed reference number | 36573301 |
| e-ISSN | 19767846 |
| DOI | 10.31616/asj.2022.0441 |
| Language | English |
| Publisher | Korean Society of Spine Surgery |
| Publisher Date | 2022-12-27 |
| Access Restriction | Open |
| Rights License | This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. Copyright © 2022 by Korean Society of Spine Surgery |
| Subject Keyword | Spine Osteoporosis Spinal fractures Vertebroplasty Kyphoplasty Neurology Teriparatide |
| Content Type | Text |
| Resource Type | Article |
| Subject | Orthopedics and Sports Medicine Surgery |
