Meaning “porous bone,” osteoporosis occurs when the body loses or makes too little bone. The appearance of osteoporotic bone under a microscope does not reveal the traditional dense “honeycomb” pattern that gives the bone stability. Instead, the patterns are almost web-like, with large holes where smaller ones would normally be, causing the bone to be quite fragile. Depending on the severity of the condition, incidents as severe as a fall to as minor as a cough can cause bones to fracture, most commonly the vertebrae (spine). And unfortunately, chances are good you know or have known someone suffering from one of these fractures.
“There are approximately 750,000 reported cases of vertebral compression fractures in the U.S. every year.”
Vertebral compression fractures (VCF) as a result of osteoporosis are prevalent in the U.S. population. There are approximately 750,000 reported cases every year, in the following percentages:
- 30% of people > 65 years of age
- 25% of postmenopausal women
- 40% of women > 80 years of age
Complications of the condition can include:
- Spinal segmental instability
- Kyphosis (an increased forward curvature of the spine)
- Neurological implications (i.e., compressed spinal nerves)
Sign up for our FREE, client-only webinar, Looking Forward to Set Backs: Vertebral Augmentation Procedures for Osteoporotic Vertebral Compression Fractures. CE Credits are offered.
Treatments for VCFs run the gamut from conservative treatments such as bracing, analgesics, and physical therapy, to more invasive procedures such as spinal fusion surgery. In between, however, lie a number of more moderate procedures known as percutaneous vertebral augmentation procedures (VAPs). Two more well-known VAPS include vertebroplasty and kyphoplasty.
- Vertebroplasty: A biological cement is injected into the body of the vertebra
- Kyphoplasty: A balloon is inflated within a more narrow vertebral space to make room for a biological cement injection
“However, as use of the treatments became more frequent and mainstream, studies revealed issues with safety, efficacy, and effectiveness.”
The treatments have been in existence for 30 years and 16 years, respectively. However, they are not without controversy. As the use of the treatments became more frequent and mainstream, studies found issues with safety, efficacy, and effectiveness.
Hayes decided to look at these two treatments, as well as some newer technologies for treating VCF to determine their comparative effectiveness. Examining parameters such as pain relief, quality of life, morbidity, and mortality, we performed a critical appraisal of the body of peer-reviewed, published research to provide you with unbiased evidence regarding these established, but somewhat debated, treatments.
We’re hosting a FREE, client-only webinar to tell you how we did it. Click here to sign up for Looking Forward to Set Backs: Vertebral Augmentation Procedures for Osteoporotic Vertebral Compression Fractures. We’ll reference two specific reports as well as an upcoming one. Sign up and earn your CE credits today!