Management of Osteoporotic Vertebral Fracture: Review Update 2022
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...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Korean Spine Society
2022-12-01
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| Series: | Asian Spine Journal |
| Subjects: | |
| Online Access: | http://www.asianspinejournal.org/upload/pdf/asj-2022-0441.pdf |
| _version_ | 1797961378283126784 |
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| author | Hae-Dong Jang Eung-Ha Kim Jae Chul Lee Sung-Woo Choi Hak Soo Kim Joong-Suk Cha Byung-Joon Shin |
| author_facet | Hae-Dong Jang Eung-Ha Kim Jae Chul Lee Sung-Woo Choi Hak Soo Kim Joong-Suk Cha Byung-Joon Shin |
| author_sort | Hae-Dong Jang |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-04-11T00:57:29Z |
| format | Article |
| id | doaj.art-415b73443f044103b15d0c33ac66f380 |
| institution | Directory Open Access Journal |
| issn | 1976-1902 1976-7846 |
| language | English |
| last_indexed | 2024-04-11T00:57:29Z |
| publishDate | 2022-12-01 |
| publisher | Korean Spine Society |
| record_format | Article |
| series | Asian Spine Journal |
| spelling | doaj.art-415b73443f044103b15d0c33ac66f3802023-01-04T23:59:28ZengKorean Spine SocietyAsian Spine Journal1976-19021976-78462022-12-0116693494610.31616/asj.2022.04411483Management of Osteoporotic Vertebral Fracture: Review Update 2022Hae-Dong Jang0Eung-Ha Kim1Jae Chul Lee2Sung-Woo Choi3Hak Soo Kim4Joong-Suk Cha5Byung-Joon Shin6 Department of Orthopaedic Surgery, Soonchunhyang University Bucheon Hospital, Bucheon, Korea Department of Orthopaedic Surgery, Dongkang Hospital, Ulsan, Korea Department of Orthopaedic Surgery, Soonchunhyang University Seoul Hospital, Seoul, Korea Department of Orthopaedic Surgery, Soonchunhyang University Seoul Hospital, Seoul, Korea Department of Orthopaedic Surgery, Soonchunhyang University Seoul Hospital, Seoul, Korea Department of Orthopaedic Surgery, Soonchunhyang University Seoul Hospital, Seoul, Korea Department of Orthopaedic Surgery, Soonchunhyang University Seoul Hospital, Seoul, KoreaA 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.http://www.asianspinejournal.org/upload/pdf/asj-2022-0441.pdfspineosteoporosisspinal fracturesvertebroplastykyphoplastyneurologyteriparatide |
| spellingShingle | Hae-Dong Jang Eung-Ha Kim Jae Chul Lee Sung-Woo Choi Hak Soo Kim Joong-Suk Cha Byung-Joon Shin Management of Osteoporotic Vertebral Fracture: Review Update 2022 Asian Spine Journal spine osteoporosis spinal fractures vertebroplasty kyphoplasty neurology teriparatide |
| title | Management of Osteoporotic Vertebral Fracture: Review Update 2022 |
| title_full | Management of Osteoporotic Vertebral Fracture: Review Update 2022 |
| title_fullStr | Management of Osteoporotic Vertebral Fracture: Review Update 2022 |
| title_full_unstemmed | Management of Osteoporotic Vertebral Fracture: Review Update 2022 |
| title_short | Management of Osteoporotic Vertebral Fracture: Review Update 2022 |
| title_sort | management of osteoporotic vertebral fracture review update 2022 |
| topic | spine osteoporosis spinal fractures vertebroplasty kyphoplasty neurology teriparatide |
| url | http://www.asianspinejournal.org/upload/pdf/asj-2022-0441.pdf |
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