-
J Am Acad Orthop Sur · Mar 2011
Practice GuidelineThe treatment of symptomatic osteoporotic spinal compression fractures.
- Stephen I Esses, Robert McGuire, John Jenkins, Joel Finkelstein, Eric Woodard, William C Watters, Michael J Goldberg, Michael Keith, Charles M Turkelson, Janet L Wies, Patrick Sluka, Kevin M Boyer, and Kristin Hitchcock.
- Southwest Orthopaedic Group, Houston, TX, USA.
- J Am Acad Orthop Sur. 2011 Mar 1; 19 (3): 176-82.
AbstractThis clinical practice guideline is based on a series of systematic reviews of published studies on the treatment of symptomatic osteoporotic spinal compression fractures. Of 11 recommendations, one is strong; one, moderate; three, weak; and six, inconclusive. The strong recommendation is against the use of vertebroplasty to treat the fractures; the moderate recommendation is for the use of calcitonin for 4 weeks following the onset of fracture. The weak recommendations address the use of ibandronate and strontium ranelate to prevent additional symptomatic fractures, the use of L2 nerve root blocks to treat the pain associated with L3 or L4 fractures, and the use of kyphoplasty to treat symptomatic fractures in patients who are neurologically intact.
Notes
Knowledge, pearl, summary or comment to share?You can also include formatting, links, images and footnotes in your notes
- Simple formatting can be added to notes, such as
*italics*,_underline_or**bold**. - Superscript can be denoted by
<sup>text</sup>and subscript<sub>text</sub>. - Numbered or bulleted lists can be created using either numbered lines
1. 2. 3., hyphens-or asterisks*. - Links can be included with:
[my link to pubmed](http://pubmed.com) - Images can be included with:
 - For footnotes use
[^1](This is a footnote.)inline. - Or use an inline reference
[^1]to refer to a longer footnote elseweher in the document[^1]: This is a long footnote..