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Curr Opin Anaesthesiol · Oct 2012
ReviewVertebroplasty and kyphoplasty: new evidence adds heat to the debate.
- Juan-Francisco Asenjo and Felipe Rossel.
- Department of Anesthesia and Alan Edwards McGill Pain Center, McGill University Health Center, Montreal Quebec, Canada. jfasenjog@gmail.com
- Curr Opin Anaesthesiol. 2012 Oct 1;25(5):577-83.
Purpose Of ReviewCement bone augmentation has become very popular worldwide in treating painful noncomplicated spine fractures. Controversy about the effectiveness was raised by two randomized trials in 2009. Recent new evidence contradicts those findings giving credit to vertebroplasty/kyphoplasty.Recent FindingsWell designed prospective clinical trials in cancer and noncancer vertebral fractures as well as an excellent meta-analysis showed that painful vertebral compression fractures have better and faster pain relief, better functional outcomes, and with low complication rate when treated with percutaneous cement than conservatively.SummaryThe saga is unfinished. The treatment of vertebral compression fractures with cement augmentation is still in its infancy. The potential for development with new materials and the injection of biologic and active bone cements or anticancer products, in metastatic disease, will revolutionize the treatment of this condition.
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