Vertebroplasty in Elderly Patients: A Clinical Effectiveness Analysis

Journal Article · Sat Sep 15 04:00:00 EDT 2018 · Current Radiology Reports

DOI:https://doi.org/10.1007/S40134-018-0288-2· OSTI ID:22876174

Nasuto, Michelangelo; Falcone, Michele; Strizzi, Vincenzo ^[1]; Florio, Lucia ^[2]; Lauriola, Walter; Ciccarese, Giovanni ^[1]; Guglielmi, Giuseppe ^[3]; Florio, Francesco ^[1]

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1. IRCCS Hospital “Casa Sollievo della Sofferenza”, Interventional Radiology Unit, Department of Cardiovascular Disease (Italy)
2. IRCCS Hospital “Casa Sollievo della Sofferenza”, Neurology Unit, Department of Medical Sciences (Italy)
3. Scientific Institute Hospital “Casa Sollievo della Sofferenza”, Department of Radiology (Italy)

Purpose of Review: Minimally invasive vertebral augmentation procedures (VAP) have been first introduced to provide pain relief in patients with osteoporotic vertebral fractures (VF). However, in the last decade scientific literature revealed to be quite controversial about their efficacy. The aim of this review was to analyze clinical evidences from current literature, supported by our own experience. Recent Findings: Compared to conservative therapies, VAP represent an effective treatment for recent VF and, in elderly patients, reduce mortality and morbidity. Advances in technology have widened the fields of application towards other spine pathologies typical of elderly, such as primary and metastatic tumors. Summary: In patients with severe pain for recent or un-healed vertebral fracture, VAP are clinically more effective than conservative treatment. Accurate pain assessment and pre-procedural Magnetic Resonance Imaging are highly recommended to obtain optimal patient selection and best treatment results.

• OSTI ID: 22876174
• Journal Information: Current Radiology Reports, Journal Name: Current Radiology Reports Journal Issue: 9 Vol. 6; ISSN 2167-4825
• Country of Publication: United States
• Language: English

Related Subjects

62 RADIOLOGY AND NUCLEAR MEDICINE
AGING
COMPARATIVE EVALUATIONS
DISEASE INCIDENCE
METASTASES
MORTALITY
NEOPLASMS
NMR IMAGING
PAIN
PATHOLOGY
PATIENTS
THERAPY
VERTEBRAE