Vertebroplasty in Elderly Patients: A Clinical Effectiveness Analysis

Michelangelo Nasuto, Michele Falcone, Vincenzo Strizzi, Lucia Florio, Walter Lauriola, Giovanni Ciccarese, Giuseppe Guglielmi, Francesco Florio

Research output: Contribution to journalReview articlepeer-review

Abstract

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.

Original languageEnglish
Article number30
JournalCurrent Radiology Reports
Volume6
Issue number9
DOIs
Publication statusPublished - Sep 1 2018

Keywords

  • Aging spine
  • Kyphoplasty
  • Mini-invasive treatment
  • Percutaneous vertebroplasty
  • Vertebral augmentation procedures
  • Vertebral fractures
  • Vertebral fractures management

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

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