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[Vertebroplasty: the new CHUV consensus]
Bérengère Aubry-Rozier1, Timo Ecker2, Guillaume Saliou3
1Service de rhumatologie et Centre des maladies osseuses, CHUV, 1011 Lausanne.
Insights
This review updates guidelines for treating osteoporotic vertebral fractures using vertebroplasty and percutaneous cementoplasty. It addresses benefits, risks, indications, and osteoporosis management for better patient outcomes.
Area of Science:
- Orthopedics
- Radiology
- Geriatrics
Background:
- Osteoporotic vertebral fractures are a significant cause of morbidity in older adults.
- Vertebroplasty has been used for managing these fractures since 2009.
- Recent advancements necessitate an update to existing management guidelines.
Purpose of the Study:
- To provide an updated consensus on the management of acute osteoporotic vertebral fractures.
- To evaluate the benefits, risks, and indications of vertebroplasty.
- To incorporate recent knowledge on percutaneous cementoplasty for vertebral fractures due to bone insufficiency.
Main Methods:
- Review of recent literature and clinical evidence.
- Analysis of outcomes, complications, and procedural techniques for vertebroplasty and cementoplasty.
- Integration of current understanding of osteoporosis evaluation and treatment.
Main Results:
- Vertebroplasty offers potential benefits for specific patient populations with osteoporotic vertebral fractures.
- Percutaneous cementoplasty is an emerging option for vertebral fractures from bone insufficiency.
- Clear indications, risks, and procedural considerations are outlined.
Conclusions:
- Updated guidelines are crucial for optimizing the use of vertebroplasty and cementoplasty.
- Comprehensive management includes addressing osteoporosis to prevent future fractures.
- Evidence-based recommendations support informed clinical decision-making.
Abstract:
Should we continue to treat patients suffering from an acute osteoporotic vertebral fracture with vertebroplasty ? What is the potential benefit ? What are its indications ? What are its risks ? Which way to perform it ? How to manage the osteoporosis evaluation and therapy ? In 2009 we published the « CHUV consensus » on the management of vertebral osteoporotic fractures by vertebroplasty. We here propose an update including recent knowledge on the management of vertebral fractures by bone insufficiency by percutaneous cementoplasty.
