Behandling av osteoporotisk kotkompression. Explosionsartat intresse för vertebroplastik och kyfoplastik
(2005) In Läkartidningen 102(21). p.1644-1648- Abstract
- During the last 15 years, two new treatment strategies have gained worldwide attention in the treatment of osteoporotic vertebral fractures. The exponential increase in the use of percutaneous vertebro- or kyphoplasty has up to now not been supported by scientific sound evidence-based data. There exist no prospective randomised controlled trials (RCT) that support the efficacy of the treatments, not even adequate controlled studies. Instead we have to rely on prospective and retrospective uncontrolled short-term observational studies and case-control studies. These studies consistently indicate that the short-term results after the procedures in the treatment of osteoporotic vertebral fractures are favourable, regarding both pain relief... (More)
- During the last 15 years, two new treatment strategies have gained worldwide attention in the treatment of osteoporotic vertebral fractures. The exponential increase in the use of percutaneous vertebro- or kyphoplasty has up to now not been supported by scientific sound evidence-based data. There exist no prospective randomised controlled trials (RCT) that support the efficacy of the treatments, not even adequate controlled studies. Instead we have to rely on prospective and retrospective uncontrolled short-term observational studies and case-control studies. These studies consistently indicate that the short-term results after the procedures in the treatment of osteoporotic vertebral fractures are favourable, regarding both pain relief and functional status. However, if a vertebro- or a kyphoplasty produces a better outcome than conservative treatment, and if the long-term results are as favourable as the short-term results in the treatment of osteoporotic vertebral fractures, is currently unknown. (Less)
- Abstract (Swedish)
- Vertebroplastik och kyfoplastik är två nya behandlingsmetoder
vid osteoporotiska kotkompressioner,
där man genom en perkutant insatt kanyl fyller den
skadade kotkroppen med bencement så att frakturen
stabiliseras, ryggsmärtan reduceras och patientmobiliseringen
underlättas.
Det finns inga prospektiva, randomiserade, kontrollerade
studier publicerade som värderar effekterna
av vertebro- och kyfoplastikteknikerna.
Våra kunskaper om metodernas effekt grundas på
observationsstudier och fall–kontrollstudier, som indikerar
att vertebro- och kyfoplastik minskar patientens
ryggsmärta vid en osteoporotisk kotfraktur.
Det kliniska... (More) - Vertebroplastik och kyfoplastik är två nya behandlingsmetoder
vid osteoporotiska kotkompressioner,
där man genom en perkutant insatt kanyl fyller den
skadade kotkroppen med bencement så att frakturen
stabiliseras, ryggsmärtan reduceras och patientmobiliseringen
underlättas.
Det finns inga prospektiva, randomiserade, kontrollerade
studier publicerade som värderar effekterna
av vertebro- och kyfoplastikteknikerna.
Våra kunskaper om metodernas effekt grundas på
observationsstudier och fall–kontrollstudier, som indikerar
att vertebro- och kyfoplastik minskar patientens
ryggsmärta vid en osteoporotisk kotfraktur.
Det kliniska långtidsresultatet efter vertebro- och kyfoplastik
är dåligt utrett. (Less)
Please use this url to cite or link to this publication:
https://lup.lub.lu.se/record/1132888
- author
- Karlsson, Magnus LU ; Hasserius, Ralph LU ; Gerdhem, Paul LU ; Obrant, Karl LU and Ohlin, Acke LU
- organization
- alternative title
- Treatment of osteoporotic fractures - an increasing interest in vertebroplasty and kyphoplasty
- publishing date
- 2005
- type
- Contribution to journal
- publication status
- published
- subject
- keywords
- Intern frakturfixering, Kyfos, Benskörhet efter menopaus, Benskörhet, Ryggradsfrakturer
- in
- Läkartidningen
- volume
- 102
- issue
- 21
- pages
- 1644 - 1648
- publisher
- Swedish Medical Association
- external identifiers
-
- scopus:20444388322
- ISSN
- 0023-7205
- language
- Swedish
- LU publication?
- yes
- additional info
- The information about affiliations in this record was updated in December 2015. The record was previously connected to the following departments: Clinical and Molecular Osteoporosis Research Unit (013242930), Reconstructive Surgery (013240300)
- id
- 6b8697f0-eefb-4142-bacc-994d16286b1d (old id 1132888)
- alternative location
- http://ltarkiv.lakartidningen.se/artNo30244
- date added to LUP
- 2016-04-01 15:50:17
- date last changed
- 2024-01-10 20:41:06
@article{6b8697f0-eefb-4142-bacc-994d16286b1d,
abstract = {{During the last 15 years, two new treatment strategies have gained worldwide attention in the treatment of osteoporotic vertebral fractures. The exponential increase in the use of percutaneous vertebro- or kyphoplasty has up to now not been supported by scientific sound evidence-based data. There exist no prospective randomised controlled trials (RCT) that support the efficacy of the treatments, not even adequate controlled studies. Instead we have to rely on prospective and retrospective uncontrolled short-term observational studies and case-control studies. These studies consistently indicate that the short-term results after the procedures in the treatment of osteoporotic vertebral fractures are favourable, regarding both pain relief and functional status. However, if a vertebro- or a kyphoplasty produces a better outcome than conservative treatment, and if the long-term results are as favourable as the short-term results in the treatment of osteoporotic vertebral fractures, is currently unknown.}},
author = {{Karlsson, Magnus and Hasserius, Ralph and Gerdhem, Paul and Obrant, Karl and Ohlin, Acke}},
issn = {{0023-7205}},
keywords = {{Intern frakturfixering; Kyfos; Benskörhet efter menopaus; Benskörhet; Ryggradsfrakturer}},
language = {{swe}},
number = {{21}},
pages = {{1644--1648}},
publisher = {{Swedish Medical Association}},
series = {{Läkartidningen}},
title = {{Behandling av osteoporotisk kotkompression. Explosionsartat intresse för vertebroplastik och kyfoplastik}},
url = {{http://ltarkiv.lakartidningen.se/artNo30244}},
volume = {{102}},
year = {{2005}},
}