TY - JOUR
T1 - The treatment of symptomatic osteoporotic spinal compression fractures
AU - Esses, Stephen I.
AU - McGuire, Robert
AU - Jenkins, John
AU - Finkelstein, Joel
AU - Woodard, Eric
AU - Watters, William C.
AU - Goldberg, Michael J.
AU - Keith, Michael
AU - Turkelson, Charles M.
AU - Wies, Janet L.
AU - Sluka, Patrick
AU - Boyer, Kevin M.
AU - Hitchcock, Kristin
PY - 2011/3
Y1 - 2011/3
N2 - This clinical practice guideline is based on a series of systematic reviews of published studies on the treatment of symptomatic osteoporotic spinal compression fractures. Of 11 recommendations, one is strong; one, moderate; three, weak; and six, inconclusive. The strong recommendation is against the use of vertebroplasty to treat the fractures; the moderate recommendation is for the use of calcitonin for 4 weeks following the onset of fracture. The weak recommendations address the use of ibandronate and strontium ranelate to prevent additional symptomatic fractures, the use of L2 nerve root blocks to treat the pain associated with L3 or L4 fractures, and the use of kyphoplasty to treat symptomatic fractures in patients who are neurologically intact.
AB - This clinical practice guideline is based on a series of systematic reviews of published studies on the treatment of symptomatic osteoporotic spinal compression fractures. Of 11 recommendations, one is strong; one, moderate; three, weak; and six, inconclusive. The strong recommendation is against the use of vertebroplasty to treat the fractures; the moderate recommendation is for the use of calcitonin for 4 weeks following the onset of fracture. The weak recommendations address the use of ibandronate and strontium ranelate to prevent additional symptomatic fractures, the use of L2 nerve root blocks to treat the pain associated with L3 or L4 fractures, and the use of kyphoplasty to treat symptomatic fractures in patients who are neurologically intact.
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U2 - 10.5435/00124635-201103000-00007
DO - 10.5435/00124635-201103000-00007
M3 - Article
C2 - 21368099
AN - SCOPUS:79953228131
SN - 1067-151X
VL - 19
SP - 176
EP - 182
JO - Journal of the American Academy of Orthopaedic Surgeons
JF - Journal of the American Academy of Orthopaedic Surgeons
IS - 3
ER -