Percutaneous Vertebroplasty and Balloon Kyphoplasty in Treating Painful Osteoporotic Vertebral Compression Fractures
Summary and conclusions
SBU Alert Report No. 2011-02
Swedish Council on Health Technology Assessment
March 30, 2011
The scientific evidence is insufficient to determine if percutaneous vertebroplasty or balloon kyphoplasty yield better outcomes than nonsurgical strategies or placebo in treating symptomatic vertebral compression fractures due to osteoporosis.
Cement leakage is common with both methods. Although it usually causes no symptoms, the clinical significance of such leakage is not fully investigated.
The scientific evidence is insufficient to determine the cost-effectiveness of percutaneous vertebroplasty and balloon kyphoplasty.
Randomised and blinded trials should be conducted, but such trials are associated with substantial methodological problems. Long-term evaluation of the methods’ effects and risks would require systematic follow-up, e.g. via a national quality registry.
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Copyright © 2011 by the Swedish Council on Health Technology Assessment. All content unless otherwise noted is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Bookshelf ID: NBK298986, PMID: 26153594
